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Home My WebLink About729 FARAD ST - Building Permits/ ' � • CITY OF COSTA MESA � • BUILDING DIVISION 77 FAIR DRIVE, COSTA MESA, CA 92626 • p14) 754-5273 • Faz Q14) 754-4856 •�wvw.ci.costa-mesa.ca.us FOR INSPECTIONS CALL: (714) 754•5626 PERMIT NUMBER: BX08-00120 PERMIT TYPE B MISC STATUS: ISSUED APN: 42412109 DATE ISSUED: 04/18/2008 Zoning: , ISSUED BY: JOB ADDRESS: 729 FARAD ST CM " - Suite/Unit: Vicinity: , PrimaryOcc: � � ' ��-- ConstType :?? SQ. FT: 0 Valuation: $9,800.00 � - ' .- . , " SCOPE OF WORK: INSTALL (5) NEW 4'X8' SKYLIGHTS�INTO EXIST.ING WOOD ROOF. :'N � GREEN INSTALLATION AS PER PLP,NS °i OWNER: ROBERTS, WILLIANI,GARRI'AND EVAN TRUST,Address:: City/State: COSTA MESA Cq : �� _ . � Phone: . `:�;( , - APPLICANT: PARK, JOHN ,��'�' '�- - Address: Ciry/State: �� ` " Phone: 562986-91�61 �� .��'°..3� . '.,' �. -r.. . _ ...... " CONTRACTOR: PARK CONSTRUCTION Address: � 2461'ROSWECL AVE �' - ' � � - � - . City/State: LONG BEACH, CA Zip Code: 90815� �� - - Phone ARCHITECT: .. � � Phone - � ' � � ENGINEER: .�. - Phone Building Plan Check' Building Permit: Electrical PermiL SMIP Residential SMIP Commercial TOTALFE�S FEESUMMARY - -� . $117.81 $181.25 .. . . . � � $0.00 - $0;00 - $0.00 $299.06 , ._, y� -� " � `729 FARAD ST Unit Zip Code:, 92627 = ' ; ; '' . . ,� Zip Cade: ` � License No.-?��352130 � 562 986-9161 � ,- � � � Cell: License No. � License No. �� Unit Unit: ry i•.t , . ��' �_ s= � �~ � � � �� t �� NOTICE: The work authorized by this pertnit shall comply with all appliwble handicap access requirements under Califomia slatutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work musl comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and f nal approval will resull in the expiration of lhis permit. COpE/, INSPEC710NTYPE ORTE INTRIRLS CODEt INSPEC710NTYVE DRTE IN77TIRL5 1818 Fixed System Final Fire Prevent{on 206 Final MechaniCal 1266 Pool Spa Final . 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/ReWining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign /y 222 Final Site 204 Final Demoli�ion 'P//� � � b �250 Final Building/OccuPanCy �d WORK�E(RS' COMPENSATION DECLARATION:� 1 her�by a�Pin untler penalty of perjury one of the o lowing declarations: ❑ I have and vnll main[ain a certificate of consent (o self-Insure for vrorkers' compensation, as provided for by sec�ion 3700 of Ihe Labor Code, for the pertormance of the work for which this permi[ is issued. �I have and will maintain Hvrkers' compensa[ion insurance, as required by section 3700 of the Labor Code, (or the peAortnance of the work for'which this pertnit is issued. My workers' compensation Insurance carrier and policy number are: Carrier: ��IiT�S �L({if� TiS3U��R (IDis secfdn neetl not Se mmpefed �I thEpeimrt is valued at one huntlicl �llars (5�00) or �ess ) Policy Number: ��, � C ❑ I certi(y that in the peAormance of the work for which Ihis permit is is I shall not employ any person in any manner so as to 6ecome subject t ihe rk ompensa�ion laws o( California, and agree that if I shoultl ecome ject to Ihe workers' compensation provisions of Section 3700 ot t e Lab Code I shaJYJforthwith comply with these provisions. ��- Da�e W : FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE IS' NLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370fi OF THE U1BOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm that I am licensed under provisions of Chapter 9(commencing vnth Sec[ion 7000) of Division 3 of the Business and Professions Code, antl my license is in full force antl es . Lic. � Class # �� C �� J �/ %� 'n � Sig Date CON T ON LENDING AGENCY: ❑ I hereby aKrtn that lhere is a wnshuction lentling agency for the peAormance of the uork for v.fiich this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: OW NER•BUILDER DECLARATIONS: I hereby affirm tha[ untler penalty of perjury [hat I am EXEMPT FROM THE CON7RAC70RS LICENSE LAW tor the (ollowing reason (Sec. 7031.5, Business and Professions Cotle: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any stmcNre, prior to ils issuance, also requires the applican[ for such permit to file a signed statement that he or she is licensed pursuant to the,provisions of tfie Contraclors License Law (Chapter 9(commencing with Section 70W) of Division 3 0( the Business and Pro(essions Code) or lhat.he or she is exempt there(rom and the basis for the alleged exemption': Any violation of Section 703L5 by any appliwnt for a permit subjects the applicant to a civil penalry of not more than five hundred dollars ($500).): ❑ I, as ovmer of Ihe property, or my employees with wages as Iheir sole compensation, WILL DO THE WORK, and the structure is not intended or ottered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply lo an ovmer of property who builds or improves thereon, and who does such vrork himself or herself or thmugh his or her own employees, provided that such impmvements are not intended or oRered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as ovmer of ihe property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS lo construct the pmject (Sec. 7044, Business and Pmtessbns Code: The contractors License Law dces not apply to an owner of property who builds or improves thereon, and who contracts for such pmject with a coniractof(s) license pursuant tothe Contractors License Laws.�. ❑ I am exempt under sea � Business and Professions Code for this reason: SignaWre 305]<6 (3I0]� � l Owner ID verified by driv a �] Yes ❑ No Driver's License No. Expires: Venfication of Ownership by (rype of tlocumen[, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION: � ❑ I hereby certify Ihat no excavation Me (5) or more fee[ in depth into which a person is required to descend, will be made in connection with v.nrk authorized by Ihis permit, and that no building s[rucWre, scaffdding, (alsewnrk, ar demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Gry 2, M 2, Sec. 341, Ttle 8, Califomia Administrative Cotle). ❑ As owner-builder, I will not employ anyone to tlo work which vrould require a permit from the Division of Industrial Safety, as no[ed above, unless such person has a permit to do such work from the division. Applicanfs Si9^alure Date Division of Industnal Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to ielease or threa[ened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the California Health and Satety Code requires, with some exceptions, that a Business Plan be fled vnth Ihe Costa Mesa Fire Depanment by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater Ihan a weight of 500 pounds, or a volume o( 55 9allons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2. Does or will [he applican� or present or future building occupant need to file a reqistration form for awtely hazardous materials? ❑ Yes ❑ No (Section 25533 of ihe Califomia Health antl Safety Code, with some excep[ions, requires registration with the Costa Mesa Fire Department by each business which al any one time has on hand a quantity of acutely hazardous ma[erials equal to or greater lhan a weight o! 500 pounds, or a volume of 55 gallons, or 200 cubic teet of compressed gas al stantlard temperature and pressure). 3. Does or will ihe applicanl or present or fuWre building occupant need to prepare an RMPP (Risk Management and Prevention Pmgram for acutely hazartlous materials)? ❑ Ves ❑ No (Section 25534 of Ihe Califomia Health and Safe[y Code provides that the Costa Mesa Fire Department may require the preparation, certifica[ion antl fling with Ihe Fire Department o! an RMPP by businesses which are required ro register acutely hazardous materials with the Fire Department. 4. If an RMPP is presently required, has Sec[ion 25534 of Ihe California Health and Safery Code been fully complied with7 ❑ Ves � No 5. Does or will the applicant or present or fuWre builtling occupant require for the work which is the suhject of this applica[ion a pertnil for such construction or modification fmm Ihe South Coas� Air �uality Management District or from any other air polW[ion control disUict or agency? ❑ Ves ❑ No (Section 658502 0( the Calitomia Govemment Code requires tha� the requested information be fumished on applications fa nornresidential building pertnits). 6. Will any part of the faciliry to be constructed under this permit be within 1000 feef from the outer boundaries of a school? ❑ Yes ❑ No Qf'yes", the faciliry mus[ meet the requirement of Sections 25534 and 42303 of Ihe California Healih and Satery Code). 7. If a pertnit from the South Coast Air Quality Management District or other air pollution control district or agency is required (or the work which is lhe subject of Ihis application, have all of the disclosures prescribed by California Health and Safety Cotle Section 42303 been made? ❑ Yes ❑ No 8. Qf'yes", attach certi5cate of compliance from the appropnate air polWtion control offiCer). � : . , CERTIRCATE OF COMPLIANCE: I certify Ihat under penalty of perjury the information given above is wrrect.�l agree to comply with all state laws and city ordinances regarding Hazardous Matenals and Emissions. � SignaWre Da�e CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRV: I certify under penalry of perjury that I have read this application and slate thal the information given is correcL I agree to compty with all state laws and city ordinances relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building aut ize y this ermit until final inspection. ur o! 10 er(s) �ate �''�(C '�� Glor A ¢eE ApO��n1 Date • CITY OF COSTA MESA � • BDILDING DIVISION 7Y FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us FOR INSPECTIONS CALL: (714) 754-5626 PERMIT TYPE APN: 42412109 Zoning: , JOB ADDRESS: Vicinity: PERMIT NUMBER: BX08-00120 B MISC STATUS: ISSUED DATE ISSUED: 04/18/2008 ISSUED BY: 729 FARAD ST CM - Suite/UniL• � " Primary Occ: � � � ' Const Type :?? SQ. FT: 0 ' Valuation: $9,800.00 i''.� ' SCOPE OF WORK: INSTALL (5) NEW 4'X8' SKYLIGHTS INTO EXISTING WOOD ROOF. OWNER: ROBERTS, WILLIAM GARRY�ANb EVAN TRUST,Address:: Ciry/State: COSTA MESA, CA � � � Phone: APPLICANT: PqRK, JOHN � ' �� Ciry/State: Phone: 562 986-9161 , � � CONTRACTOR: PARK CONSTRUCTION Address: 2461�. ROSWELC AVE City/Slate: LONG BEACH„CA Zip Code: 90815 ' ARCHITECT: , � � Phone ENGINEER: Phone Building Plan Check: Building PermiL � Electrical Permit SMIP Residential SMIP Commercial TOTALFEES .__. 1—�. � ' , 729 FARAD ST Unit Zip Code: 92627 , � Address: Zip Code: , . License No. 352130 - � �Phone�� 562 986-9761 License Na. FEE SUMMARY $ J 17.81 $181.25 $0.00 $0.00 $0.00 $299.06. �icense No. Cell: UniF. Unit Unit NOTICE: The work authonzed by this permit shall comply with all applicable handicap access requirements under Cali(omia statutes and related regulations. (Ord. No, 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. 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 final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. co� ixsvECnonrvvg on� n+muis c� ixsv�cnoxrvre o� iNnn � 1678 Fized System Final Fire Prevention 206 Final Mechanical �� 1266 PoolSpa Final . 208 Final Plumbing 200 Final Re-Roof 210 Final Elec�ntal 201 Final Blcck/R@laining Wall 212 Final Fire Prevention 202 Final Fac�ory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final BuildingiOccupancy WORK�RS' COMPENSATION DECIARATlO� I her�Ej aHtr'.` untler penelty ot perjury one of the o lowing declarations: ❑ 1 have and will maintain a ceAi(wte of consenl to self-Insure for vrorkers' compensation, as provitled for by section 3700 of the Labor Code, for the performance o( the work ior which Ihis permit is issued. r�have and will mainlain workers' compensation insu2nce, as required by Usectbn 3700 of the Labor Code, for the perfortnance o! the work for which this permil is issuetl. My wdrkers' compensation Insurance carrier and policy number are: CCamer: �Tii�l/� � �YN.