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Home My WebLink About2464 FAIRBROOK WAY - Building Permits. '4� Applicant to fill in all spaces eMcept thosc wl�hin �eavy OorEcr Ilnns antl Si9n all aDV�oO/iate tleclarations. P RMIT P�RMIT NO_ �, __ TRACT NO. LOT NO. UNIT N0. CI7Y oF COSTA- S { �C NS /R�U��C/T�IO,TN^ ProjectA�dress �YJ � �—SJ�! LJ(`J(J ,/ Applicant's Mail^ing A1�d1d,r/e�ys" Owner's NamCe, �W W ^ Phone Address (,y{rin p Arch/Eng. License No. Addreu L/ L1y3-Q _ £� �a�---�� Contracto ' N �41_.T u�, n��r5r 4 Addreu (m�'�'�nl '��'Z. G. V � $� � �-�_ Ciry License No. �S�) � � LICENSED CONTRHCT00. DECLA TION I hereby altirm that 1 am licensetl untler proN510ns ot Chartar 9(Commendng witn se<tion 7000) of Division 3 ot the Bysiness an0 Professloni Cotle, antl my license is in 1 W I/➢rty�r�eitect. � n r�7 �J` Dale�J� S�9�ature �.�-{�(�j��-�— WORKERS' CON{PENSATION DECL ION � � I hereDy attirm that I have a certiticate consent [o seli-insive�or a certificate of Workers' Co pen� �'acion Inzurance� or a�e� ie�P` there� 3800, Lab. C � I 1�.. palicy No. Y��i� Compao ith the tlt Bui Applicant (ThissecQon neetl not be completetl it�h I'pelmit�z-(o! on/nuhtlr�100) or less). I certity th t in the erfOrmance of th rk Orv� ic� tnis pe�m�t is i55uetl, I SM1all no loy a /son ln any dnn¢r o.6fto becoma Subjet[ to the Work¢r5 ' Lav+s ot Calif r a, r Date Si9nature ��" NOTICE: 1, aiter aking this tleclaratlo , you shoultl become subject to the Workers' COmpenzaUon provisions ol e Labor Cotlo, you mu5t torlhwith comply wltn such provl5ion5 or this permll ihall be O¢Cmetl revoked. CONST0.UCTION LENOING AGENCV ' I hereby affi�m thal [here Is a ConstrucNon lentling a9anty tOr [he pertormance of the work (or whiGh this permit i5 ISSu¢tl (Sectlon 309] Civ. CJ Lantle�'S Name Lentler'S Atltlress OWNER BUILDEH OECLARATION 1 hereby affirm thal I am oxompl irom Ihe Contractor'S Llcensa Law tOr lhe tollowing reason (Saction �031.5 Businoss antl Prote55ional Cotle: Any city or counly whlch requlres a permil lo ConStruct, alter impwve, tlemOlisb or repair any structuro, prlor to its issuance, also raquires t�e applicant tor such permit lo fila a signatl sWtomunt tnat ho/she IS IiCansetl pursudnt [o Ihe provisions ot the Conlractor's License Law (Cnapter 9(commencin9 witn Settlon 7000) ot Divislon 3 of tha Bu5ino55 antl Pro/c5510n5 Cotla) or thal ho/she is exompl thetefrom antl the ba515 IOr tM1e alle9Ctl ezempliOn. Any viOlatlon ot So<tiOn 7031.5 by any ap011tanl for a parmit Subjocts th¢ applicant to a clvll eendlty oi not more than five huntlretl tlollars (5500). LJ I, as owner ol lha properly or my em0loyeCs with wagos as thelr sOln comoensation, will tlo tho work, antl tha structuro Is nol intentlotl or ofleretl for sab (Settion �044, Bus{ness antl Prolesslonal Cotle: The ConVaclor'S LIC¢nse Law tlocs nol applY t0 an owner ol a Propetiy wno builtls or Improves thereon, antl who tlaes such work Olmsell/honetl or [nroupn his or her awn employees, prOvitletl l�at SUCh Improvements are not Intentletl or o/fe�etl for salC. If, however, IM1e builtling or Improvement IT So10 wlthin onc yoar o/ com- pletion, t�e owner will have the burtlOn Oi P�oving he/Sho Oltl no[ build o� Im- prove for lha purpose of salo). � ❑ I, as own¢r ol Ihe prOperty, dm exclusiv¢ty cOntracHn9 wlth Iicentetl COn- tractor5 t0 conSVucl lh¢ Orolect ISectiOn 7044, Bu5ine55 dn0 P�ofe55ion5 COUe: The Conlrattor's License Law dOes not apply [O an owner Oi property wh0 builtls or Improves theraon, antl who contracts lor such projects witn a con- ira[tor�sl IK¢nse pursuanl to tM1e Contracto�'s LlcenSa Law). 