(i (Tf�is seCm�ci�peteOdlne a vaAietl at ma huiM.ed tlMars (5100) aMss ) Policy Number. � F !� Z-� � ,. ❑ I certify Ihat in the pedormance of Ihe work tor which this pertnit is issued, I shall not employ any person in any manner so as to become subject to the vrorkers' com tion laws of Califomia, and agree Ihat i� I should be o subjecl t he wo kers' compensation provisions o( Section 3700 of [he�o�/f�t�ll foA with�omply wiM these pmvisions. u-��--as J Da�e WAR I :1FP�ILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS U LAWFUL AND SHP.LL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLIARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECYION 3706 OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSEO CONTRAC70RS DECLARATION: I hereby aKrm Ihat I am licensed under provisions of Chapter 9(commencing wilh Section 7000) of Division 3 0( Ne Business antl Pro(essions Code, and my license is in full force and eHect. r Lic. #� Class# Q�G � U � _ �-1!� -O � or's B^aWre ' - Date CON TION LENDING AGENCY: ❑ I hereby aKrm lhal there is a construc�bn lending agency (or the peAortnance of the work for which lhis permit is issued. (Sec. 3097, Civil Code�. Lender's Name: Lender's Address: OWNER•BUILDER DECLARATIONS: I hereby affrm that under penalty of perjury that I am EXEMP7 FROM 7HE CONTRACTORS LICENSE LAW for Ihe following reasOn (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to conslruct, alter, improve. tlemolish, or repair any structure, prior to its issuance, also requires Ihe applicant for such permit to (le a signed sta[ement that he or she is licensetl pursuant to the provisions of the Contractors License Law (Chapter 9(Commencing with Section 7000) of Division 3 of the Business and Professions Code) or Ihal he or she is exempt therefrom and the basis tor the alleged exemptioa Any violation of Section 7037.5 by any applicant for a permit subjects the applicant to a civil penalry of not more Ihan fve hundred dollars ($500).): ❑ I, as ovmer of Ihe property, or my employees with vrages as their sole comoensation, WILL DO THE WORK, and Ihe structure is not intendetl or offered for sale (Sec. 104d. Business and Professions Code: The Contractors License Law does nol ap{�ly to an owner ot property who builds or improves thereon, and who dces such work himselt or herself or through his or her ovm employees, provided thal soch improvemenis are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-bui�der will have the burden of proving thal he or she did not build or improve fof purpose of sale.). ❑ I, as owner of the pfoperty, am E%CLUSIVELY CONTRACTING WITH UCENSED CONTRAC70RS to constmct the project (Sec. 7044, Business an0 Pro(essions Code: The coNractors License Law dces not appty lo an owner of property who builds or improves Ihereon, and who contracls fw such projecl with a contractor(s) license pursuant to the Contractors License Laws.�. ❑ I am exempt under sec. Business and Professions Code for this reason: ]OS]4fi (3I0]) • . . . ♦ Owner ID veri(etl by dm cc ❑ Ves ❑ No Driver's LitenSe No. Expires: Venfication of Ownership by (type of tlocument, i.e. - property tax bill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby Gertify lhat no excavation frve (5) or more fee[ in tlepth into which a person is required to descend, vrill be made in connection with work authorized by ihis permit, antl that no building sWCNre, scaffdding, falsework, or demolition or tlismantli� ihereof, wll be mrne than ihirry-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, Cali(omia Administralive Code). ❑ As ovmer-builder, I will not employ anyone to do work which vmultl require a permit from the Division o( Intlusirial Safely, as noted above, unless such person has a permit to do such work from the division. ApPhtanl'S SignaWre Division of IndUslrial Satety Permit Number _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: i. Will the applicaN or present or tuture building occupant need lo fle and certity a Business Plan for emergency response to release or threatened release of a hazartlous maieriat? ❑ Yes ❑ No (Section 25505 of the Calitornia Health and Safery Code requires, with some ezceplions, Ihat a Business Plan be filetl with the Costa Mesa Fire Department by every business which has at any one time dunng a reported year a quantity of hazardous materials equal to or greater than a weighl of 500 pountls, or a volume o( 55 gallons, or 200 cubic feet of compressetl gas at standard temperature antl pressure). 2. Dces or will the appliwnt or present or fuNre building occupant need to fle a registration form for acutely hazardous materials? ❑ Yes ❑ No (Sec�ion 25533 of the Califomia Health and Safety Code, with some exceptions, requires registration with the Cosla Mesa Fire Department by each business which at any one [ime has on hand a quantity of acutely hazardous matenals equal to or greater than a weight ot 500 pounds, or a volume ot 55 gallons, or 2�0 cubic teet of compressea gas al sfandard temperaWre and pressure). 3. Does or will the applicant or present or (uture builtling occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazar0ous mate�als�? ❑ Yes ❑ No (Section 25534 0( the Califomia Health antl Safery Cotle provides that the Costa Mesa Fire Department may require the preparatioq certification and fling vrith the Fire Department of an RMPP by businesses which are requiretl to register acutely hazardous matenals with the Fire Department. 4. If an RMPP is presently required, has Section 25534 of �he Califomia Health and Safery Code been fully complied with? ❑ Yes ❑ No 5. Does or will the appliwnt or present or fuNre builtling ocwpant require tor the work which is the subject o( this application a permit for such conslruclion or modifcation from the South Coas[ Air Qualiry Management District or (mm any olher air pollution conlrol tlisMct or agency? ❑ Ves ❑ No (Section 658502 of the Califomia Govemment Code requires that the requestetl intortnation be fumished on applications for nornresidential builtling permits). 6. Will any part of the facility to be constructed under lhis permit be wilhin 1000 teet from lhe outer boundaries o( a school? ❑ Ves ❑ No Qt'yes", the fatiliry must meet the requiremenl of Sections 25534 antl 42303 of the Califomia Health and Satety Cotle). 7. I( a permit (rom the SouN Coast Air Quality Management Distncl or other air pollution control disMct or agency is required (or the work which is ihe subject of this application, have all of the disclosures prescribed by Califomia Health antl Satety Code Section 42303 been made? ❑ Yes ❑ No 8. (It yes", attach cerGfiwte ot wmpliance trom the appropriate air pqllutwn control oKcer). - CERTIFICA7E OF COMPLIANCE: I cenify tha[ under penalty of perjury the information qiven above is correct. I agree to comply with all state laws and city ortlinances regarding Hazardous Materials antl Emissions. � CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: 1 certify under penalty of perjury that I have read this applicalion and state that the in(ortnalion 9iven is wrrecL I agree ro comply vnth all slate laws and city ordinances relaling to building construction, and authonze represenWtives ot the City of Cosla Mesa to enter upon the above-descnbetl property for ins ' purposes. I agree not to occupy or allow occupancy of any building thoriz by this permit until final inspecfion. �1_7�,�18' R�,o� - ao i� � v�n�,ti �'� � �° ;h� �o� ' J ` � . Requested Inspect Date: Monday, May OS 2008 Site Address: 729 FARAD 5T G�M AIP/D Infortnation ti'[� Activity: BCOS-00102 Type: B_COMBO Consl Type: OccupancY:� Owner: RRUST T5, WlLLIAM GARRY AND EVAN Planner: RR Otccac: OTCCAC Contractor: OW NER-BU I LDER Applicant: ROBERTS, WILLIAM GARRY Description: I_NTERIOR DEMO OF.NON-LOAD BEARING, F Requested Insuection(sl Item: 11 PRE-INSPECT ROOF Requestor: Assigned To: """""" Aclion: Time Exp: Insoection Historv Item: Sfi Item: 8fi Item: 3 Item: 4 tlem: 6 Item: 8 Ileur. 11 =AS Sub Type: COM_ALT Status: ISSUED Use: Insp Area: Phone: 949-683-4559 Phone: X5614 Requested Time: 08:00 AM Phone: Entered By: TEMPEMP K LOCA7ED REPT131 Run Id: 8891 CITY OF COSTA MESA , : � BUILDING DIYISION F � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us �. FOR INSPECTIONS CALL: (714) 754•5626 � PERMIT NUMBER. B08-00125 PERMIT TYPE B_ROOF2 APN: 42412109 JOB ADDRESS ucinity: Squares: 8500 729 FARAD ST CM STATUS: DATE ISSUED: ISSUED BY: Suite/Unit: Valuation: ISSUED 04l18I2008 KJB $17,000.00 SCOpEOFWORK: TEAROFFIXISl1NGROOF.RFPAWREAACESHEAhIINGASNECESSARY,COVERWfTHBUILTUPROOFWG. CLASS A. 8500 SQUARE Ff. . - OWNER: ROBERTS,WILLIAMGARRYANDEVANTRUST, Address: 729FARADST , PHONE CitylStatelZip: COSTA MESA, CA Unit APP ICANT: ROBERT5, WILLWMGARRY AND�EVANTRUST, Address: 729 FARAD ST � Unit: : PHONE 949•683-4559 , - Ctty/State/Zip: CASTA MESA, CA , � , CONTR.4CTOR: OWNER-BUILDER � License No. . 000000 Address: Unit: - PHONE ' � CitylState/Zip: � CF1L: A�iITECT: License No. - � PFIONE ENGINEER: FEE SUMMARY Reroof Plan Check: Reroot PermitFee: Reinspection Fee: TOTALFEES 50.00 $279.25 50.00 $279.25 License No. PHONE NOTICE: The work authorized by this pertnit shall comply with all applicable handicap access requiremenls untler Califomia statutes and related regulations. (Ord. No. 92•28, § 1, 12-21-92) EXP(RA7fON: PERMI7 EXPIRES iB0 DAYS FROM DATE OF ISSUE OR DATE OF LASi INSPECTION. INSpECT10NS: In order for the work authorized untler this pertnit to be considered legal, such work must comply with all applicable codes, and all required inspeetions and flnal approval must be obfained. Failure to obtain inspections and fnal approval vdll result in the expiretion of this pertnit. CODEe. ixsvecnoNrne o� ixima�s co� i,w�pecnoxrne p�g INTffUlS 1618 Fixed System Final Fire Prevention 206 Final Mechanical 1268 Pool Spa Final . 208 Final Plumbing 2�0 Final Re-Roof �/`} � 14j�� M✓1v.[l� 210 Final Electrical Y"` //" 201 Final BIoOk/Retaining Wall v 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final BuildinglOccupancy WORKERS' COMPENSATION DECLARATIOI I hereby affvm under penalry o( perjury one of th� ,novnng declaralions: ❑ I have and will maintain a certificale of consent to self-Insure (or workers' compensation, as provided for by section 3700 of the Labor Cotle, (or the pertormance of the work tor which this permit is issued. ❑ I have and vrill maintain v.orkers' compensation insurance, as required by sec[ion 3700 of ihe Lahor Code, lor the peAormance of the �+ork for which ihis pertnit is issued. My vrorkers' compensation Insurance carner and policy number are: Carrier: (iNs secfion neetl no10e cpnpleteCllne p[mu o rWuetl al are nuntlre0 JaLars (EI001 a leu I olic Number: I certify that in Ihe pertortnance of lhe work for which Ihis permi[ is ' sued, I shall not employ any person in any manner so as to bewme subject to Ne vrorkers' compensation laws of Calilomia, antl agree that il I should become 6ub�ect lo tb�9 rk ' om ensation rovisions o( Section 3700 of Ihe Labor Co S If � t mpty with these pro 'siona �\ / U ZS � ApdimnfsSB^�Wrc '— ale WARNING: FAILURE TO SECURE WORKERS' CAMPENSATION COVER4GE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000�, IN ADDITION TO hIE CAST OF CAMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm that I am licensed under provisions ot Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in (ull (orce and eflec�. Lic. # Class # Cwtmcmr's Sgnawre Date CONSTRUCTION LENDING AGENCY: ❑ I hereby affrm Ihat there is a conslNctbn lentling agency fa the peAormance of the �+ark for which this pertnit is'ssued. �Sec. 3097, Civil Code). Lender's Name: Lender's Atltlress: SignaWre Da�e OW NER-BUILDER DECLARATIONS: I hereby aKrm that untler penalty of perjury Ihat I am E%EMPT FROM THE CONTRACTORS UCENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improva, demolish, or repair any swcture, prior to its issuance, also requires the applicant lor such permit to file a signed statemenl Ihal he or she is licensetl pursuant to lhe provisions o( the Con�ractors Litense Law (Chapter 9(commencing with Sec�ion 7000) ol Division 3 0l the Business and Professions Cotle) or lhat he or she is exempt therefrom and the basis lor Ihe alleged exemption. Any violation of Section 7037.5 by any applicant lor a permit subjects Ihe applicant ro a civil penalry of not more than five hundred dollars ($500�.�: ❑ I, as owner of the properry, or my employees wi[h vrdqes as Iheir sole compensation. WILL DO THE WORK, and I�e structure is nol intended or oflered lor sale (Sec. 7044, Business and Professions Code: The Contractore License Law tices nol apply lo an owner of property who builds or improves thereon, antl who dces such wnrk himself or herself or through his or her own employees, provided Nat such improvements are not intended or offeretl for sale. If, hovrever, the building or improvement is sold within one year of completion, the owneo-builder will have the burden of proving that he or she did not builtl or improve for purpose of sale.). I, as owner ol Ihe properry, am EXCLUSIVELY CONTRACTING WITH LI ENSED CONTRACTORS lo wnsWct lhe project (Sec. 7044, Business and ProfesSions Cotle: The contractors License Law dces rrot appy lo an ovmer of property who builds or improves thereon, and wfio contracis fa such project vnth a cmtractor(s) license pursuaN to the Contractors License laws.). ❑ I am exempt untler sec. Business and Professions Code lor this reason: 4 u� • ; 5�9�m�re oa�e JOS]-<6�]IO � — - - Ovmer ID venfied by tlri ia ❑ Yes ❑ No Driver's License No. Expires: Verification of Ownership by (type of docu� ent, i.e:� property Wx bill or Ceed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certAy lhat no exwvation Me (5) or mwe feet in depth into which a person is required to descend, will be made in connecl'an vrith work authorizetl 6y this pertniC and Ihat no builtling structure, scaNdding, falsework, a demolitbn or dismantling Ihereof, will be more Ihan thiny-six (J6) feet hiqh. (Chap. 3.2, Grp 2, M 2, Sec. 341. Ttle 8, Califomia Administ2tive Cotle). ❑ As owner-builtler. I will not employ anyone to do work which would require a permit lrom the Division o( Industrial Safety, as note0 above, unless such person has a permit to do such work from the division. Apoliwnl's SignaWre pate Division of Industrial Safe�y Pertnil Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or preseN or tuture building occupant need to file and certify a Business Plan for emergency response lo release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 ot the Cali(omia Health and Safery Code requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one lime during a reported year a quantily ol hazar0ous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet ol wmpressed gas at stantlartl temperature and pressure). 2. Does or vnll the applicant or present or future building occupant need to file a registration form (or acutety hazardous materials? ❑ Yes ❑ No (Section 25533 of the Califomia Health antl Sa(ery Cade, with some exceD�ions, requires regislralion wilh lhe Cosla Mesa Fire Depariment by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard femperaWre and pressure). 3. Does or will the applicant or present or fulure building occupant need lo prepare an RMPP (Risk Management antl Prevenlion Program for acutely hazartlous materials)? ❑ Yes ❑ No (Section 25534 of the California Health antl Safety Code provitles thal the Costa Mesa Fire Departmenl may require Ihe preparalion, certification antl filing with the Fire Depariment o( an RMPP by businesses which are required Io register acutely hazardous materials wiN the Fire Department. 4. If an RMPP is presently requiretl, has Section 25534 of Ihe Califomia Heallh and Salety Cotle been (ully complied vnth? ❑ Yes ❑ No 5. Does or will the applicant or present or /uNre building occupant require for the vrork which is the subject of this applicalion a permit for such consWction or modifcation from lhe South Coast Air Quality Management Dislrict or from any other air pollution conlrol distnct or agency? ❑ Ves ❑ No (Sectbn 65850.2 of ihe Califomia GovemmeN Code requires lhat ttre requested intortnation be lumishetl on applicatbns fa noo-residential builtlirg pertnits). 6. Will any part of the taciliry to be constructed under Ihis permit be within 7000 feet from the outer boundanes of a school7 ❑ Yes ❑ No pt yes", the lacilily must meet the requiremenl of Sections 25534 and 42303 ol the Cali(ornia Health antl Safely Cotle�. 7. If a permi� from Ihe South Coast Air Quality Management Dislritt or other air pollution conirol district or agency is required lor the work which is the subject of this application, have all of the disclosures prescribed by Califomia Health and Safery Cotle Section 42303 been matle? ❑ Yes ❑ No 8. Qf yes", atlach certi�cate o( wmpliance (rom the appropriate air pollution conlrol oKcer). CERTIFICATE OF COMPLIANCE: I certify that untler penalry af perjury Ne inlormation given above is cortect. t agree to comply with all slate laws antl city ordinances regarding Hazardous Malenals and Emissions. Signature Wte CERTIFICATE OF COMPLIANCE AND AUTHORIZ/1TION OF ENTRY: I certify under penalty of perjury that I have read this appliwtion and state that the information given is covecL I agree to comply with all slate laws and city ordinances relating to building conslruction, antl authorize repreSenWtives ol the City of Costa Mesa to enter upon the above-0escribed propeny for inspection purposes. I agree nol to o upy or allow occupa cy of any buil ing authorized by thi erm� niil fina sp ction. 7,�y, _�/ �� -�! U b �s� i e. , ro�� G rqul�onEeOPppli�'anl Dpte / 1 �;��v�� o� � � Requested Inspect Date: Monday, May OS 2008 Site Adtlress: 729 FARAD 5T �M A/PID Information Activity: B08-00125 Type: B_ROOF2 Sub Type: Status: ISSUED Const Type: Occupanc : Use: Insp Area: Owner: R08ERTS, WILLIAM GARRY A�JD EVAN TRUST Contractor: O W NE�2-BU ILDER Applicant: ROBERTS, WILLIAM GARRY AND EVAN Phone: 949-683-4559 TRUST Description: TEAR bFF EXISTING ROOF. REPAIR/REPLACE SHEATHING AS NECESSARY, COVER WITH BUILT UP ROOFING. CLASS A. 8500 SQUARE FT. Requested Inspection(s) Item: 11 PRE-INSPECT ROOF Requested Time: 08:00 AM Requestor: Phone: Assigned To: """"*"` Entered By: TEMPEMP K Aclion: Time Exp: Insoection Historv Item: 10 ROOF FRAMING Item: 11 PRE-INSPECT ROOF Item: 12 ROOF SHEATHING/BLDG HEIGHT "Approved" 04/24/08 Inspector: GWH Action: AP APPROVED Comment: Item: 200 FINAL RE-ROOF REPT131 Run Id: 8891 /�OON64OF BNLpNO: % L�J Y AttAL S' 1 IXMERSWWEIFRlOWIk y�KS GN TAPE ZNC AD0"�" F G bUX 75G0 " • NEWPGR'I bEACH,CA 52o5d �ax. �uuNa �oox[st uNr: CIIY GF CGSTA MESA – bUILuINi; FEhMIT .,' �. PERM NV: fi V853b PERMIT NG: E 08530o FLAN CHECK NG: N GUVI': N SUYY; PI CONSI'RUCTION 'fYPE: V–N PERMIT TYF.E: ELE PUttPGSE: GIH ARCNRECTONFN�IFFP: F1l.IlARL ARCHITECTS �"�� C3992 ureKa+��s.�: 12727 PAILAUELPHIA 310)9458821�� WHITTIER CA 9Go01 ca+mecrarauu¢ ROYP ELECTRIC (714)631-7779 cam�croRswuuxo 2111 STERLINIi AV �no�sx COSTA MESA CA �� 590868 92627 u�r: LICENSED COMNI1CTOflS DECL�XATON: I MreCy dlim uMa pprely d prjuy Ow I em IicenseE uMer prwiYom d CMqm Y (cwnmwbn0 wilh 9W'n�'lUW) d Oiwion 3 d tM Buvww ad PN�adau Cods. end mY Yones u m IW laa end dktl. cmuc.No.:G54822 uc.cuss: C 10 � 59G8o E}iP: 1GI9'7 �me: �ll^ �ZZ� CatlraCv. N BUILDEF OECL�H4T10N: I Meeby Mum ivMei pmYy al perjury het I mmq Irom 1 e Cartrtlm Licmea lew /p tlr IWbv.*9 num (Setlion 1W t3 &uiw� eM Fdaavu CaM: MYW a maCY id� �om'me+ a V�'v to ometrud. Nr. inpow. Eemde�. a nP� em'smcrus. P� fo h evmnoe. tlro'NN� tM dpplmy far acA D�K m 9e e qP� emenwV tlut M a Ne : i�.n.e w�,w io in. ao�. d u» wu.md. uowe �. I�M1Wa B(aommonmq wIIh Swon ]alo) d Oiveion 9 d iM awv vd Ralmioro COMI a Ntl M a Me u uemq tlwahwn end IM bna la tlr eOepeL memq'vn. My vnWion W Setlion 3t.5 Ey eiry epp4uN Ip e psmw fiAp6f the appfcaN 10 e tlN pe�yy p� �p maa Ihen (ws huMred daCen �SSOOp. � I.movmerMlMVODMYamY�dN�w�hw+P+nNei�olsmmpsuetion. Ttlolhewh.eMthe�mc�inwnal'uqadd a dlered M ede (Seciion 1ou. Buvwv eM P�c/eedm�Cade: TM Cwuraeaa lioeroa Isw Aoro nol roNvm en owisr d piopery wta WiAe a inpwae �haeon. end Mw do� wN wak FinaMl w Mnd aWa� ha a Irr am amdoYb�. pa'�dad �hr wM imqovwneMe ere nal iMerdd u aflseE la eeb. tl. Mwewr.IM pWd'up a inpawnan u eotl wehin ons Y� d wmplYion. the owiyrLuikW xip heve �he Mvden d pwinp M a dn did rc� b�yd a"unpws la Ns pspne d Wel. � I. ea amm d iM piopeM. � a�Y m^treuip vrith I� �uMws io mimua Me qqxf (Setlion 10u. Bwirc�e erd Pmimwm Code: TM Contreeae Licmue lew Aom na1 wWY ro an owMr d popenY Ma builde a imWwn �hason end Wn cronvacts In wM pqeda wnh e adaratlahs) fcmM punuw to Iln Cam'adm L'mme Law�. � I un ewnq uMar Se �'vi: B. d P.G.. b Nq nem: Dme: �: � eo nereW c.nM �nm � em e.rera a md i.Meaww ms �emn.wn.m d cNimd./bem�.ne seMr cud. s.ewiv zxws. usa�. ena �55�. W tlW I a M' Nua duid�0 � wi0 / rA nd (vcb ar) roed b oomVN w't� oid vNs mba ctl ilr nPdnn+�nn br a V«�m In mumnion a rrodf�im trom Na Af�enepmwN OiqriC. f W dv�el omnrve ion eOPN'diom w exrnq Imm IM�� povmau. Dma: � �Gd�� wonKen•s corav1s�non oEcun�non: i n«.M.� w. o.�.ey a w.iur o�. w m. moo.vy e.mrmc�.: ❑ IhmeMWme'vtlan.canfreiedmuw+�oulLuv�b'YaM�n•ampawtian.eP�btaMBaeim9100a�holaEu coe.. �« in. o.n� d m. �n i>.�n w w�m o mw. � I Aeva W vN me'vtlm waken' mnpmmion "vmvwm. m nPuaE M Saa'vi �)W d tla libor ('aM. b �hs P�m� d 1!r wwk la wl�'rA tM M�M Y isusd. M' waken' canV�w�^^ �nncNes mnia vd V��' wmber ua: c.m.: Pol'ry Numbm: i eetturr iroW iwt Ds aunnkroe / Us Pa'm] u b orwlurWeC da�en ISiaol a 4uJ � I mrlry Ihel in Ns prtormenca d IM wwF lor whch Ihu q m �upa. 1 dWl m� amploy e�ry paem In enY Tenrw p m t0 � becoms wE�w io iM wMel mWanwion Nrn d uM epn� tlW Y I�hoWd Eecmr a�bprl to tM xvFsn' comp�/naeinn qwiebn ld Safian 91W d tM lebor CoEe. I lonhrril� mmpy Mnh � e pewubu. ( me: W}- �-�� 1 �oaiw.: IM: RYun ro ucun woifMi ronV��+fbn m'raW l� �nyr(�p, �n �(1 W!