1 am awara lhat proof Of lhei� Worker'S Comp¢niallOn InSuran<8 shaultl be provltletl to me. ❑ 1 am exempl untler Section B. S P. C. for this reason Date Owner i na.nnv aertifv matifhave reatl thit aooliwtion antl state tnat ihe above I Siqnature i v -- iDriv¢rs' License Or $S � CMF OB65-46, r¢v. 10/B4 White TVPE OF CONSTRUCTION LJ NEW LJ ADD LJ ALTERATION LJ REPAIR ❑ CONVERSION ❑ D MOLISH ❑ O�jHER q,p. # DESCFIPTIONOF�USEO BL �� — �� ( S Main Building: TVPE OF PERMIT GRA�ING FOUNDAT ON STRVCTV RAL T Front ❑ TENANT�LECTRICAL ❑ PLUMBING �IECHANICAL B Reef ❑ OTHER p` PROJECT DESCRIPTION SQ.FT. oCCUaANCv C Right K Left CONSTRUCTIONTYPE VALUATIONS $ ZO�vE GRADING CU.YDS. ACRES p�ng. ReL # Remarks: � Planning Notes: Sink Preventer Irrigation rinking Fountains loor Drains loor Sinks as Service Outlets i Roof D�ains Fee � $15 Duct � Under Ground Duct - SVuctural Duct � Ventilating Exhaust System ❑ Multiple � Firepl/Fact. Blt. ICBO # Heating System & Duccing ❑P7 00,000 BTU O t 00,000 BT Fee Accountin9: Goltlenrotl - Assessor 515 Showers Service Sink Sewer Cap Sewer Conneclion $olar Collectors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service AUfO�W85F1 lauo Fee Hoodor Typel � Cenopy Type II ❑ iefrigeration System �{�{'{� �0.100,000 BTU ❑100,000 BTU System Repair/Alteratian Fire Dampers Regisiers laue Fee �'s 5 3 S Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Oryers ❑Gas ❑Elec Fan F.A.U. Device Boxes Outlets Switches Garbage Disposal Generator 00.5 KW �5�15 Zone Accessory Parking Rep./Provided ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑over 100 amps Sub Panel Morors00�1 HP lh-8 IncSolar �9-15 HP 016-15+ Microwave Pole Light Range Sign Standing Sections Trash Compacror � Reinspection Fae I$15 � � Issue Fee �EVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building APPmved 6y � Appliration Issued By FEES I N G fl E � M T S SUMMARV OF FEES BUILDING PERMIT $ SMIP S PLAN CHECK $ PERMIT PLUMBING S ISSUANCE 5 PLAN CHECK 25% $ =��—/� ENERGY P.C. 5 ELECTRICAL $ � GRADING S PLAN CHECK 50% $ MICROFILM S MECHANICAL S� TOTAL FEE S •SO PLAN CHECK 25% y Dp1E: 0�/29l8S •,TIHE: 10: CONSTRUC710N AND PLANNING � POOL & SPA APPROVALS Permit # Date Inspector ,.AppROVALS Permit # Date Inspector 1: Temporary Electrical'Service or Pole 52. Pool & Equipment Location 2. .Soil Pipe-Undrgrnd. 5�,�Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrica� Conduit�Undrgrnd. 55.- Electrical Bonding - 5. Steel Reinfo�cement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7: Footings 58. Electrical Conduit-Undrgmd. 8: F.oupdation •� 59' Gas Pipe, � Undrgrnd., Test 9.� Water�Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgmd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 72. Sewer Cap 63. Heater & Vent-Final � 13. Roof Dcains 64. Plumbing System - Final 14. Rough PlumUing 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 PLASTERING .. 8. Rough Electrical-7',Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # . 21. Ducts,in Structure �: 70. Underground Hydro � 22. Ducts, Ventilating 71. Produc[ Piping 0 Gas ❑ 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 (Str.u�ctural) & Monocoat 75. Dry Chemical 27. Frame and Flashi� 76. Dry Standpipe 28. Lathing & Siding ' 77. FIXED SYSTEM FINAL � �9. Insulation 78. FIRE PREV. FINAL � 30. Drywa�l Nai�ing HEALTH DEPT. REQUIREMENT � 31. Plaster Brown Coat 79. FINAL INSPECTION . 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED � 33. Final Electric � Z{�j(� �ifA� Notes: 34. Final Heating & Air Conditioning g y� . ,� 35. Final Gas Pipe-Test � '� 36. Hood or CanOPY r 37. Final Factory Fireplace 38. Fi�al Plumbing • . - � Z,�.' 39. Water Service-Final � ' - , S�- � 40. Gas Service-Final ' ' - ' f? 41. Solar pomesticFinal , , � �-j 42. Backflow Preventer ,,, "=- / 43. Backflow Irrigation � • , " � ��' � 44. landscape Irrigation System �, 45. Sound Attenuation 46. Handicap Regulations � ` 47. FINALSTRUCTURE&BUILDING � _ � � � � � 4S. Special Requirements Completed ' .