/�c't m 1%�r bWmlml V�tlp MO clvll Anu i.q ro m� �,nAiW flouaW CWYn (110qOWA ti�tlon ro M �caf o/ ronp�nutbn, dtnupu �i pvvlbtl br In S�etlon 9]OB ol IM l�Dor Cob. Imwt mtl �rtormY"� fe. CONSTIiU(.TON LENqNO �OEHCY: I MrW� ellum undv pwWy tl prjry IIW IMn b e can9�udion Wd'vq epr�c/ lor IM DMumenu d iM xak b xtitl� tA's M�� u mwd (Saaun �OBI. Civ. Gl. LENDEN'S NMIE LENOER'S MOPE54: I cenM thel I M�a imd ihu eGG� and nme RW IM e0w� udmMlian u oand.l W�m �o mmVN w'n� e0 mY aM cautlY ard'vunow vM aW e kws MtlM to Wild'n0 cansh��man ud Mrab' eNAorca nP�awnMi�m W tM �YY b eNx uD� IM ahova�mem'arE propMy IaiiuOedi WrW�e+. _ _ _. — . uANNY KGFP oma:�� Z-Z–`�1 (515tdb.WP) WINe-BwNiqBSeley:0ieemFb:Genery-Appirant:Hnk�ieve�we:GddmuoE-Aiseeor JGB LnSCRIPTIuN : METER MAIN UPi;RALE i:LAZM VALUE: CALC–VALUE: S� F'I: �AOUF GCC: a i COMMENTS: X iF ii ii i't's4 i'r iF iF ii if iF'vi w ii iF i'r'se'si ie ie i'r've ie i'r iF i'r'v'r iF w'vi ii ii ii i'r's4 iF if if w ie'vi ii'ri� ie w i'r K ie ie ir iF ii i't ir±r ir ie ie i'r iF'si i'r;r ie w i:'sf iF vE w# if s'r iF iF ie ie ii if Z O N I N G R E Q U I R E M E N I' s S E'i b A � IC S ------------ MAIN BUILLING ---------- --------- ACCESSORY bUiL'uIN� --------- FANT: FT IN REAA: FT IN FRNT: FI IN AEt�t; Fi liv LEFT: FT' IN RGHT; FT IN LEFT: FT IN kGHT: F7 ZN PAAAING AEQ: PROti: FtIRCEL: 415231GI ZNE: R"r,F 2vu: PLtWNING NOTES> 1 if if iF ii 3F ie # iF ii iF wiF w iF K iF'sF ie if iF ie ii ii if if ii ii ii iF iF ii � iF w if w ii ii ie iF'se iF iF ie if+i iE if iF # iF iE iF iF iF if iF'se if ii iF iE iE i' ir if ii ii iE * ii iF if iF iF w if ii� iE L E V E L O P M E N I' S'E R V I C E S R E Q U I R E M E N'I 5 ZONING APFRGVEL bY bUILLING APPRGVEL bY uA7E: uA7E: AFPiICAiIuN ISSUEL bz; �' �'�/' /1�l'`—�– uA'IE: �" l 1 ifii�itifiiifieiFiFieifiFiFififiFiFw'sei'rwiese�e�e7eie�esexiFse�Fi'wse+fTew+t wi��ieiF t srw�w""'�w�wiiiiwifieie'seiFiEw�ew xsr +r�e wiF LEGALIZAI'ION:N F E-E 5 U H H A R Y STkU�ii.ikAL S GMENT:N l BLDG PMT FLUNBING �ELECi'RIC Mf.CHANIC FIRE SMIPiRES GRALING PERMIT ' 71.75 ' SOi SMIPlNUN-R£s PLAN , ISSUE FEE ��,00 bUILLING-DIV-> YERMII' ISSUE PLAN-CHECK TGIAL PAIU LUE TGTALS----> 71,75 22.00 6.G0 93.75 93.75 .0"v kEVENUH LIUISIGN 1'GTALS--� CGI,Lc'il'EL: 9"s.75 OVERiSHGRT: .v0 bLLG YMT PLUMbING ELEC7RIC MECHANIC FIRH SMIF/70T i;kALING PLAN-i:HECK 93.75 i't w iF+'t ii if ii if ii K w iF "sF if if ii i't ii �lF ii # ii i'r ie iF ie �e i't if iF if w'se it i't iF i't ii iF ie iF iF if if if if ii ii� ii�ii� if if ii if w ii ie ie iF ii w ie iE iF if ie if ir if iF'se iF "se ie ie ii ii w!i I N L I J I L U A L F E E B R E A K L U W N TYFE �TY L E S C h I P T I U N UNTT �GST Ii�YAi CG�T aLE 1 SERVICES bELGi�i o0"v U ti 201- luuu AMP SS,Su 55,50 ELE 1 SUb-PANEL 10.�5 16.15 ENL uF FEES IB-22-1997/81:19 PM/f93.75 RCDTq:81-8814295 PEkMIT:085366 i CONSTRUCTION AND PIANNING POOL A APVROVALS Permit# - Date Inspector APPROVALS Permit# Date �nspector 1, Temporary Elecirical Service or Pole 52. Pool & Equipment Location 2. Soii Pipe�Undrgrnd. 53. Steel ReintorCement � =,3. Electrical•Conduji Utility-Undrgrnd. 54. Forms '-�r4� Electrical'Conduit-Untlrgrnd. 55. Electrical Bonding a, ._�: eel Reinforcemept� 56. Rough Plumbing & Pressure Test - 6:'Electrical�UFER�Giri�j. 57. APPROVALTOCOVER�GUNITE T f- * �.w7;'fpotings � � �'; y � ' S8. Electrical Conduit�Undrgrnd. ��8. foundation � ' = 59. Gas Pipe, O Undrgrnd., Test �.« -, '9. rlJater PipE•UndrgcT�d. ° 60. Backwash Lines, P�Trap, G Undrgrnd. 10. Structural floor System 61. APPROVAL TO DECK 11. P�operty Serrer Line,g House,Connection 62. Backwash & Receptor�Finaf �2. $ower Cap v-' ' - 63. Heater & Vent�Final 13. Roof Drain's' ?; 64. Plumbin� System � Ffnal _ 14. Rough Plumbfng, � 65. Electrical�Final 15. Fiough Electricat-Conduit r 66. Solar System-Final - � 16. Rough Elearic Wirir�Tj _ 67. Fencin� & Access ApProval I 17. Rough Wiring Sign J 68. APPROVED FOR PLASTERING - 18. Rough ElectriwljT Bar Ceilin9" 69. POOUSPA SYSTEMS FINAL � 79. Rough Heating & Air Conditioning FIRE DEPT.,REQUIREMEN7 �� - -� . 20. _�ioug{� Fa�tory Ficeplace �� 7 r,]�APPROVAL�-' = Pe�hiit #�'��,^ 21. �ucts� in StruCtura; c ,•• •• a:' e - � i, :� 70. �UndercJ"roun"�1 Hy�dro � 22. Quas' Veiitila3in - � � � � S '� " � +. r ' �. � � g- ,� �� c= i. .� �; . 77. ProduGt Fiping L�1'&as 4� Oil 23. Gas Pipe• . oug'� &�Tesc . �� ^ ,: � � �� : � � 7p, �ndergrouAd Flusl� i 24.�Roo�FrartiingY i ' ' "i„ F•= � :k �r = 73� Undergr�5d.5tor,jr�eTanly°OGas ❑dil 25. Roof,'$he�thing F +: � � " e� 7q�j Overhead Hydro 26. 7�BanCeiling IStructvral) � �onaeoat � _ = : " 7� Dry CheFpical ,` �7 ;� �� ' ,: j 27, frame and Flashing K -� ;�- Y y = r 76. Dry StanUpiAe -''i t� � -' � �• 28. LatF'nng &'Siding R � - = _ ` T• . , •• � 77' FIXED $�;$TEM�INA� . � �� r r ` z -. .• •• r ] '-1 •1 'i S y 29, Insulatiori t� S �• i ry � i �� 78: FIRE PREV. F{NIaL �' r � 30. Orywali Nailing r � t, i I r 'K �I�ALTV90,EP� �AEQUIR`LMENT � 31. Plaster Brown�Coat a 5 �. r � � '_�NAL IN3P[CTikON k � ,-i I :, - 32. 2lecirical:Pow�r ��let�rxinal ' {�` �" r 0'� FOOD CERTIFi�/�`?'E I�SS.UED, � n . i T !��_� , 'l 7 J "� -' f . _ 33. Final.EleGtric: i r y 1 rr .. Notes: n y �:; �. -1 � *, •� 34. Fina171eaiing� Air Conditionirt� S ' 4 y � t 'k • v •� "1 : t� - - R' T 1 I Y.i �I 1 � '� Q 1: 'Y C •,I. � 1 �� _ , , '\ � `, _ 35. Eina(�'ias Pipe,7est � _ .. � ., � � � . r � �7 , � � . • „ r 36. F{oodor Canopy t ,� ' - �� ' '+ � ' * � ' � � ' "' . � .� .. . �;. .. i ! 1.� h s� ��•1 � * � 3+. FjnalrFactory PirePl�`ce � - '. ^ L � � ( 1 �;� " • .. • -� 38. Final-Plumbin9 s . � � _ � ' �" --° t ' = - . „ � :< N J � ik i .� �3 ' 39. Wate��Service�Finai ! F, � r ; �k ., � ' Z - 40. Gas Service-Final t .� _ .. r - � .r � .r � �� • ' _ � i� = 41. 5olar pomesticFina�' - � " �- I i` , � �. �� ' 42. Backflow Preventer r � t J � ; C '- r� r _ r *1" 1 � - 43. Backflow Irrigztion � _ � y � � , ' � . . � - ` - 4Q. Landzcape Irngation-SYstem s r. � !' r 7 - '" ^J _ , '' ' 45. und A�,tenuation ` - ^ ;; "� f' r - ` �` " ' � r . z' = ' r c r, n�. C r � • + : '4$. Handicap.�iegulations - _`� . -: ' _ ' � �- .. 47. F7NAL STRUGTUflE & 8U11•DING _ , , r ' _ _ 48. F,INAL PLANNING � � 4 �. ' ,� R 49.. Electnc Reiease to Edison /y1�7 , - � _ .. _ i • l�cJJ Cf�),�L�/2 . 50. Gas Release to SoutFiern California Gas Co + � ,•�7~ _ � ' '' - t 51. CERTIFICA7E OF OCCUPANCY + . � • � � ` � -' No. Date . - �z� t��Q�l , � 5�-�� ,°�� o f � o 0 UQav.t�Jt 3� 1 ; �y`C I- I�o� � Co S� N��S� � c � P�� 3� 4 w� + e /�l e i�e r l�« i�t u k �� Z � 1 � /�`ir Cv�c�. j�1�ti Cifc.i.;�`S � uh� �� Z00 a°u� 3�S��P`+�°� ��C ��_ S 0 O DtiG M zoo �p J � Y �� z s f��•'\ �� QC�G1w�� I 1 �t-��J2 Me�er I��; � zi'G 11.3r3-U,�-�he� z� c 6 �6 -y-�tih �d wa1'Q r b��l �vP. 6oa�,P �Xo W.P, S-� w�X U�4�P �f G 3�`6{-h4h 3�`' c 3 �61- h�h ! I PF1'�1ECTPDOHESS: -�Z9 F•�i� S1• OWNEH'S NAME: BOOKS ON TAPE INC nooeess: P O BOX 7900 NEWPORT BEACH,CA 92660 pfltNIENGINEEF: S 4 B— S S Z S qEG.NO.: p00flE55: UNIT: UNIT: PEflMITTEE: CHAMPION ROOFING ( 213 ) 259-04 S1 RODflE55: 3ZS% VERDUGO �, � CA 900�65 LICENSED LONTNACTO Ui IAAATION: I here�y allirm ��a� I am licensed unGer provisions ai hapcer 9(cammencing wil� Seciion 7q10) of Oivision 3 of I�e Business an0 Pm�euians CoEe. an0 my license is in full lorce an0 eflect. CITYUL.: qZ72S STRTEIIC.:429481��, ,,cu(s�s: C-3� 9ele:. �U�-�+'`� SignaWre: r=t__1J_'� W08REB5'COMPENSAiIONOEtU1PR710N: IAere�yaifirmthall�aveacenilicaieolconsemmselbinsureorac 'IicateolWorkeK Compensation Insurance. or a cenilieA capY Ihereot (Section 3800. Lab. C). Poucrr,o.: pwZ26ggZ E%P.ORiE: OS/OLI9�i comraNr: GOLDEN EAC.kE r] Cenifiea cooY is nere0y lurnishea. i_3C Ceni�ie0 caDY is IileO wi�h the ci�y Builtlinp Division. p1 �' � Ci ' T, AVPIiWni: ��i l Q� E%EMPTION FPOM WOflNEflS' COMPENSATION OECIAflPTION: Rhis sec�ion neetl not be tomplNeD iI lAe permit is Ior ane �uMreE (Stql) or ltss). I ceNty I�at in t�e pedormante of Ne work lor wnic� Ihis Dermit is RsueC. I s�all not employ any person in any manner 5o as lo became Suble�� 0 I�e Warkers' Compensa�ion Laws al Calitomia. �aie: $ignalurp: NO710E: I( atler making t�is Oeclaration, you shoultl Cecome suUlect to t�e Worker5' ComOensation provisions ol I�e La00r Cotle. you mu5i IotlAwii� cOmDly vni� SUt� pmvi5i0ns af Ihis permi� Shail Ee E¢¢m¢A revake0. CONSTBOCTION IENOING RGENCY: I nereby allirm ttwt ihere is a constmclian lentling aqency tor t�e oerinmwnce al tne work lor w�k0 1�¢ Dermit is issuetl (Sttiion 3W7. Gv. C�. LENDEfl: AODNE55: OWNEB BUIlOEB OECUMTION: I nere�y aBirm �nat I am e.empi Imm ine Comracmrs' Slate license Law for tne latlowinp reason (Section 7Ip1.5 BuSiness an0 Pwlessional CoOe: Any city o� couniy whic� repuires a petmil to conslmcl, atier, impmve, Eemolish, or reDair any stmcture. p�ior to its issuance, atso requires t�e ap0�itanl br sucA Oermii to file a sipned statement ihat APJshe is IicenseU pursuant lo Ihe pmvisions ol ��e Camracmrs' Slaie License Law (CAapler 9(commencinq vnt� Seclion 70W) ol Division 3 of Ihe Busin¢s5 and PmlesSions COGe) ot t�al �e/s�e is e.empl l�ertimm antl Ihe basR far the altepetl exemptbn. My violdtion ot Seciion 7031.5 �y any appliUnt lor a permil suDlec�s Ihe applicant Io a civil penally ol noi moa �Adn five hunOreO dollars (5500�. I, as owner ol Ihe pmDenY or my employees wilh wages as I�eir sole compensaiion, vnll do 1he wark, an0 tAe ❑ slmcture is nol inlentleJ or olieretl lor saie (setlion 7044, BUSine55 anE Prolessi0nal CoOe: T�e Canlrati0�5' Slaie License Law Ooes not apDlyla an ownerol a prooeny wno Uuilds arimo�oves iherean, anE who Aoes suGl work nimself/herself ortAmuAh his or her mvn employees. O�ovitle0 �hal suc� imD�ov¢menis are �wi inlenGeE or aflere0 fa� sale. If, Iqwever Ihe builEinp ar im0�ovemem ¢ m10 wit�in one year oi com0letion, ihe owner vnll luve t�e OurAen ol pravinA hrls�e Oi0 not build ar imprme �or Ihe Durpose ol sale�. I, as owner of tne DmDenY. am eacWsively conVac�ing wilA Iicense0 comrattors to wnsimt� �he pmlecl (Sec�ion 7044, Business ❑ antl Protession5 CoJe: The Contrat�ars' Slaie Lit¢�ae Law Uoes nol aOVly lo an ovm¢rol pmperry wlro hmids or impmvCS ihereon an0 who wnVatls lar 5uth D��ie«5 wit� a tonlrat�or�5�liten5e pur5uani �o I�e COn(ntlOr3' State License Law�. I am aware t�at prool of tl�eie Worker's Compe^sation insurance shoulG De O�o�4eE lo me. � I am exempi un0er Section: B. 8 P. C. lor I�is reason: �a�e: Ovmec I 0o here0y cehiiy �hat I am aware ol anG un0er5lan0 ��e requiremenis o� Cah�omia Heali� anU Safeiy COOe $¢t�ions 25505, 25533, and 2557E and I�ai I oranytuiure buil0ing acupaniwill/will nol (circle ane) need Io comply wilh SaiG slale codes antl�he reduiremenlsfora permi� br conslmction or moai�icalion Imm I�e Ai� Ouatily Managemeni Oi5lrici. FeSiEenlial consimc�ion appliWtions are exem0� ��om these provisions. �a�e: Applicanl: I he�e�y cerldy Ihat I have read l�is appl¢alion anA Stale �hat I�e a�ove inlormalion is correci. I aA�ee Io comply wi�h all ci�y and counry ordinances ana s�ate Wws relating Io builEing consirudion anA hereb/ auihonze reDres¢niatives oi IAis cily �o enier upon I�e above-memioneE pmperty b� inspection pwposes. 1 � — 1� � �7 Signalure: `�4, � �� oate: Oriver'S License o� SOcial Seari�y X: *� ��> > � � � 164t�66 WNte—BuilCmq; Green—Cotle EnlorcemenC Canary—Aoolicanl: Pink—Revenua: GolEenroO—Fssessnr CITY OF COSTA MESA - BUILDING PERMIT PERM NO; H 06358 PERMIT�NO: B 063588 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE; PERMIT TYPE: STR PURPOSE: ALT JOB DESCRIPTION : T/OFF RESHT, REROOF W/BASE,PLY 6 CAP SQ FT; 17,500 CLAIM VALUE: 17,500.00 CALC-VALUE: 17,500.00 GROUP OCC: B-2 / *��*�***�e�**�**�r********�**�r*��*��*�r**�***�F*�*�r***��r�r***�r*�r*�*�e***+�*�r�e�r*�r*�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 ------------ MAZN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT ZN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT- IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ� PROV: PARCEL: 42412109 ZNE: REF NO: PLANNING NO1'ES> ri 1fklfifMiFiFk�fikMkiflfkMiFlfifkk�kkkk�tkiflflF�kitifklf�kikiFkiFkilifkiFlFMkMilif�F�fiflfM�fkilifklFikiflfiF�fklFiFillFiffkkififilif 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�1' S 20NING APPROVED BY DATE; - BUILDING APPROVED BY : DATE: -o-/- O 3 APPLICATION ISSUED BY: DATE: X V MiFklfifkfflflffflfif�kftitkikitfklf�klf iFiFkikikiEiFiFiEM ikff iflf�fklfMkififiFkkiFiflfMiFikiFklfkklflflFltlfifMiFiFiFififiFifititiFlflk ikM�kiElf�Ek�fiEifiFklFIFIF1f1f1fiEitiFiFkiFlF ifltif MkifMlf LEGALIZATION:N F E E S U M M A A Y STRUCTURAL SEGMENT:Y BLDG PMT PLUNBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 189.00 PLAN �% SMIP3N68-RES ISSUE FEE �' ' BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE TOTALS----> 192.68 0,00 . 