� ; " i 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co 57. CERTIFICA7E OF OCCUPANCY � No. Date � A � Pfl0.1ECTR0�BES5: ?9CQ FAIRBROOK��.WY ux�T: oweensxnme: DELLECHIAIE DAVE noox¢ss: 2464 FAIRBRbOK WAY COSTA MESA,CA 92626 979-4067 RNCN/ENGINEEN: NEG.NO.: ROOflE$S: UNIT: PEflMITTEf: DAVID DELLECHIAIE ( 714 ) 979-4067 nooeess: 2464 FAIRBROOK WY C.M. CA 92626 UCENSEO LONTMCTOP �ECIAflATION: I hereUy affirm ��at 1 am li[¢nseG un0er pmvi5ion5 al C�apter 9(commencing wi�� Settion 7UW) of Divisiw 3 0l t�e Business an0 Pmiessions Cotle. and my license is in �ull torce antl eflect. LITV UC.: STATE LIC.: CLASS: Oate: Signawre: WOBHEPS' LOMPENSRTION UECIAMTION: I hereby allirm itut I IWve a cenilicate of Cansent to S¢If-insure ar a ceNfiWte of Workers' Compensation Insurance. or a centlietl copy inereof (S¢ction 3800. LaU. C�. POLICY NO.: EXP. URTE: COMPANY: ❑ Cehili¢tl topY �S �ereby �umi5�etl. ❑ Certi�ie0 caDY is filee with the ciry BuildinA Division. �a�e'. Applicant: E%EMPfION FflOM VldNl(ENS' COMPENSATION DECLAMTION: (itus sectian nee0 noi be [omple�eA il �he pertrvt is �a me hunOreU (5100) a less�. � cetlily tAal in �he pe ormance ol Ihe work tor w�ich this oermil i issued. I shall n employ any person' any manner so as �o b¢came suCjttt �o I�e Work s' COm n5ati0n Laws ol Calitomia. �% // Oa�e: �� —�- SignaW . U`r /(�� NOTICE:�L tl¢r ma ng this Geclaration, you sh ecome su0j Ihe Warkers' Compeirsatian pmvisions o tAe �abor Coee. you mu5i loRhwil� compty with such provisions or IhiS Dermi� s�all b¢ deemeG revoked. CONSTNUCTION LENOING RGENCY: I here6y aHirm �tut t�ere is a consiruction lentling aAenty for the p¢dormante a� Ihe work fOr w�ich ihis permii is issuetl (Section 309Z Civ. C). lENOEX: noosess: OWNEB BUILOEfl OELNNATION: I here�y aHirm Iha� I am exempi �mm the ConVactors' $tate License Law for �Ae fallowinp reason (Se[tion 7031.5 Business antl Pmfe55ional Cotle: Nny ciry of county which reQuires a permit to constmct, alter, impmve, tlemoliSR or repair any slmciure, prior Io iIs issuance. atsa repuires ��e applicani lor suc� De�mi� lo lile a signed statement thal he/she is licensetl pursuam to ��e pmvisions of the Con�racbrs' Slale License Law (Chapter 9(commencing with Seclion 7000) o� Division 3 0l �he Business ana Pmfessions Cotle) or Inat he/she is exemo� iherefrom ana ihe Dasis for ine allege0 e�emption. My Nolation of Sec�ion 7091.5 hy any apPlican� lor a permil suDlects ��e applicanl �o a civil penalty of nol more [han �ive hundreA Oollars (5500�. � I, as owner oi t�e pro0erty or my employees vnih waAes as t�eir sole compen5aiion, will Uo ��e work. and the SlmcWre is not imended or oHereO tor sale (Section 70a4, Business an0 Pmfessional Cotle: The Cantractors' State License Law daes not aDPty t0 an awner o� a pmperiy who builtls Or improves thereon, and wh0 tloes SUCh work �im5tl�/h¢¢eli of Ihwug� his or her own ¢mployees. pmvided I�aI such improvemenls are nol intentle0 at oiferetl �or sale. I�, however Ihe Uvilaing ar impmvemeni is soltl wi�hin one year oi complelion, ihe owner wi0 have Ihe �ur0en ol proving he/she ditl noi huild or impmve for Ihe purpose ol sale). I, as owner ol ��e pmDeny. am exclusiuely canVac�inA wiih licensetl contracmrs m consimc� �he pmject (Section 7044, Business ❑ and Pmlessrons CaGe: The Comractors' State License Law Ooes no� apDty to an owner of DroDerry who buil4s or impmves ihereon antl who Contrat�5 Ior SutA pml¢tls with a tOnlrac�oq5� license puf5uant t0 Ihe COnlraciors' Sla�e Litense Law�. I am awar¢ �hat pmol oi �heir Worker'S Compensation insurance shauld be provided �o me. � I am e�em0� under Section: 9. B P. C. lor t�is aso¢ � � �� Oale: _,/ L .� Own . Z-' , I tlo here0y�/ceNty 1 a� I am aware of ana un0erslantl the reQuiremenis a alilomia Healih antl Sa�eiy COAe Set�ion5 255Q5, 25533, antl 2559a and Iha� I ar any �uture builaing occupant willlwill noi (circle ane) neetl la com0ly with saitl state catles antl Ihe requiremenis �or a permii for consimdion or moDi�icaiion Iwm �he Air Oualily Managemeni DisVict. flesiden�ial consiruc�ion aDPlicalions are exemp� tmm ��ese provisions. Oale: ADPlicanl: I hereby cerlity �hal I have read Ihis aOPlication and siale �ha� ��e ahove in�ormation is correcL I agree ro comply with all ci�y antl county ortlinances an� ta�elaw5relaiingla building cans� tioT antl�f reb horize repre///sent33yttIuuv��g�11s///ol�'�t ' city�o enierupon Ne aGwe-meniionetl pmper�Y �or i peclian Lrpases. ��!��ef.' �O Date: ` Signature oriver s icense o Socia� Securiiy a: t6<Ln6 Wbite—Builalnp: Green—Cotle EnlorcemenL Canary—Aoolican�; Pink—Revenue: Goldenrotl—Axsesam CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B OSB PERMIT NO: B 058731 PLAN CHECK NO: N G . , CONSTRUCTION TYPE; PERMIT TYPE; STR PURPOSE; ADD JOB DESCRIPTZON ; INSTALL SKYLIGHT ICBO#3933 SQ FT; 300 CLAIM VALUE: 300.00 CALC—VALUE: 300.00 GROUP OCC: R-3 / COMMENTS: RE:#B58700 �*****x�*�*****x�*�r*+�***�**�**�r�r��r�r�**x�**�r�r��*x��r***�r�x�r�r**�r��r�**�*******�******* Z O N Z N GS ERTEB�AUCIKRSE M E N T S ------------ MAIN HUILDING ---------- --------- ACCESSORY HUILDING --------- FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT ZN PARKING REQ• PROV: PARCEL: 41914232 ZNE: REF NO: PLANNING Nt5'PES> „ ' . i i . J�� if iF M iF if if 1E iE it if if iF if M iE M iE it iE If ik iF iElf iFlF iEiE 1E k M if iF it k iE iFiE ik iF ik 1E Ik �k �F 1E iE iF 1E iE �t 1Eif iE iF 1E 1k 1E1f �tlt k iE�E iE iF IF if 1fAk fE iE 1E 1E 1E iE iElE i! D E V E L O', P M E' N: � T S E R V I C E S R E Q U T A E M E N�1' S ZONING APPROVED HY ".= �i DATE: BUILDING APPROVED BY : •y DATE: APPLICATION ISSUED HY; '.�r DATE: E3, Z L— iE IE iE 1E iI� I�iF 1F M �E iflE iF iF 1E 1E iE 1E iF k.iFiF�FiF7f �E iF7F{F�f�FiF7FiF7F7F�f�f7f3E7FiFiF'iF'{F'�F'3F�fTfiFif�'£�F{f iE k if iE k 1F iF 1E 1k iEi�i��l�if iE lfkifllikiFiEdfM�tifikiFitlE�EiE1tk�Eklt�llE�fiF�flfi!lFiE*�EiEil�FillfiFMifiliEifkiEili!lkikkifiEififikiElElfiElElt�kiFiliElEifif'� il�EiEiEifiEifiFif LEGALI2ATION;N F E E S U M M A R Y STRUCTURAL•SEGMENT:Y HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 15.00 ,50�; SMIP/NON=RES PLAN a ISSUE FEE ° BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID �� DUE TOTALS----> 15,50 0,00 0.00 15.50 15,50' � ,00 REVENUE DIVISION TOTALS--> COLLECTED; 15,50 OVER/SHORT; ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING P.LAN—CHECK 15.00 .50 ra if if if ih �k ik �E if �E iE if �F1t if iF 1E k 1F �f iE k IFiFif iE �F k iE iF ik if k it if if M iF iFif k �k If iE if if iP iE if iE M iE if iFif M�t k k* fk iF iE iE k iF �E iF iF 1��E iE iE �k iF iF if IF iF IE I N D I V I D U A L F E E B R E A K D O W N l"�1 TYPE QTY D E S C R I P T I O N UNIT COST T'OTAL COST SFR 300 ALTER BY VALUE RESIDENTIAL NOZONE 1,00 � 300,00 END OF FEES : �r, / �I1 :'lt.' .r;�. - i- . _ .. .. U�'i�:. .,... '_ " - ,. - . CONS7RUCTION AND PLANNING POOL & SPA APPROVALS Permit �,-` ' Date Inspector ApP�OVALS Permic # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment location 2. Soil Pipe�Undrgrnd; � 53. Stee� Reinforcemenc � � 3. E!¢ctri,ral Conduit 6ltility-Undrgrnd. 54. Porms '- 4. Efectriwl ConduibUndrgrnd. 55. Electrita� Bonding r ' 5.'Sfeel Reinforcement 56. Rough Ptumbing & Pressure Tesi ' � 6. Etectrical UFER Grnd. 57. APPROVAL TO COVEP�GUNITE ? T.:Footings � _ 58. Electrical Conduit-Undrgrnd. ��Q. �Foundation *; 59. Gas Pipe, � Undrgrnd., Test .. -��9.'VJater P1pe�Undr�rnd. 60. Backwash Lines, P-Trap, O Untlrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Lin� & House Conneaion . 62. Backwash & Receptor�Final 12. Sewer Cap 63. Heater & Vent�Final ' 13. Roof Drains . 64. Plumbing System � Final • 14. Rough Plumbi6g - . 65. Electrical-Final 15. Rough Electrical•Conduit 66. Solar System-Final 16. Rough Eleciric Wiring 67. Fencing & Access ApProval 77. Rough Wiring $ign 68. APPROVED FOR PLASTERING 78. Rough ElectriFal�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditionin9 FIRE DEPT. qEQUIREMENT ' . _ .. 20i Rough Eacto,y Freplace � -. . S r '� � � APPROVALS �Permit # ° � K � r 21.�DuC3s, �n� STiuCtul�e¢ . { .i . � -' y: * : � 70. Underground Hyilro � � 22. Ouc�ts, Vent:F4ating .�� +� S aa� <: ��, produc[Pfpinc� OGjis QOiI _ .l T ' .:r- -i •. 23.�Gas Pip�Rough & 7est ; r• : � �, � ,�-. ;- ,. 72. Underground Flush� . � ' 24. RooY Framing - ' � �� - t > � t *� * + "73.:jUndergm�i. Storage T�nk'O Gas ❑ 6il 25. Ro Shnathin _ - � � ' ` y � 41 , 9 �� :� r�� 74; Overhead�HYdro• _ 26:_T�Bar Geiling (Stcueturall &Monocoat " - _ 75�Dry Chemical - � � _ � 27.