0.00 192,68 192.68 .00 REVENUE DIVISION TOTALS--> COLLECTED; 192,68 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK 189.00 , ;," 3.68 ikMMkMiFkklfMkif iFkk�tkkMkkkMlfifMkklFifififiFiFlFifik7tkifiFifiFiFif iflflfiF�Ek�FiliEififik�f�Fif�fif�Eklf 1F1FiFlkifiFfkkiFifififlfiF I N D I V Z D U A L;' F E E B R E A IC D O W N TYPE QTY D E S C R I P T I�O N UNIT COST TOTAL COST SFC 17500 REROOF BY VALUE COMMERCIAL N020NE 1,00 17,500,00 � END OF FEES � .r :� , Di Q014`364-D014`3e'Q T CIT 1°2.65 DATE: GS120/S3 ?IME: 11:57 CONSTRUCTION AND PLANNING P�� 'PA �� Date Inspector Date �nspector APPROVALS Permit # APPROVALS Permit # 1. Temporary Etectricai ServiEB or POVe 52. Pool & Equipment Locauon ti ci� 2. Soil Pipe�Undrgmd. . - 53. Steel Reinforcement ..: ��El�tiicBlCond�}2;Ut,J'IitV-Undrgmd;a� 54. Forms o.4:iEJ�Ctrieyl ConduH-Undrgrnd. N;� 55. Electrical Bonding ��5t�zl Re�inforcertient j,�x 56. Rough Piumbing & Pressure Test 5 '-6. �IeFtrical UFEqC'�md. ,�, �' 57. APPROVAL TO COVER�GUNITE _;, y7^Ebotings ^�` � 58. ElectricalConduit�Undrqmd. "Q„ Fqundation � �� 59. Gas Pipe, 0 Undrgrnd., Tesi `' 9i Water Pipe�Undrgrnd. 60. Backwash Lines, P�Trap, O Undr9rnd. 10. Structural Floor System �� 61. APPROVA� TO DECK 1 t. Prope�ty Sewei LinQ-& House Conneetion 62. Backwash & Receptor�Final 12. Se�er Cap �, i 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing� 65. Electrical-Final 15. Rough Electricaj:Condu�t , 66. Solar System-Finai 16. Roogh Elect�ic Wiring 67. Fenciny & Access Approval 17. flough Wiring S�n " 68. APPROVED FOR PLASTERING 18. Rough Electric�ll�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditio�ing FIRE DEPT. REQUIREMENT -.. '7 U' O't�+ix1H cC x� F cJ 20.,Rough FeFtory Fereplace i;;h7 Q"1 O^� tra x- WCPPROi/At3',.�;Bermit# * r R' �• i c .� �^ V�ar_� � x rr r� 21. �-t . ' l � hN 7cS � r-+ '7 'Jz: . 5'�`. R7 a' [T1 uCts, �R Struckure , �„„ NS a ' t, H#� .- 0. ndergrouIId�iyc#3o R , - - 22. Duct9. VO�tila[ing ;n i CJS �� Sa � r-27. Product'�.yPi�rlc� Qi�S� � Oil 23.'Gash�Pe�fjoy� &'T�st � � j � r� � � �� Z, Undergrou�iiFl�S, r F �; * 24. �BooFFraming. �, i[�c-• ��F �� O 7' x#_43.HCJndergm .cCStorat�EC1'attk � Gas ❑ O�iP 25. Roo�,Shh�thing r�� n� �3 q' � ,� `7q,�`v' rhead fi dro �F •` ,'�� y •� ��1 : .. Y 26. `f•Bar�Ceiling (StrucEuraq & A,mqpcoat �� e'7 C� �a a� 75.�rY Chemical '1 * c-� ^- r. 27. �Frame and FhaShin � '� ^ `' � 'p �� k �' "'� ��: '� = •`7 ^ c, s- � 9 :�r.s m V T w> * 76. [�ty Sta�d�i� �� x � ��8.°Lathing&�Siding, �,� �.� ��K�;� � K r ••+� 77,��fIXEDSYSLEM'�f3NALr� V � n' : J .' ' CJ H ..f.. '.7 M Y.� i � •_. .� � ' rs �29. Insul&tion �� , r r� 78,YFIRE PREV. FI(�A{} x�, z:y i c> t�� t. v.. + r�30. Drywall Meiling �•a. > I� - �-+ MEALTH�DEPTTA6QWI�REMENT �1. Plaster B�own_Coai;;� - i ; i 'x y�9.r�INAL IfV��CTI(�'�IV � C' ' � � t+r-. .. t. m'S-' r. a 'r�2. Electrical Pow.;r Meieq-final i �, �� r$O.rF,00D CERTIFI2A�'FE ISSIJED .. � Q. G' :: i 7' x .*I I ..* '�� Jot�'s: , /�O �2 ' � /%� . 33. Finai'EI'-tri . �+ -s • . � m i r.� x /t/ Ij' �/! . @�1� 1. f I.H�'� T. 4 y �- � . l �34. iFinaf Heziing� Air Co''i�ditioqi�- n � *} s Y' _, .:; 7 . � , �.-. �/s��Y;3 � . 35.[Fin11'Ga5 PipE�TeSN� �^' �4 "!' i i � i � S x m ilU :�.. r H k t:u 'i0 l�r+ -, r 36. �loo�or CanoPY � . ' � r^ .�. .i , , � � � R �'�* i � � i � a: �i� r '� �37. `Binal�Pacfory Fireplace� ^ � =�`' � � � ` � � t.,�, ` �•_ i " i" x '38. Final P�umbiag ' v �`' . .. •. ... a�. J * . y 5 :-� f � ^ ( 9. WateYService-Final � ! �': ` *' � n u��'7 * l. p x ,_ r � ) �., ;S �•90. Gas Service-F.inal " r , � ^ ' - y� Y' `" .r, y.r'r fc n7 f` :�✓. 'O?! T .iTit. Solar pomesti¢-FinaF S i� �• x C� x' E'9 �� ? r t : � -r -+� �� -Y ',) �42. �Backflow Prevente? ` r v Y � �� ` ' ` ` r t �.e � �;_ . x :, r-� 43. Backflowlrri�ation�Y �SS •� zr-� >'U � � ,� > � �� = n �44. Landscape Id.iqation SYstemp � a x ,, � p i� C,r, . x;,� :; y�� ; o i, ; � '45. �$ound Attenuation.� r+'zF t*' � � E� %-� -^�� '� r+ � 7� � z� x ti. it t i� Cr p� -•G �6.`HandicaP,ReFj�lation`s � =' '�'� .. ..i'.y�' � :''`� r+� . � � .. . .J ?. :� , C» •S . 47. �FIN)�L STRUCTUR£ & BUI.�DING �jp -�-i .., s� x m �� ./) ¢ , � ' 7 ;.. 48.�FINfYIPLANNINGy ��:, :�.ti, ..r �r ._ � � V 49. lecttic Release to Edison � n i, � i .'. . i o s 't : $ ,� G ' a ( . ti50. _Gas Belease to Soutt�ern Califor�r ia Gas Co � � ,,. r c � ,.�,�, ;� r_ . 1. CERYIFICATE OF QCCUPAN lp ;; �-. �; �' <jp >; = i-. o No. Date PflOJECT RDONESS: '] z 9 F'i�� $'I' OWNEfl'S NRME: HOOKS ON TAPE INC aooxess: p O HOX 7900 NEWPORT BEACH,CA 548-5525 AflCMIENGINEEfl: AOOflESS: UNIT: 92660 flEG.NO.: UNIT: PEPMITTEE: CHAMPION ROOFING f 213 ) 259-0451 aooeess: 3257 VERDUGO L.A. CA 90065 — LICENSEO CONTBACTOfl DELLAflATION: I pereEy a�lirm tha� I am Iicensed under pmvisions o� ChaOter 9(commencinB �� Section ��I ol oirsian 3 0l ine Business ano Pmiessions Go�e. an0 my Iicense is in tull force and eifect. ciTruc.:042725 srareuc.:42gqg1 cuss:C-39 Oate: � —% � v� Signatwe: �� WOHNENS' COMPENSATION OECIANATION: I here�y al�irm Ihai I �ave a cetlilica�e o� consent �o sell-insure or a certilica�e ol Workers' Compensa�ion Insur}qc q� Acp.ri7�ietl copy ihereol (Seclion 3800. Lab � POLICYNO.: PWL�b23iL E%P.OATE: �SIOII9�i comvaxr: GOLDEN EAGLE ❑ Cerli�ied copy is hereby Iurnishea. � Ce�ifiea copy is file0 with Ihe ciry /Bu'i�lding �ivision. Oaia�-2—' �� ADPlitanl: ` �� /� ` n+'�., E%EMPTION FROM WOFHEAS' LOMPENSATION OELUBATION: (ThiS seciian nee0 nat �e tompleletl il �he permA is lorone huntlretl ($100) or 1¢55�, I cetlily Ihal in t�e pedormance ol Ihe work lor which ��is permi� is issued. I s�all no� employ any Derson in any manner so as to become SUEIe�� lo �ne Workers Compen5aiion Laws ol Cali�omia. Daie: Signaiure: NOTICE: If, alter making tnis aeclaraiion, you snould hecome subie�t �o Ihe Workers' Compensation provisions oi ihe La6m Code. you musl �ort�wil� com0ly wi�� guch prOvisions or Ihis permit 5hali 6e deemetl r¢wkea. CONS7BUC710N 1EN01NG aGENCY: I nereby affirm Inat there is a cansiNctian lenaing aAency lat ine pedormance ol Ihe work for which Ihis permii is issue0 �Setlion 3W7, Civ. C). LENOEX: ROOflESS: OWNEP BUILOEP OECUBRTION: I hereGy allirm Ihal I am enempi irom �he ContraclorY State License Law for Ihe lollowing reason (Section 7031.5 Business anE Pmteuional Cptle: Any ciiy oi wunly wNc� repuires a permit to consiruc�. aller, improve, Uemolish, or rtpai� any struciwe. o�io� to Its issuance, atsp repuires ine apDlicanl for such permit ta tile a signea statemenl lt�al nUshe is licensed pursuani Io ��e O�ovisions o� ��e Coniractors' Slate License Law (C�ap�er 9(commencing with Section 7000) ol �ivision J o� Ihe Buvness and Piolessions CoOe� or I�aI he/s�e is exern0� Ihere�rom ana t�e basis br Ihe allegeA exemp�ion. Any vialalion ol Seclion 70.11.5 �y any applicanl Ior a Dermil SUDIe��S 1�¢ aOPlicant �o a civil penally al nat more than live �untlre0 Oollars (E500). ❑ I. as owner of Ine oropeny ar my emVloyees with wages as iheir sole compensation, xill Eo the work, ana the simctwe is not imenUeO or ollerea lor sale (Secbon 70aa. Business ana Pmiessional Cotle: Th¢ �untracmrs' State License Law does nol apply lo an owner ol a pwpetly wM10 builds or improves ��ereon, and who does such work himseltlhersell or I�rouOh his ar her own empl0yee5. OroviOetl �hat such impmvemenis are no� intentletl ar oflered far sale. II, however I�e builtling or improvemenl is sola vnlhin ane yea� of com0�elion, t�e owner will �ave ihe burGen of pmving �e/s�e tliC not Lui10 or improve for Ine ourDase of sale�. I, as owner o� ��e pmpetly, am excWsively conirac�ing wilh licensetl contrac�ors Io constmct ��e pmled (Seclion 7044, Business ❑ antl Pmlessions CoOe'. The ConVaclbrs' Siate License Law aoes not appty �o an owner of Oroperip who huii0s or improues ��ereon . an0 w�o contratls �or suc� pmlecis vn�� a conirac�or(5) iicense Oursuant to t�e Contractors' S�a�e License Law�. 1 am aware � �hai proof of their Wmkefs Compensation insurance s�oula 6e pmvitletl to me. I� I am evemp� under Seclion: B. 8 P. C. lor I�is reason�. Date: ' Owner I tlo hereby certily Ihat I am aware ol and untlers�antl �he reQuirements �I Calitomia Health antl Sa�ery Cotle Seclions 25505, 25533, antl 2553d anOlnai I Or any lulure builtling Occupanl wilVwill nol (tirtle One) nee0 �o tomply vnih 5aitl slaie cOdeS antl Ih¢ reQuirem¢nls fo� a permil lor conslmclion or moUilicalion Imm �he Air Oualily Managemeni OiSirid. qe5i0en�ial con5imc�ion applications are eKempl �mm IhCSC PfOV151005. Oate: App�icanc I �ere�y cer�ily Ihal I have reatl this ap0lication antl state Ihai �he a0ove inlorma�ion is wrrecL I agree Io comply wil� all cily anU county ordmances antl 9ale laws rclating lo Awltling Consimclion antl here�y aWhor¢e represen�atives o� �his ciiy lo enter u0on Ihe above�menlione0 proDe�ty larinspetlion purposes. Daie: � � 2 � Z � Signaiure: � � � �� Q' Orivefs License or Social Secumy <: �6at�46 W�ne—BwWing: Green—Coaa Eniarwmen�: Canary—AOPlicam; Pink—Revenue: Goldenroa—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: IB 063808 PERMIT NO: IB 063808 PLAN CHECK NO: N GOVT; N SUPP; Y CONSTRUCTION TYPE: PERMIT TYPE: OTFI STR PURPOSE: ALT JOB DESCRIPTION : REROOF / REINSPECTION FEE (X3HRS.) SQ FT: CLAIM VALUE: 17,500.00 CALC—VALUE; GROUP OCC; B-2 / *�*****��r�r**�**�r***�r�r*�r+Rt�**�r*��*�t�+Nt�r**+Lr*�*�E�r�*�rB***%*********�+Rr**B*****�tx��t�e�t�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 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 PARRING REQ• PROV; PARCEL: 92912109 ZNE; REF NO: PLANNING NtST'ES> 7 ik iE �E if k�f if 1f 1f if if iE i! iE 7! 1lif it iE iE if iE if 1f iE iE if iF ik 1F k if iF 1f 1f 1f if ft 1k iE k�E if iF iE �f 1k if if iE 1E if iE iE 1f if 1E iE if iE iF iF if iE iElE i!i! �k.ikiE iF i! 1E iElk ff iE 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;TiS ZONING APPROVED BY DATE: —'�+ /— _1a BUILDING APPROVED BY : DATE; .. APPLICATION ISSUED HY:�� if iE if 1f if 1E if iF if kif if ik if iF ik 1E if jf if k iE %iF fF iE i!i! k if 1f 3E if M iF iE Ik fF 3F aE ik ik �f k i! i! if k�E if k i! iE if ik if if iE if 1f ikif it k i! k if iiikif k if if iEiEik tf iE �E i! it k if if if if if ik if iHFlf if iFlE iE iF it rt iE if LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT;Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 90,00 SMIP/NON—RES PLAN ISSUE FEE BUILDING—DZV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 90,00 0,00 0,00 90,00 90,00 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 90,00 OVER/SHORT; ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 90,00 1E if �E �E iF iF 1f 3f if if iE iF 1E 1E if 1F if �f if ii IE 1F if iE iE 1k aF if 1E if iE iE iE iF iElE iE iE iE 1F 1F 1E �FiE �E M 1f 3E iE �E if 1F iEif ik if iE if 1f iE 1E 1k 1E iE 1E iE �F 1F 1E if 1E iE 16 if if iF iE 1E 1E I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST INS 3 BUILDING RE—INSPECTION FEE END OF FEES 30.00 90.00 �1 001�6291-00146291 T O T 90.00 DATF: 0?/02/93 TIME: 14:56 :i i CONSTRUCTION AND PLANNING � APPROVALS Permit-;� (� i. Temporary EleCtncal Snrvice or Pole , I2. Soil Pipe�Undrgrnd. , � �--•- � �3. .�ectr!c:.l Condnit Ut.�ity•Undrgrn�, I 4. Electncal CondLh�Und�gmd. I_ 5. Steei fleinforc>ment ' �� 6.,P:ectncal UFER Gmd. � � 1. Poolinys . .. � '6. Foundat�on ' 9. Water Pipe�Undrgmd. � 10. S!r�ctu��c! Fioo� SYstem , 7 t. P.operty Sevrer �ine & House Com,ection �-- ' 12. S«.:er Cap . � �3. Poof Cra:ns L- i �'4. Faugh Po�mbmg ' 14 Rough Electrica��Cordu�t i 16. Rough ElectricVNirinq 9u,.�h !7�nng 5:gn ' 18 Rough Elcc!rica��T Bar Cei��ny I � �$ Ro��h ;-,edtng R+ Air wroiLo^.:ng 7J� RG�g' ��',iCC�t�i Ftr^p..l�e � 1 r.--�Y"-_.� 21�. Dects, in Str�ct ,rz i.. .� � 2a, o.,ds. },-��r,�9 ; ; I � Z3..Gas PIp��Rw�h & Sest i 2<. qoo`. Framing ; � 25. Roof Sheath�ng ��-� 26. �T Ea� C_�Iing (5trur.u�a�i &`P.�anomat � 1 27. Framt �+nd Fld5hi0g -� � � ..;�.=.-_. �28. L;.thinfeL Sitling' � _ '. � '_� � 29. InsWa;�on � . � - 30. Drywall NailPng . i i 31. P.astei Crorfn Co.'af i... •-�-`r-----ri-..-•-- - ' 3? E�ectn�ni Power Miettt�PinaF �I �i 33' Fi�j�l E!�ctn� . � i I -�-..+- . 