-Frame and Flashmg � z _ =i�i1.1 ^:�Gj� , 76. �ry Standpipe . . ' . .•28. Wthing & Siding . . � . k`- '< � 7T' FIXED SYSTEM F�NALt < � - 29. Insulation �, � ' �� 78, FiRE PREV. FINlaL 3D. Drywall�Nailfig � � � �p..�3-q� (��++6F • HEALTHDEPT-.REQUIREMENT „31. Plaster Brown Coa� .79. FINAL INSP�CTION ' � 32. Electrical Power Meter-f�nal SOs.FOOD CERTIfiCATE ISSUED . 33.`Finel ElectriC � .. � � . � ' Notes: - �34.-Final Heating & Air Conditioning ^ ., , � � 35. Fidal GaS Pipe-Test � I �` ' `^ ` ` ' -� =. 36. Hood Or,Canopy : - . _ � ( . � , 37.-Final Factory Firep:laEe ` ' ' -38. Final Plumbing � , � � . � . . -�39. Wat2r Service-Finat � •, ' ' ` 40. Gas Service-Final �; _ �� , � � : . . � � � ::41. Solar pomesticFinal ' -.! � ` ^ � t + � 42.�Backflow Preventer " I �� ' ' 43. Backflow Irrigatiort �� . ` �_ - � � ". 44. Landscdpe ��9ation System, r ; _ _ � i ,, . >� � �45.`Sound Attenuation • " - ` � . � ' . � �.46. Handicag Regulatians ' _ . k ' r . 47.-FINA4STRUCTURE&BUILDING' `��'L ��IJ!_� .�� 8�� ,j �f+VI' �i 48. FINALPLANNING I ! - 49.-�Electric Release to�Edison I � 50. Gas iielease to Southero California Gas Co � � �- ` - . � 51. CERTIFICATEOFOCCUPANCi' , No. Date PPOJECi ROOflE55: Z 4 6 4 FAIRBROOK WY uxiT: owxen�sxnme: DELLECHIAIE DAVE aooeess: 2464 FAIRBRbOH WAY COSTA MESA,CA 92626 979-4067 ANCH/ENGINEEfl: flEG.NO.: RDONESS: UNIT: PEflMITTEE: DAVID DELLECHIAIE ( 714 ) 979-4067 '► ROOflESS: 2464 FAIRBRUOK WY C.M. CA 92626 LICENSEU CONTP�LTON OECUMTION: I �¢re0y a�hrm �Iwl I am Iicense0 unGer D��ons ol CAaD�e� 9(commencinp wilh Seciion 70001 of Div.tion 3 0l tAe BuSineu anG Prol¢55i0ns Catle. an0 my Irceirse a m �Wl�orce anE eflact. CITY LIL.: STRTF LIC.: CLASS: �aie: Sipnama: WOBKEflS' LOMPENSpTION UELLAMtION: I IlereUy allirm t�at I tWve a certilitate of wnsent to selbinsure or a cenilicate ol Workers' Campensation Insurance. or a cenilie0 copy tMreof 1�tron 380U. LaD. q. POLILV NO.: E%P. ORTE: ' COMPPNY: ❑ Cenilie0 copY is Aere�y fumished ❑ CertifieU copy i51ileA with ihe.ciry BuilAinB Division. Dale: ApDlicanC E%EMVTION FNOM WOHMEPS' COMPENSATION DECIAMTION: Qhis eclion nEeA �rot Ue comDleteO il �he permt is �or one �untlreG (5100) or less�. I wriily �hal in Ihe ped mance � the wa�k lor whic� ��is pe�mrt I sued. I s�all no mploy any person in an nner so as �o Oecome suble�� o I�e Worker Comp nsalion laws al Cabfomia. � _ \ Dale', � SiOnaWre: �� NOTICE: II, er makin ��is Oeclaration, yrou s�oul come suElec Worker5 CamO n pmvision5 al Ihe a�or Coae. you must fotlliwitll compty wit� suc� prov6ions ar lfis Dermit shall be GeemeE rtwke0. CONSTNUC710N LENOING AGENCY: I �ereCy aflirm that ��ere is a ConStmciion IenOing agency lor �Ae Detlormance 0� lhe work lor whicn tnis permn is issue0 ISection 3097, Civ. CI. LENDEfl: aoosEss: OWNEfl BUIlOEfl OELIABRTION: 1 tlereCy aliirm IINi I am exempi trOm ttk ConVat�ors' State License Law for tne lolloxing reason ISection 7031.5 9u9neu and Prolesvonal COde: My ciiy ol fAunly w�ich repuir¢5 a permit to conSlrucL aiter, im0�m'e. tlemolisn, ar reoair any stNCWre, pria� lo its issuance, als0 repuites ine aDOliWn1 lor suU vemtil to file a 9grre0 statemenl inat hNsne is licensed purswnt ta iM O�ovisions ol tne Canlractors' State Lkense Law (Gapter 9(camrtcendnq wiU SecGon 70W) of Oivitbn 7 al lhe Buvness and Vmlesaons CAae) or IIW� n¢/sne is e�empl theRirom and Ihe Oasis tor tne allegea ecemptian. Any violation ol Setlion 70�1.5 Ey any aOVlicam for a Dermit su0jects ine aDW��nt to a civil pewl�y ot �q� mort tAan 1He hunOreO Odlars (SSW). M I, as owner of I�e pmpeny ar my ¢m loyees vnt� naqes as t�eir mle compensation, wiA Ea I�e wod, and ihe C7 simcture is not inten0etl or ofkreE lor sale (�Iion 70aa, Business an0 Profe55ional CaOe: The Contractors' Slate license law aoes nol apD�Y 10 an axner ol a propeny wro Ouiltls o� imvroves tAer¢an, antl wno aoes such wotk himselllnersell or �nrouAh �is or �er ovm empl0yee5. DroviOeG t�at suc� improvertknts are not inteM¢E or ofler¢O lor Sdte. II, �owever t�e �uilUinq ar impmvemenl is s0�p wit�in one year of cample�ion, t�e O�mer vnll have ihe burEen ol pmvinq hpJs�e OiE nol builC or impwve br tne Owoase ol Sale1. I, as owner ol i�e O�openy, am e.clusivety contrac�inp vnt� Iicense0 wmractors to cansimcl t�e pmlect (Seclion 7044. Business ❑ aib Pmleuwns COGe: The Comraciors State License Law Uces'pt appry ro an ovmer af properry wtq �ml0s or imD�� erean and wno cOnVatls lar Sut� pwjeci5 wilA a Contracl0r�5�lianse Dursuanl b l�e Conirat�afs' S�aie LitenSe Law). I am aware I�at pmol ol �Aeir Worker'S Compen5aiion insurantt s�oNA �e D��Oetl Io me. � I am e�empt untlei Section: B. 6 P. C. br Inis rt on: � �aie: Q Owner ' I ao hereby ce ity i�at I am aware ol antl unAerslantl �he reyuimmen�s o ornia Healt� anA ery Code Sections 25505, 25533, and 255]4 antl Indi I or any IUWre builtlmg occupant vnil/vrill not (Cirtle ane) nee0 ia comDN �� saitl slale toAes an41I1e requiremenls br a permii br conSimclion or moCAication Imm Ihe Air Oualily Managemenl �i5irict. flev0entul conslruction applicaiions are evempl imm Ih¢SC P�Ovi510f15. Oale: Aop��Eni: I M1ereOy ttriily I�al I �ave teae IhK appl¢alion an0 State lhat I�¢ a�ove inlarmaiion is carrtti. I agr¢e Ia tOmply wit� all ciiy an0 t0unty ortlmances antl va laxz relatinq Io builCinq cons9mction ana �ereby� hor¢e r�semativ o� ��is dry m emer u n ��e aEove-mentioned omoerry ior �nsn ci�on puro s. .. `` �� / //�� Daie: � Si ruwre'�/ ��— Drive�S Lfcense o� Sociai Security .: t64i�a6 W�ile—Bmlaing; Green—CW¢ Enlorc¢menL Canary—Applicanp Pink—Revenoe: GdOenroa—Assessor CITY OF COSTA MESA — BUILDING PERMIT , PERMIT NO; B 058700 PLAN CHECR NO; 03196-92 S , , CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ADD JOB DESCRIPTION ; EXTEND DINING AREA INTO EXIST 755F PATIO SQ FT; 75 CLAIM VALUE: 5,000.00 CALC—VALUE; 5,550.00 GROUP OCC; R-3 / COMMENTS: ENCLOSE EXISTING PATIO/DECK *x�e*�r�x�r�t�x�**�r�rx��*x **�*�e**�r��r**��r�e*x�e�r�r*�+t�x **��r**�t*�tx+r*�*�e� ��e*�x*�e*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 BUILDING ---------- --------- ACCESSORY HUILDZNG --------- FRNT: FT IN REAR: FT IN FRNT: FT IN EtEAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ • PROV; PARCEL: 419�4232 ZNE: R3 REF NO: PLANNING Nl7TES> INT ALT TO ENCLOSE EXISTING PATIO. 10 BY 10 PRIVATE j > OPEN SPACEFTO BE MAINTAINED BELOW, i� rx�***x *�**��*��r**��r��r�r*�r�r*�r�x�r�r�r*�r�****�r*�r*x�r�**�r��r**�r�*��*x�**�r**�x****�r*�e***+� 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 �_ ; 2. SC.L DATE: F� �-o BUILDING APPROVED BY :-� . DATE; i� APPLICATION ISSUED �BY: '� - S�- DATE; �8 "�-o ikitifiEiEitiEiEi[�iEitaEiEit�aeifatiEit,7[�itit�iF7F76'iF$�{f�F7F7FiF7FiF?F7FiFiFiF7fiE'iFiF 7F'iFiFiE7F7F'TF7Fifit*�lt�itiEatif*iEit * 1k ik ikiF iFiE iE iE1E klE1E 1f i! if kikik iF k �k 1FiE if if iki! 1Eit k if iFikif iFiEif iF k it it if iEik iE if iEikklFlFif 1E iE i!-IE1E 1E if iE if it �E iF It �E ik if it �1E if iE iE 1E itiE iE iE9E LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMHZNG ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 81.00 56� SMIP/NON-RES PLAN 52.65 ^ ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID �• DUE TOTALS----> 81.56 0,00 52,65 134,21 134,21 �•• ,00 REVENUE DIVISION TOTALS--> COLLECTED; 134.21 OVER/SHORT; " ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 81.00 .56 � 52,65 i if if 1E it k iF 1F �f ik ff fF �F iE 3f if 1E it ik 1F ik k ik iFiF if if fk if if ilik ik ik if ik k iF k iF ik if if iF if ik k if 3! 1t �f !f if iF k k jf k if if k Ik IF iF 1! 1f ik ff if k k�it �f IF 1! IF if iE k 1k I N D I V I D U A L F E E B R E A K D O W N / � TYPE QTY D E S C R I P T I O N UNIT COST T'OTAL COST SFR 75 DWE—TYPE V—WOOD FRAME —GOOD 74.00 ` 5,550,00 END OF FEES „� /f � �f r� �'i?". ' ' '_' _ ' nn._ " '_ � �' ' / : -. CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permi� # Date Inspector qPpROVALS Permit # Date Inspector 1. Temporary E�ectrical Service or Pole 52. Poo� & Equipment Loca[ion 2. Soil Pipe•Undrq,rnd. 53. Steel Reinforcement ` 3: Etectrical Con3uu�Lftility-Undrgrnd. 