34: Fnal Ntating &i Ai� Contl ti0ning �� , 3� Final G;, Pipe TeS4 , 36. Ho�� m CanopY � * i � �37, Final Factory F��edlace � " 38 Fi':al F�umbir.g ' ' � 39. 11�ater 5>.rvice�Fina� . � ' 40. Gas Sereice-Final : 41. S�!ar �omest�t-Final � � 42. Backflow Prev3nter � . I 43. Badcfla:: IrrigatiQn � �, �,. i 4k. Lacdsc?pe trriqation Svstem �. 45: Sound Attenuation ' � 4c'..Handiwp Regu�ai�ors 4r 7. FINAL STRUCTURE & BU�LDING , 48 PI�RLPLANNING I '49. Electric Re{ease to Ediso�l 50.� Ga; Release to Southern California Gas Co 51. CERTIFICATC OF OCCUPANCY Date Date i POOL � SPA Inspector qppROVAIS Permit# 52. Pool & Equipment Locat:nn 53. Steel Reiniorcement 54. Forms 55. Electrical Bonding 56. Rough Plumbing & Pressure Test 57. APPROVAL TO COVEft�GUNlTE 58. Electrica� Co�duit�Undrgmd. 59. Gas P�pe, O Untlrgrnd., Test � 60. Backwash Lines, P-Trap, O Undrgmd. 61. APPROVAL TO pECK 62. Backvrash IL ReceptorFinal 63. Heatcr & Vznt-Fina� 64. Plum6ing Sys!em � P�nal _ 65. Electrical-Ffnal u6. 9oiar SVster+�F��al 67. Fencing & Access AnProval 68. APPROVED FOR PLASTERING 69. POOL/SPA SYSTE'�:S FINAL Date � Inspector FIRE DEPT. REQUIREMENT i I i i � . i '.�>PPRdVAiS '-;Permrt � ;�'' � . �70. Undcrgroun:l Hytlro i� 71. Product F:p�^g i7�Ci�t �''.,.O��I �� •72. Undergrou�tl Flush�� ' I I .,73.,Ur.dergrn�'.Storagt•Tank,�Ga> �:U�! ; ' ', 74-. �Overhead Hydro -+ _ I �5- Q�Y Che[[�wi - � _ _ _ i _ - 76. Dry StandO ce • . � �-•--•T- - -- - + 77�.', FIXED $Y$TEM,F,INAt; . f., - _ � 78. FIRE PREV. FIN;;L a I I '� �L� �-- NEALTEt DEPT, REQUIR�M,ENT � � -- -+; - 79. FINAL INSP.ECTIpN � , • `._'-�-s--'-=,- t - ---I � SO�,��FOOD CERTIF�CA'TE iS$UED . �__�_ _ 1 Notes: -. i .1 1 � � . _, i � . , ,�__-____'-� .. ,� -- --- ---- I _ - --- -'-- -� � - -- - - � , � -- ---- -- -� i 1 � - --� - . -- I . _ . -a , . - �---- -y - j �I AOOR640GBIALWIG: i c � r raa�eav .� a avNERSxwElFiwa�m: bVV1CS VN lAYt 1N1: apppEsy: Y_V_bVl[ %7VV 1`ILIYYVFt�l tiGAl.H,I.H AVPL. WIlWO d0UNE3A AXCXREttONflYClEFA: �RCN.OP FN0.'S AOMIE55: �,��".,,�. KOFF ELECT2tI� camucrorca�uiwo llll SI�EkL1Nls AV ,�� uSrk MESH y�b2i 110EN5ED COMN�RONS OECLARATION: I lweby a0fm �da pwiely �oomm.�m wnn se�m� r0002 a orvom a d m. &�,«. w� cmuc.so.:U596LL uacuss:l. 1V u. Dms: I Z-�'- l/ Gamedar. OWNEN BNLDEP DECIANATON: I Asab� YHm udx psWy d pajry UMT: 7Lb�d 11G NO_ UNf: 1714)bJl-%��7 CA ,x.�, �908on uwr: pr'µy Nm I rn IcauM uMs pwavu N Cheqm B C� Y14111'jFbYlYNIIBIIYClNY�OAOd. 57VtlbFS , EiiF: i"vi98 INI I v/eumq ham Vw Caafauon lYame lew la IM mvnyiMd� �ew'uae a P�! io mrowd. Ms. impova. dema6R a repai my evursas, p'v b e ev�enu. abo �w�va IM eppf Y Iv arA penM to fJe a dpned Mmmvu Mm he w eM s IicenssE W��^t ta �he paw'vi� d ihe Canrman Licenas lew �Clups 91�m�0 �� 1000) d Dviion 3 d tM dwinma md Rdauum WMI a �Iw Ir a dr b�aanP NareM1onl xd tM bem tn tla NW� uanPian. Nry violmon af Setlian )W �.5 by erc� epqirnm Iw e parmn aEjats tM epplira�u to e dvi peroryy d nol mae tlwi (xe hundied EaOan �5500�. � I,nownmd�MRW�YttmYa^Vbl+wihwe{p�nlMi�deevmV�,wi3doNawvk.eMNsebupunaew�"vaaMed a oflered fa eela (�� . Bufvm W Pmlpe'vuCode: }�y �pq�yype �'vua lawdon rot appyto en ownerd popary Mp Wids a inpwae Iheean. end Mn Aoa� �uN Wak h'vndl a Mtal tt WauO� he a Mr arm mmG��+. P�� Ihe� w li impwemaqs ve � i�uarded a dlsed lor eeb. tl. howaver. tM buitlinp a inpo.anaq u�dd wnhin ar ymr d complelion. tha awiw-0utlder wiA Mw IM G�dri d pwirp M a tlr 6d nd hWi w'vnpa+tor tM µrywa d Wel. ❑ L n e.�.. a �ne wwam. am a.d�+r owma�c .iN 4oen.ee oonaecm. ro ommw me o� (saaion la.. aui�r. end Pmlavau COCa: TM CoMreqm liwiw lew dam na aCMY b an oww d PW�Y who drild� a'unpw'a IMreon vd xM cantrecle la ud� V�M✓�� wN a au+rmM�) ticanssd P�+� m �te Canmfa� Limme Lewl. � I em exemp uMm Sec�ion: B. 8 P C., la mq �veacn; Dete: �TM I Eo Mreby cMily ihm I em ewua d aM udenwW IM rpidiamaw M Cel,omie Neell� aM Sdety Code Swiore 25505. 25533. end 2553�. eed IMt I a arty Mun Euikirp oc.vpuu vnll / wiA na (� �) � m eomply �+Ih ui0 pete oodw ud tM rpuiramenb M a0emu11aconevunionamoEdWionhom�MN w�wpen+�MOipntl.RmidvuNmwwionWV�bmene�emqlmmiAeea wadeion*. Dets: AOdeaM: WORKEP'S COYPEN9�TION DECUPATION: I Iwaby elfvm vtla pyeryy ol pMury ur d Ns IdbrAnp dadertivv: � I hew vk MI maimen s caUlictle d mnronl �a.drwn la woryp�' �p�qyn. m>o.idW In Ey Sedion 9100 d iAa lebor coa. �« in. c.�amerc. a m. von �w wicn w. o� e e+i»a. � I Mv� uN W mdni�w wwten' aomw �ion Wueena. n M�nd N' baion 9]a0 d tM Leba COM. br �M D��m� d �M wak lor xtidi Nu D�a's oued. MY wrten' mmVM�ion iyurNp m�M rd D�KY mvnber an: Curix: Pdiry Numbr: _cm;..ea�o, �..e,�or e. �aww, u. w�, e n. o�. wm.n eoe�. rsiau�> w...l '�] I unN Nm w Ns W�amence a ihs wak for which �hn�mwtl. I Yu1 na �+OM NY ro� a em' mww eo m to Mcart� aiEjW to IM waFwY miiwumb� I�ws d yy ep�r Cw ! I 4qW bacmr amjW to iM wohaY canpenvtion.pca-'v�om d SWion J]00 d IM LeOv Cods. I IOMVNh mmpry MiN Yms poNua�u. om.:�7^Z 7 � �op'<m: Wun4p: F�Nun ro ucun wohwi ronpw�u�tlon rov�rp� l� unyr/ul, rr I 1 �rryloyr ro MMIuI pn�ltlu an0 cMl Mu �q m erM ��nd�! IMu,mO UdLn (t10qPWA a�Tltlon Eo cmt ol eempnutbM1 d+� u P+erlad br In S�ctlon JIOB al M� Wor Cods, Imrut ub �mm�Y� Hu. CONSTflUCT10N LENqNO �DENCY: I hweby aA urds panNy d per'�vy IM iAas u e anW�Wbn Wdvq qwic/ tar tM WAamum d �In r.ork la xtiN thu M^^i u ewME (Swian �. Cw. C). LENOEN'S NAME LFNDEN'9 �OONESS: I cMM �hm 1 hm imd Ne eGO�rdian md uW IIW tM Ww�'vtlarmmion e conaa.l �PM w mnVN wh� N�iy aM cavtly udmv� W ewe bwe mlm�q ro dAd�q mnaruuian erd Mraby auiha¢e �wawuetiw tl �hie mY m eNr uo� ths ebava�maniionM W WaM ��"�°"�°�°0°°°'�iiANIvY hllYY o�a: �^2-'r� (5151de.WP) ��+��q85elwy:OreemFb:Ge�wy-App�raY:Rnk-Revenw:(3oMeniobNaemr CI7Y �t CUSI� MESA - dulLuIrvG FERMII P�RM Nv: t "vd�yo'i F'CitMll h1U; t VfSJ7b % FLHIV ll'ltl'.lt IVl1: IV IiUV 1: IV 5UL'k': Y IVIVJ�1YtU111U1V lYl�C; V-IV Yti(M11 lYYh: LLt. Yl.11(F'l.1St.: llltl JUH LY.SI.!(1Y11V1V ; HLL rV Ytt(M11 i%t,[S7�bb YVt( L�./L VN11S S`,/ tl: l'LN1M 1i�Ll.lt; LALL-V[�LUt: l'aItVUY Ul'L; !! % CGMMENTS: RE:7tE85366 ...................................................................... ... . ... h 1t h R'1t 1t1t1F1 h 1t1t R 1F R 1tfY ft 1t ltlt'R R R 1t R ft R h 1t 1t Rlt h hfF'R1Cltltltlt 1t'It R1t1t 1t 1�HfCYF1�'1C i! 1t1t 1t 1FYt i' iFii�i� s! 1t iRit it ie it it it 1t T'1t lt it 1Y l O iV I N G k r: u u I k E r1 E Iv i S J t 1!f � l: !l S ------------ MAlN BU1LUlNG ---------- --------- HI.I.GSSViIY buiLuiNG - ----� tliTl�l : t 1 11V tttHil• C 1 l�l CilNl ; t 1 1N t(tNit; t 1 l.tV L t. t 1: t 1 l IV nGri i: r i 1 TI L t t 1; t 1 1 IV lllitll ; t 1 lTl NF1t(111n1G ttttj: t'itVV: YFfitI.E.L: 917L�1V1 LIVG: t(t,C IVU: YL/�IVIV 1 Tll� NV 1 tS > 1 lc � ll' lt x lt'R lt x lt T' x x lt' lt l� x lt � lt x Jt l� x x x x lf x l� l� lt ]f'1C l�'lt l�'It l�'R x'It'F'R 1t'/t f�'lt 1t'!t 1� T'lt'H f�'It T�t'i� lt T' l� x x 1� x ft lt lF'h'A' T 1t R x l� ft lt lt u E V fi L G P M E N i S E R v I C£ S R E 41 ii Z ft E M t, iv I 5 i-" LVIVl14lv Hl'Yt(VVtU HY . ri Ll�lh• tilllLLlPlI.� I�YY!(VVGU CY . Al'YLlI.l�11VIV 1JJl1Y.L ifY: Lt.GflLILAl1VIV:IV � 11LLl.r YM1 YLUMH1Nl.. IrfinMIl a F t b�" 5 u M M A R Y' Y.LEl.lttll. Mbl.liAfVll LL.UU �Vi LHlt: Lli1G: `2� �wii�iFiiiFi'ticiaiiiiiewse�w�exx�exw�x�ii' 57k0�TiiiiAi, SC:I�MENI:N flt/t. SMilY%ItCJ lilttllJlTll'i sMIFiNOtJ-lt"r.5 rLAh3 ISSUE FEE o.5u 1fU1LL11`Jl.�-L1V-) Ytt(M11 1S�UY. YLAfV-l.tlt.l.11 1V1.L1L PE11L LUt. 1V1�:LS----� LL.VU b.7U U.VV L6.7V L$,�V .VV I(GVGIVUh L1V1J1V1V 1V1%iLS--� IVLLC.l1Y.L; La,JV VVt�it%SHV2t1: .VU HLLI.i i'T'll YLUMItillVlr tLGl1F(ll MtLtiHlVll tlF(E SMlk'%�1V1 I�YtHL11Vli i'I,NIV�-l..}1Gl.11 Ltl.JU iiii�icxxiex�e+rxxa��esca�xxs��ewiiiiiiiiwiiiiiiiii�iiiii�iii�i�i'iii�i�i'icitwiii�i�iiicii�iticiiiFiriiieieiiiii'ieiEiriiieieiiiiiiRiciii�ie+iieiew I iV L'I V I L U A L F E E 6 R E A K u O W N iYPE 4T,Y L �. S C h I Y Z I G N i71vTf CU51 iuiAi, �v�i hLt L MV1V2(%YVWtf ArFAhAius 1.1 - 1V.V t!F' LI.VV L'[.VV . t1VL Vt ttt5 iz-ez-i99�io�:a� avs�s.sa Rcai�:ei-ea�Elsi PERMIT:085967 � CONSTRUCTION AND PLANNING POOI a SPA APPROVALS Permit # Date Inspector ' AppROVAIS Permit # Date Inspector 1. Temporary Electricai Serviceor Pole 52. Pool & Equipment Location 2. $oil Pipe-Undrgrnd. 53. Steel Reinforcemen[ ' 3. Elec�rical Conduit U[ilityUndrgrnd. 54. Forms 4. Eleccrical ConduirUadrgr�d. 55. Electricat Bonding _ 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test r 6. Electrical UFER Grnd. 57. APPROVAL TO COVER•GUNITE 7. Footings 58. Eiectrical Conduit•Undrgrnd. 8. Foundation 59. Gas Pipe, � Undrqrnd., Test 9. Water PiPe�Undrgrnd. 60. Backwash Lines, P-Trap, � Undrgrnd. 10. Structural Floor SYstem 61. APPROVAL TO DECK � 11. Property Sewer Line & House Con�ection 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. Sofar SYstem-Final 76. Rough Electric Wiring � 67. Fencing & Access AnProval 17. Rough Wiring $ign 68. APPROVED FOR PLASTERING - 18. Rou9h Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. RouAh Heating & Air Conditioning � � FIRE'DEPT. REQUIREMENT 20. Rough Factory Fireplace � APPROVALS Permit #' 21. Duc(s, in Struc[ure� 70. Underground Hydro 22. Ducts, Ventilating � � 77. Product� Piping.0 Gas ❑ Oil 23. Gas P�Pe-Rough & Test 72. Underground Flush 24. Roo� Framing � 73. Undergrnd.StorageTank OGas ❑OiI 25. Roof Sheathing , - 74. Overhead Hydro 26. T-Ba� Ceiling IStructura4� & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding � 77. FIXED SYSTEM FINAL 29. Insulation 76. FIRE PREV. FINAL 30. Drywall Nai�ing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. F000 CER7IFICATE ISSUED 33. Fina� Electric �2-l� � Notes: . � � 34. Final Heating & Air Conditioning • 35. Final Gas Pipe-Test , � 36. Hood or Canopy , � � • 37. Fina� Factory Fireplace 38. Fina� P�umbing � � 39. Water Service-Final 40. Gas Service•Final � � . 41. Solar pomesticFinbl 42. Backflow Preventer � . 43. Backflow Irrigation � 44. Landscape Irrigation System � � 45. Sound Attenuation , . 46. Hand�caP Regulations � 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Eledric Release to Edison . 50. Gas Release to Southern California Gas Co • 51. CERTIFICATE OF OCCUPANCY No. Date . � �z� � si�al� �'� (=u�a �I i o'F � 00 6� a�� 1 3 � � � 0 �C . �,�ky`'1 zoo �p J � 2009 Svi �M4I y��s��o� z Co s�� /�►�cs� � C �- A.,�, � 3� 4 k-� �� /�'1 e� r /�« i�1 u� �l z � � r /'1`i� Cv�c� i��u� C�fc.c.;�`5 � uh�i �� ZOO aw� 3�s��P�tio) �_SOOO�GM ��Oaw��.3 � � � �,.,'re Me�er h��; � z ��G rC3 r 3-v ,fkh«� z.y c 6 �6 1�tih � wa�Q r b��l , Lv.P. 6oawP �xo w, P, S-.C�,,� W� p� 6 0 4� P fXd '�f ` 3 �6 {-w4h 3,C�� C 3 �bi-h�� s 9� � AVD��anl lo fill in all spaces ezcept those within neavy bortler Ilnes ana sign all aooropriate aeclarations. Ci7v oF cOS7A MESn CONSTRUCTION PERMIT ProjectAddress �� a � Applicant's Mailing Address 1'p7 � Ll�:��l.l- o�C PP `4 C�� ,� � Owner's Name �iTt]KS �� 1L1.� Q Phone Addiess ^��i �^"'^`ci ��`�- '�`��59 Arch/Eng. License No. Address Controctor's Nama Y`C�q,E�Ya n��+y��.�nn phone QQ�'�4 �3 Addresslmailing) �g��.�� La�h��4��u� �'�'�'` Ciry License No. �T /� 3� 3�L� LICENSED CONTRFCTOR DECLARATION 1 nereby a/firT [hat I am licensetl untle� p�ovl5ion5 0/ Cha�ter 9(commencing with section ]000) Ot Divislon 3 of [he Busines5 antl Professlons Cotle, antl my license is in full forte antl et1eCL �� r' Q^ License Class � License No.