54. Forms = 4. H�ttrical Condwt-Undrgrnd. 55. Elec[riWl Bonding •L 5, �Sfeel Reinforcement 56. Rough Plumbing & Pressure Test � . 6.�Etectrical UFER'Gr�d. 57. APPROVA� TO COVER-GUNITE c 7":. F�otings � 58. Etectrical Cqnduit-Undrgrnd. - �'• �Q: Foundation - 59. Gas Pipe, � Undrgrnd., Test ' 9. -Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, � Undrgrnd. 70. Structural Floor SYsiem 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor�Final � 12. $gwer Cap 63. Heater & Vent-Final 13. Roof Orains 6A. PlumUing System • Final _ ,` i4. Rough Piumbing - 65. Etectricai-Final 15. Ro�gh Electrirzl-Conduit 66. Solar SYstem•Final 16. Rough Electric�Viring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electri�al-T Bar Ceiling 69. POOL/$PA SYSTEMS FINAL 19, Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT - - ,r _ � 20.• Ro�igh F.'actory F.ireplace ; r ��s � Tr �'�APPROVA;LS '�Perfiit # _ 21,�Du'c3s, in StFyctu�� . t-' � - 70. Undergroun� Hydro � 22. Ducts,Ventilatinc�- ; �x' ••7}, ProducY3iP;ngCi�as �Oil r x � 23. ;Gas Pipe�Rough &�Test t� ,- � v��, • 72. Undergrovnd Flusly : • pq,�,Roo1 Framing �- •• '• -� ,� ' �73r_Underqrnd'.Stor�geT�hk OGae OOiI 25. Roof Sheathing �' ' � � . 74.�,Overhead'�iydro- � . � 26..T�Bar Ceiling (Sir.ucturaq & Monocoat ` - • 75. Dry C�emical � - p7,'Prame apd Fl�shing. _; t " :.1,C�_e1� 6!y([. 76� D'ry Standpipe �' .� � � v , 28. Lathing & Siding. . - ^ _ : • � � �. 77.T FIXED SY�TEM [INAL` ' '29. �nsulatidn ' . . � � ��LCt�lty �(,�,6,%r � 78.. FIRE PREV. FIN{a;L - -. c %30. Drywall Naittnq � � �0-�j-�'y �L��- -NEALTH�flEPT. REQti1REMENT 3}, Ptaster 9town Coat; - { 79.- FINAL INSP�CTION - ��32. Electrical Po�er MeterFinal - ' , � � .80. FOOD CERTIFICLCTE ISSUED 33.�Finil Electric, _ T' � � � Notes: ' �, .34,-�Fina1 Heeting& AiGConditioning . � � r- . y v � ' 35. Final Gas Pipe-Test. _, -� ' j _ _ _ ' 36. Hood or Canopy . � - - � � _ � 37.�Final Factory Fireplace - - , � � _ � � � i 38.-Fin.al Plumbing � �� ` � �� • � - �39. WaYer Service=Fina�• ' � � � ' . `� - - �. 4p. Gas Service-Final � _ � i ,: - ' , - . , -47. Solar pomesticFinal � � , < • <. -42: BacktlowPrevente,' -� " i ' z " _ . . ; - 43. Backflow IrrjgatiorY � � ' . ' '- . t 44. Landsca.pe Ir'rigation System r = . . - .: - �� r � . - >-45:= Sound Atte6uation ^ • � � � " . - . =46.+Handicap Regulations ' � � � � , , 47, FINAL STRUCTURE & BUtLDING lQ..�..� �� -- '-�� /1 JL• ti/� �Q�_ Qrs�- v�Lw 48:'FINALPLANNING � _ � �• � : i • _ 49: Eleetric Release ta Edison � ', ; ' - � � - `50�Gas4Re�ease to Souihem California Gas Co � � i �� ' - . . _ , .51. CERTIFICATE OF OCCUPAPICY ; No. Date ' .�•�. FL GDY: r'Lr1 i� � .-- --- -- AF'I'�0��' City of Costa Mesa E�.:i•.e;"• : BY - --..2-YF;�--� JF ��= _ � _ ::St .. . , , - a�� :�r• r .. v7!�V' ' 1 � �ihC i'1.�� . , ,� , � - -=-:=-� �:'"�=' � -t ..-r- _-�-,:— -- i� : '. . . .. � •�':;; . � . �;" .. . .{ „� i. � �„a�� . , � .�is ! 1� . . .. �:.t � ....+C '. ,d.i� �t.. . ,��y' IND i i , t ' i��t [ci �p�.;, .irp��in� E11 Ft^:iG l�}�i ,Ni•r�:,c "fli i'i l hc'.� n:-�:ia�N �i?4;��bas iN Ft30A1(i�...,-hrTCnREOU�n1'�.G.:� J.•.h ,Df1U�1'dREVENTINf $AiD P.A:�. l7.:: =PF(.1-.};��.7..i:, _ . .. ��:�rjAl:'.)p'�°i1l/Ei�..: �Hia"c'� UN T}iE�7GUNDF uWF_! F � V�Y70LAifONOF?JCC��Dr(�:�LT�333t�E�Feii4'PVt ! T��cin:-�-- - — . _.� ------ - - � `��— �. � --i � ;� � � I � I i , � f — � �,� —� �iic ��ril / � �t T — T f-�- y 'rr � SCIdIY�c� �iC'r ;� �:?,.^,�Yj % � ��O��X ��6" ' C:� S ,b,� X � r(� �r � �� I `� �-� - �Co � � —z�. 7 4 NOtE � ADDITIONS, CELET;;, d;, pr� CORREC710NS SHALL � BE kP?H; /�� 3Y Tt�E PLl,; "!NG DEPARTMENT � .: ',��''_ , �� 1 ,:1 . - � � _.%.•• . :•� .. , _. - .� „ � ,� �� .� �� Q � • FUr�izr- F�� (�N/T 3� � NOrE' W�NL�^W �,vl(.L f3E �nME LEv[L ,15 RLI. OTNER bi//NOOK�.S 6N C6MPL�x ,SIDE �'�� _ � ' . '. �. . ' . ' . . � f ': . .. . . . . . ' ... . i ; 1 . . I � . ... . .,1. . � . : .. . - I . _ .. . , ' .. .,r• ' �� , � i�, � MID- LEVEL OwNER FAIRVIEW AS60C: DA7E 8-16-79 111�/U-lYJ JL INSPECTIONS soi� c�s W�TER ROUGM PIUMBING PAOP. SWA� LINE r� MOUSE CON. � SPRINHLING SVSTEM MISCELL4NEOU5 �nJJ ,ph ROUGM HEATING AND l�IR CONOITIONING TEMPOFAHV SERVICE OF POLE UNOERGROUNO �, POWER � ROUGH WIRING �AENCNES �_f FORMS STEEL RE FLOOR Sr51EM BONO BEAM j1 ' SiEEL REINFOACE [ SHEnTHING FRRME AND FLASHIN � ,. �J/ LAiMING — IN �, p UT r� Pl�STEA.BROWN CO�T STAUCTUAeL, FIN�L NE�TING, �ENT., PEFRIG. ANO �.C., F11 PLlIM91N0. FIN4L AND W$ TEST � ELECTRIC. FIN4L BWLOING. FIN4L IRE 20NE VALUE E TYPE GROUP , SUBCOHTRACTOR F�+ R a a .�-� � F G � F Q 0 .7 a 7` r � � {� d O � a Z W S 3 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BVILDING �A `^� �h h �� /,� ADDRESS �l`[�lJ 1� I�Lp�") ( T�E ANT�R q.� 1`��c O�d �'d1VC� 1 I�• � MAILING �11 �. �„ t,,� A- ,,, ^ � �� , ADDRE55�'/L � V11�) (� � �'y�__' � �II J � 1 ' n 1�j CITV�AI CIAA FLlI IC. -H171�� N�L� 'T�i BRANCH ADDRES: ARCHITE ADDRESS �t CONTRACTOR ADDFESS ' CITY � STATE IIC. NO. � SIZE OF LOT USE OF LIC. NO. NO. OF BLDGS. NOW ON LOT Separate permits are reqaired for elec[ric, plumbing and heating work. USE OF BUILDING AND WORK TO BE PERFORMED I hereby acknowletlBe t�at I heve reatl this applicetion antl state that ihe ebova informetion is corract and apree to eomply wtih all laws regulating DuiltlinB �onstruction, antl I shall not employ any perwn in violallon o� the workman's compensation laws of the Stata of Californie. I hereby certl y at I am properl icensed as a contractor under ihe Stare of alif nla B�stne a roteuions Coda, Division 3, Chaptar 9, a tl tha su lic n re in full force and effect, ar I am exempt f om t is n th Staie of C fornia Business antl Professio s Cotl , iv si Sig^ature of PermittBe or Authorizetl Aqent ate _ 7019 4/18%79 96.97 TL . _ _ ._ . -.. APPLICATION FOR STR;�CNRAL PERMIT RECEIVEDBV PERMIT /�A � A.P. NO. � �y�— ��' BUILDING 7�(� �'h � AD�RE55 � C�w �[.�J UNIT OR /� SPAGE NO. (� � ' TR.NO. LOT EW ADD ALTER REPA�R h OWNER � �(�UI��U ��f".Y VALUE USE �G IA�� •s1LP APPROVED RV DATE APPROVEDSETBACKS PLANNING ACTION � G � �O �/ i �7:�OVED /1PPROVED-f1iK�J/ �.nrc � RV C� T C > � / 0 A �/ /O SQ. FT. �� t/ - �// � ^ \ HE AMOUNTSHOWN�UN�DE�ION IS FOR m \ 7HE PURPOSE OF ESTABLISHING A PERMR FEE ONLV: � VALVATION PERMITFEE y y m PLAN CHECK E � �O m g TAX E F �9��- /� -+� � � TOTAL PAIO ECI� � / COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION F0[�CR(�{Z'j'�jtpf3. PERMI'Ij 87.00 TL P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 -�� R I PERM ' " For Applicant to Fill in Completely — Use Ink Only No � BUILDING A.P O. ADDFESS n OWNER OR (� � ADORE55 (� �' $�J� TENANT d UNIT OR MAI LI NG SPACE NO. ADDRE55 TR.NO. LOT BLK. CITV�� , � TOL �I CONSTRUCT70N Cw 1 a,�(�n N� ADD LTER REPqIR MOVING DEMOLISH LENDEF �•r� ��ri�� BRANCH OWNER ADDRESS VALUE ARCHITECT TEL. USE E OR ENGINEER . ADDRESS ZONE TVPE GFOUP APPROVED CONTRACTOR BV DATE ADDRESS TEL. CITY NO. � STATE CITY APPROVEDSETBACKS IIC. NO. LIC. NO. � SIZE NO.OFBLDGS (FROMC/LSTREET) �. OF LOT NOW ON LOT RONT FT. a VSE OF � EXIS�ING BLDG. g y FSeparate permi[s are required for L SIDE Fr. � electric, plumbing and heating work AEAA FT. �.W. USE OF BUILDING AND WORK TO BE PERFORMED P�qNNING ACTION Q � �ATE J - APPROVED a } APPROVED \ 1 .J � {+J 0 I horeby acknowlatlge that I have reatl this eppliceNon antl state � � a thet tha ebove Intormation is correct antl epree to eomply wit� „ � 0. all laws repulating building conrtruction, entl I shall not amploy i z uny person in violation of ihe workmen's compenzetion lawa ot m stha Smte o( Californle. , m 3 I hereby certify thet I am properly Iicansetl as e contractor untler SQ. FT. N\n � v� Ne Statn of Californla B�sinesa entl Protesslone Codo, Oivlelon 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chopter 9, and t at ch licensea ar in full force antl effoct, or I THE PURPOSE OF ESTABLISMING A PERMIT FEE ONLY_ � �\ um ezompt (ro the �ovisions i Stato of CalHornle Businesa �.. VALUATION PERMIT FEE S � nntl Protassions otle, i l0 3 a ter 9. � PLAN CHECK S �� "� SIp^atura of � Permittea 3 �� LL TAX E � or U Authorized Apent ��e TOTHI PAI D E �'