� ti �� Date ^ —� ��'�^ Si9natur WORKERS' COMPENSATION OECLARATION �ereDy aHirm that 1 have a certiticate ot consent to selLinsure or a certlfiwte � Workers' Compensa[ion InSurant¢, Or a certlfietl cOpy thereof (SectlOn �oo, �b. V a4�2h z �a.ec� (��(�N Policy No: ` Q Company L�j'� �� ❑ Ceriifietl copy is hereby furnlsned. �-eertifietl mp is filetl witn the ci wl m9 olvision.M oaten-�U•�^ Applican��l�`�,� E%EMPTION FROM WORKERS' COMPENSATION DECIARATION (This zec[ion neetl not be completetl if the permit Is for one huntlre0 (5100) or less). I cer[ify tha[ in the pertorman<c of th¢ work �Or whlch this perm�t i5 issuetl, I shall not employ any person in any manner so as to become subject to the Workets' Compensation Laws o( California. Date Si9nature NOiICE: It, atter makin9 this tleclaration, you shoultl become subject to the WO�keR' Compensatlon provl510n5 Of Ih¢ L.bot Cotle, you musl forthwith comply wiln such prOvi5iOn5 0� this pe�mit shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV I hereby aftirm tnat there is a<ons[ruction lentling agency for the pertormance Of the work for wM1icn lhis permit is issuetl (SeGtion 3097 Civ. C.) Lentler's Name Lentler's Atltlress ' OWNER BUILDEH dECLARATION I he�eby aftirm that I am ezemDt from the Conttactor's License l_aw to� the following reason (Section 7031.5 Business antl Professlonal Cotle: Any city or munty w�icn �equires a Oermit to consVuct, al[Cr, Imp�ove, tlemolish o� repal� any structure, prior to ils issuance, also reqWres the applicant for sucn permit to fil¢ a signetl statement [hat he/ShC is Ilcensetl pursuant to the p�ovi5ions ot fhe Contractor's License Law (Chapter 9(commencin9 wi[M1 $eclion ]000) of '�ivision 3 of the Business antl Professlons Cotle) or that ne/she is exempt erefrom antl lhe basis Por thC allegetl exempHon. Any vlolation of Sectlon J31.5 by any applicant to� a permi[ subjects the appliCant [o a civil penalty of not more tM1an five huntlretl tlollars ($500). LJ I, as owner of tne property or my employees with wages as their sole compensation, will do the work, antl the sVucture is not intentletl or otieretl lor sale (Seclion 7044, Bu5ine55 antl Professional COtle: The ContractOr'S License Law tloes not appry to an owner of a property who builtls or improves Ihereon, antl who tloes such work himself/nerselt or throu9h his or her own employees, provitletl that sucM1 improvements are m[ Intentled or offeretl tor sale. It, however. tne bulitling or improvement is soltl within one year or com- pletion, the owner will have the bu�tlen of proving he/She tlitl not builtl or Im- prOve fo� tlte pur0ose of sale). ❑ I, as owner of the property, am e%clusively mnttacting with IlcenSetl con- tractor5to canstrucl[he project (Section 7044, Bu5ine55 antl PrOfessions Gotle: The ConVactor's License Law does not apply to an owner of property who builtls or Improvez tM1ereon, antl who conVacts fo� SUGh p�ojeGts with a COn- Vactor(s) hcense pursuan[ t0 the ContraCtor's License Law). I am awa�e that proof of their WOrker's Compensatlon Insuran<e shoultl be provitletl to me. ❑ I am exempt untler Section B. & v. C. for this reason Date Owner I hereby certity that I have reatl this a00��Wilon antl state [hat the above information is correcL I agree to comply with all city antl county ortlinances antl s[a[e laws rela[ing to builtling constructlon, antl hereby au[horize repre- seniatives o( this city co enter upon the above-mentlonetl prooerty tor inSpeGti O es. � Si9natu Dale� Drivers' License or 55 � � � 24� 38 � � TVPE OF CONSTRUCTION ❑ CONVERSION ❑ DEMOLI DESCRIPTION OF WORK/USE ( TVPE OF PERMIT LJ caaolNG ❑ TENANT ❑ ELECTRICAL • � OTHER F/r�� ' PROJEC7 DESCRIPTION _5a. Fr._ CONSTRUCTION TYPE VALUATION $ GI7ADING CU. VOS. A( JliDD LI HLTERATION I_I REPAIR OTHER 1FOUNDATION LJSTRUCTURAL PLUMBING ❑ MECHANICAL Remarks: Sink Preventer Irri9ation �snwasner � . rinking Fountains loor Drains . . loor Sinks - � asService Outlets Kitchen Sink Lavatories P—Trap Roof Drains Reinspectian Fee � $15 Boiler Duct- UnderGround Duct - Struciural . Duct - Ventilating Exhausi System ❑ Multiple Firepl/FacL Blt. ICBO # Heating System & Ducting ❑6700,000 BTU 0100,000 Reinspection Fee � $15 CMF 0865-46, rev. ]0/84 Whlte - Bulltling; Canary � AppllcanL Pink - Accoun[inq; Goldenrod - ASsessor Showers Service Sink . Sewer Cap Sewer Connection $olar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto-Wash Issue Fee Hood or Typel ❑ Canopy Type I I ❑ Refrigeration System ❑6700,000 BTU ❑100,000 BTU System Repair/Alteretion Fire Dampers ' Registers Issue Foe FEES A.P. # S Main Buildi E T Front 8 Rear A C Right K g Left Ping. Ref. # Planning Notes: Auromatic Washer � Construction Pole Sub. Cooking Unit Dishwasher Dryers �Gas ❑Elec Fan F.A.U. Fixtures Device Boxes Outlets Garbage Disposal Generetor �0�5 -�%� _�_' � . ' � Zone Accessory Building: Z O N i N G R Parking Req./Provided E Q M T S ELECTRICAL Tranzformer ❑ 75-50 KW ❑ 50+KW 5-15 KW Merer LJup to 100 amps Meter ❑over 100 am Sub Panel Motors O HP O1 `/: - 8 InaS r �9-15 HP �16�75+ rowave Pole Lighc Ran9e Si9n _ $tanding Sections Trash Compacror $� i Reinspection Fee $15 luue Fee FEES �DEVELOPMENTSERVICESREQUIREMENTS: 2oning Approved By Building Approved 9y - Appliption Issued By � $ 3 FEES $ 3 SUMMARV OF PEES � p BUILDING PERMIT $ �V�'• %� SMIP $ "-!S PLAN CHECK $ PERMIT PLUMBING S �SSUANCE 3 PLAN CHECK 25% 3 ENEFGY P.C. $ � ELECTRICAL $ GRADING $ PLANCHECK 50% S MICROFILM $ ' MECHANICAL S TOTAL FEE $ �� PLAN CHECK 25% $ CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector 1. •Temporary Electrical Ser'vice or Pole 52. Pool & Equipment Location . 2. Soil Pipe-Undrgrnd. ' 53. Steel Reinforcement , 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, � Undrgrnd., Test 9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P�Trap, O Undrgrnd. 10. Strucwral Floor System . 61. APPROVAL TO DECK - 11 . Property Sewer Line & House Connection . 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final i 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 PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 79. Rough Heating & 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 ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush �% -7.�- c�....,. 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil . 25. Roof Sheathing 74. Overhead Hydro •IY• , 26. T-Bar Ceiling (Structural) & Monocoat � 75. Dry Chemical 27. Frame and Flashing . 76. Dry Standpipe • 28. Lathing & Siding , 77. FIXED SYSTEM FINAL - ,��q �; r/' 29. Insulation , i 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 - ,j' 36. Hood or Canopy 37. Final Factory Fireplace - 38. Final Plumbing 39. Water Service�Final ' • 40. Gas Service-Final . � 41. Solar pomestic-Final 42. Backflow Preventer . 43. Backflow Irrigation � , 44. Landscape Irrigation System � � 45. Sound Attenuation . 46. Handicap Regulations � , 47. FINALSTRUCTURE&BUILDING , 48. Special Requirements Completed � ' 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date F I C K E R & R U F F I N G • A R C H I T E C T S 610 NewPOn Center Drive � Suit¢ 630 � Newport Beach. Calil. 92660 � 714,644-1581 November 13, 1987 City of Costa Mesa Department of Building & Safety 77 Faiz Drive Costa Mesa, CA 92626 Gentlemen: William P. Ficker, AIA Paul J. Rufting, AIA James L Van Dallsen, AIA Amoltl E. Maron, AIA We have been inEormed by Ms. Barbara Singleton of "Books on Tape", 729 Farad Drive, Costa Mesa, California, that they wish to pursue some remodeling on a building for which we were the Architects in 1966. The building was known as the Baxter 5 Cicero Sail Loft. This letter is to inform you that we have no objection to the City of Costa Mesa releasing information to the owner of the building, or that owner's designated representative. Very truly yours, � � - (/ �'c� William P. Ficker, AIA WPF:Sw cc: Barbara Singleton RECEIV�L� t•;J'J 2 t? ';�37 e `A �` � CITY OP COSTA MESA � � . . ,, � � B!/ILDING DIVISION F� � 77 FqIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Faz (714) 754-4856 • w�wv.ci.costa-mesa.ca.us � FOR INSPECTIONS CALL: (774) 754•5626 �`b+ro.mm A•+ PERMIT NUMBER: BC08-00102 PERMIT TYPE: B COMBO Sub Type: COM_ALT �06 a.��Ress: 729 FARAD ST CM APN: 42412109 Zoning: , , Viciniiy: Const Type: SQ. FT: 0 STATUS: ISSUED DATE ISSUED: 03/17/2008 ISSUED BY: Suite/Unit: Pr'imary Occ: S-2 Valuation: $4,000.00 SCOPE OF WORK: INTERIOR DEMO OF NON-LOAD BEARING PARTITION WALLS IN WAREHOUSE AREA AND 2ND STORY MEZZANINE WITH AN ELECTRICAL CAP. PER PLANNING STORAGE CONTAINERS LOCATED AT EXTERIOR OF BUILDING TO BE REMOVED PRIOR TO BUILDING FINAL. OWNER: ROB�RTS, WILLIAM GARRY AND EVAN TRUST,Address: Phone: 949-683-4559 APPLICANT: ROBERTS, WILLIAM GARRY Phone: 949-683-4559 CON7RAc7oR: OW N ER-BU ILDER Phone: Cell: ARCHITECT: ENGINEER: City/State/Zip: COSTA MESA, CA Address: 729 FARAD ST City/Slate/zZip: COSTA MESA, CA , Address: "�Unit: City/State: � License No. License No. COMBINTATION PERMIT FEE SUMMARY Building Plan Check: .. $6321 Building Fees: $97.25 Electrical Fees: $33.30 Mechanical Fees: $0.00 Plumbing Fees: $0.00 SMIP Residential: $0.00 SMIP Commercial: $0.00 TOTAL FEES; $193.76 "Refer to fee recelpt5 7or all fees pald for projact License No. 000000 729 FARAD ST Unit: Unit: : ZipCode PHONE: PHONE: NOTICE: The work authorized by this permit shall cqmply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 9248, § 1, 12-21-92) EXPIRATION: PERMI7 EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. 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 final approval must be obtained. Failure to obtain inspections and final approval will resWt in the expiralion of tbis permit. G OE INSPECTONTYPE ORTE IN� GOpEp INSPELPONTYPE URTE IN pL 1816 Fixed System Final Fire Prevention 206 Final Mechanical 7266 Pool Spa Final , 208 Final Piumbing /' ��,�( 200 FinalRe-Roof 210 FinalElectncal IL' �B �'�"' 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire place 220 Final Planning Approval � 203 Final Sign 222 Final Site //' b"' �r �`�LO • 204 Finai Demolition 250 Final BuildinglOccupancy/ ,_ . WORKERS' �OMPEN9ATION DECLARATION: 1 hereby affirm untler penalty ot perjury one of Ihe tollowing declaretions: ❑ I have antl will maintain a certificate of consant to self-Insure for vrorkers' compensation, as provitletl lor by section 3700 of the Labor Code. (or the peAormance of the work for which this De�� is issued. ❑ I have and vrill maintain v.orkers' compensation insurance, as required by section 3700 of t�e Labor Code. !or the peAormance of tha v.ork lor wfiich Ihis permit is issued. My v+orkers' wmpensation Insurence wrrier and policy number are: Cartier. (inis seaon neao riw oa compe�eenme pemw u van.ee a� me numroe tldWrs (Eloo) a �ess ) Policy Number: f❑ I certity thal in the performance of ihe vrork for which Ihis pertnil is �issued, � shall not emp�oy any person in any manner so as lo bewme suDjett to the workers' compensation laws of Califomia, anC aqree that if I should become subjecl o the vrorkers' m ens rovisions of Section 3700 of the Labor Co shall foM 't co ty v it 1 e provisions. '��/7�D� Appllmnfs giut e � .D31e WARNING: FAILURE TO SECURE WORKERS' CAMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLL4RS ($100,000), IN ADDITION TO THE CAST OF CAMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CADE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm that I am licensed under provisions ot Chapter 9(wmmencing with Section 7000) of Division 3 of the Business antl Prolessions Code, and my license is in full force and eftect. Lic. # qass il Contraclor's Sigrewre Da�e CONSTRUCTION LENDING AGENCY: ❑ I hereby aKrtn Ihat there is a consWction lending agency for the pertortnance of [he v.urk for which this pertnil is issued (Sec. 3097, Civil Code�. Lender'S Name: Lender's Address: OWNER-BUILDER DECLARATIONS: I hereby affrm thal untler penally of perjury Ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW lor the following reason (Sac. 7031.5. Business antl Professions Cotle: Any ciry or county which requires a permit to conslruct, alter, improve, damolish, or repair any slructure, prior to its issuance, also reQuires the applicant for such permit to file a signed slatement Ihat he or she is Iicense0 pursuaN to the provisions of Ihe Contractors License Law (Chapler 9(commencing with Seclion 7000) of DiviSion 3 of t�e Business and Pro(essions Code) or t�at he or she is evempt therelrom and Ihe basis for lhe alleged exemption. Any violation ol Seclion 7031.5 Dy any applicant (or a permit subjects the appliwnt lo a civil penalty of not more than five hundred dollars �5500�.�: ❑ I, as owner o( the property, or my employees vnth wages as their sole compensation, WILL DO TME WORK, antl Ihe slructure is nol intended or oHered for sale (Sec. 7044, Business and Prolessions Code: The Contraclors License Law does not apply lo an owner of properly vfio builds or improves thereon, an0 who does such wvrk himself or hereelf or Ihrough his or her ovm employees. provided Ihat such improvements are not intended or offered for sale. II, however, the building or improvement is sold within one year of complelion, the owner-builder will have the burden ol proving t�at �e or s�e ditl not build or improve for purpose ol sale.). ID I, as ovmer of the property, am EXCLUSIVELY CONTRACTING WI7H LICENSED CONTRAC70RS to construct the project (Sx. 70A4. Business antl Professions Code: The cont2ctors License Law dces not apply to an rnmer of property who builds or impmves thereon, and wfio cmtracts fa such projecl with a contracta(s) license pursuant to the Conlractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: - 3- i�-l� 1 Si � Wre Daie JOS]�46� � - � Owner ID verifed by d/�river's/lic� �lesAi7 No DriversLicenseNo.( � %�� Expires: � % �v Venfica[ion o( Ownership by (type of documefi, i.e.' properry tax hill or deed�: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cetldy that no excavation frve (5) or mae feet m tlepth into v.fiich a person is required lo descend, will be matle in connection with v.ork authorized by Ihis permit, and that no builtling struc�ure, scaffddinq, falscwwrk, or demolition or dismantling thereof, will be more than lhirty-s& (36) (eet high. (Chap. 32, Grp 2. M 2, Sea 341, Title B, Califomia Atlministretive Code). ❑ As owner-builtler, I will not employ anyone la Co work which v.oultl require a permit from Ihe Division of Industnal Safery, as noted above, unless such person has a permit to do such vrork from the division. A�d��'S SipnaWre Division of Industrial Sa(ety Permit Number: _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 7. Will the applicanl or presenl or future building occupant neeC to fiie antl certify a Business Plan for emergency response to release or threalened release o( a hazardous material? ❑ Ves ❑ No (Section 25505 of Ihe Califomia Heallh antl Safely Code requires, vrith some exceptions, thal a Business Plan De fileC with the Costa Mesa �ire Department by every business which has at any one time during a reportetl year a quantity of hazardous materials equal to or greater ihan a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet ol wmpressed gas at standard temperature and pressure). 2. Does or will Ihe applicant or present or (uNre builtling occupant need to file a registration form for acutety hazardous materials? ❑ Ves ❑ No (Section 25533 of the Califomia Health and Safety Code, with some exceptions. requires registration vdM the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazartlous materials equal to or greater than a weight of 500 pounGs. or a volume of 55 gallons, or 200 cubic (eet of compressed gas at standartl tempereture and pressure). 3. Does or vnll the applicant or present or (uture building occupant need to prepare an RMPP (Risk Management antl Prevention Program for aculely hazardous matenals)? ❑ Yes ❑ No (Seclion 25534 of the Calitomia Health and Salery Cotle provides that the Costa Mesa Fire Department may require the preparation, certification and fling with the Fire Department of an RMPP by businesses which are requiretl to register awtely hazardous materials with the Fire DepaAmenL . 4. If an RMPP is presenlly required, has Section 25534 of the Calitomia Health an0 Safety Code been fully complied with? ❑ Yes ❑ No 5. DoeS or will Ihe applican� or present or future building xcupant raquire for lhe wJrk Which is the 5ubjecl of thi5 appliC3li0n 0 pOffllii (Of SUCh CAn51NG�i0n or modification from tha South Coasl Air Quality Management Distnci or Irom any other air pollution control district or agency? ❑ Yes ❑ No (Section 658502 ot the Califomia Govemment Code requires that the requested in(wmation be Wmishetl on applicatbns (a noo-residential building pertnit5). 6. will any part of the faciliry ro be constructed under this permil be within 1000 feet from [he outer boundaries of a school? ❑ Yes ❑ No pf yes", the facility must meet t�e requirement of Sections 25534 antl 4230J of the Califomia Health and Safety Cotle). 7. If a permit from the SouN Coast Air dualiry Management District or other air pollution conirol dislrict or agency is required for the woB which is the subject of this application, have all of lhe disclosures prescnbed by Califomia Health antl Safety Code Section 42303 been matle? ❑ Yes ❑ No 8. p('Yjes", atlach certificate of wmpliance from the appropriate air polWtion conVol oKcer). CERTIFICATE OF COMPLIANCE: I certify that under penalry of perjury the information qiven above is cortect. I aqree to comply with all slate lavrs and city ortlinances regarding Hazardous Materials and Emissions. CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty ot perjury that I have read this application antl state lhat Ne information qiven is correct. I aqree to wmply with all state lavrs antl city ordinances relating to building construction, antl authorize representaYrves of the City of Costa Mesa to enter upon Ihe abovedescribed property for inspection purpo;ry. I agree not to oc upy or w occupancy of any building authonzed by tl�.�ermit unii e ectio 3-l��v � ' � pnaWreof aiOv. eqs) �Da�e And/o�Aul�onie0A001ipn1 DOtE � D�'''1ML"NTATION OF UNREASONABLE HAR! TP City of COSTA r�'SA, �1LIF. Date � Department of g(Ja,pING SpFE,�'y Enforcing-Off cial Project Name Permit Number Address 729 Farad St. Costa Mesa, CA 92627 The above named project has been granted an exception from the requirements of the State of Calitornia Title 24 accessibility standards, based upon the following criteria: 1. The cost of the access feature(s) is $10,000 ' 2, The cost of all construction contemplated is _ 1 2Q0.00 3. a. The impact of proposed improvements on financial feasibility of the project is $11,200.00 b. The access feature increases the cost of construction by 800 p. 4, The accessibility feature(s) which would be gained or lost is 0 5. Type of facility under construction is office addition It is u5ed by the general public for the purpose of not normally used by general public The followin9 persons provided information on the above section: Rookc nn T3�a,� Tnr FIRM FIRM 729 Farad St. Costa Mesa 92627 ADDRE55 ADDRESS SIGNATU E � SIGNATURE The determination or unreasonable hardship and this documentation do not allow a blanket exemption from the access requirements. The exception provided for by this form applies to the followin9 item of the project: We would have to build a ramp into the buildin9, move walls, widen doors, move toilets and urinals reducing existing toilets to one in each facility and therefore we request an exemption. (OVER) AS SPECIFIEO BY TITLE 24 (check one) (} 1. Equivalent facilitation will be provided, as specified in Sectior. () 2. Equivalent facilitation will be provided, as determined by this enforcing body. See Section (x 3. No provision of equivalent facilitation is necessary. See Section Z-60S C(o� f 1 4. The aoproval of an aooeals beard is necessary to ratify the determination of unreasonable hardship. See Section and Section 2-105 (b) 11D. This documentation and determination of unreaso�able hardship was developed in consultation with: ��/��s- 5 yATUR OF ENFORCING FICIAL OATE P STATE OF COUNTY OF KATHY G. HOUCK NOTARY PUBLIC•CALIFOR ORANGE COUNfY My Camm. enpi�es ADr, 8, 1988 ALI(NOWLEOGMENT—Corponlipn—Wq�pp� {p� q22W.%—pm. S�B2 �fl6Y WOLC0TT5. INt. }. On this ��T tlay of "� �vu�l/�— , in t�e year 19 �� betore me, the undersigned, a�Jo��Olic� aq[y��d State, person;lly appeared ✓_J�/ /'f . P�Mo-me (or proved to me ort the basis of satisfactory evidence) to be the person who ezecuted the wi�hin instrument on Dehalf of the Corporation iherein named, and acknowledged to me that the Corporation executed it. WITNESS my hand and oflicial s I. ��G��. Notary Public in and for said State. . �ool�� o�� lf�� POST OFFICE BOX 7900 NEWPORT BEACH, CALIFORNIA 92658 714-548-5525 December 1, 1987 City of Cos[a Mesa Dept of Building & Safety 77 Fair Drive Costa Mesa, CA 92626 Dear Sirs: This letter is to serve as written authorization to release the.architectural plans for the building located at 729 Farad Street Costa Mesa, CA, formerly known as the Baxter & Cicero sail loft. Also enclosed herewith is notarized written authorization from William P. Ficker, architect. Thank you very much for your assistance. Yours sincerely, � Duvall Y. Heclit DYH/jg r F I C K E R & R U F F I N G • A R C H I T E C T S 610 Newpon Cen�er Drive • Suiie 630 � Newpori 8each. Calil. 92660 • 714-644-1581 November 20, 1987 City of Costa Mesa Department of Buildinq & Safety 77 Fair Drive Cos�a Mesa, CA 92626 Gentlemen: William P. Ficker. AIA Paul J. Ruffing, AIA James L. Van Dalfsen, AIA amold E Maron, AIA We have been informed by Ms. Barbara Singleton of "Books on Tape", 729 Farad Drive, Costa Mesa, California, that they wish to pursue some remodeling on a building for which we were the Architects in 1966. The building was known as the Baxter & Cicero Sail Loft. This letter is to inform you that we have no objection to the City of Costa Mesa releasing information to the owner of the building, or that owner's designated representative. Very truly yours, v U Wi11ia . Ficker, AIA WPF;sw cc: Barbara Singleton 0��2V/� 4-' �7Y� A�plicant to fill in all spacez except those witM1in heavY �ortle� Ilnes anA si9n all approDriate Oaclarations. . � _.. � P MIT NO. RACT NO. LOT NO. UNIT N6. � � � ^�� ,i , .'C:.:,�ei'MESA CONSTRUCTION PERMIT �C� I J �or l.o/ 6// � /0 — - - - Pro'ectAddress 729 Fd.Cd� �. 8935 3J08/�5 :��:, i�., i Applicant's Mailing Address P 0 Box 7900 N�t Bch CA 92660 Owner'sName BOOkS 011 Tape. Inc. rno�e5 - 5 5 Address 729 Farad St Costa Mesa 92627 Arch/Eng. 'License No. Address A ' � ' Contractor's Name�L�`1 Phone Address (mailing) / City License No. LICENSED CONTRACTOR DECLARATION I hereby affirm thal 1 am licpnsetl untle� provisions of Charter 9(commencin9 witn sectlon 7000) of Division 3 of the Busine tl Pr fessions Cotle, antl my license is in full force antl eftect. I License CIa55 L SeIN�___ Date Siqna(ure � WORKERS' COMPENSATIOry DEC�ARATION � I hereby attirm that I have a certiflcate consent to Ibinsure or^ a cortiilcate qf Wo�ers' Corty�eosatiop� �nsurance„�r a certi❑ copy th�iqof (SecWn "800� ab. vf� � �. .a 1 � � � 6 �� b ION FROM WORKEFS' COMPENSATION DECLARATION ion neetl not De completetl if the permit is for one huntlretl (E300) or ' [hat In th¢ perto�mdnce ot the work to� which thi5 p¢rm�t is I;suatl, I "NO'/ICE: T, after making this tleclardtlon; you shoulW become subjec[ to tha Wo/kers' Com0en3a�fon prOvisions di the Labo� Codp, you must for[hwith colnply wilh such O�OvisiOns or this pe�mit shalV b¢ tleemetl revOketl. CONSTRUCTION LENDING AGENCV ' 1 hereby ai9rm that tnere is a construction lentling a9ency for the pertormance� of the work tor whlch IhiS Permit is issuetl (Section 3097 Civ. C.) Lentler•5 Name Lentler's Atltlress _ OWNER BUILDEN �ECLARATION I hereby alfirm Ihat I am eyempt trom Me Cbntractor's License �aw for Ihe followin9 reason (Seclion 7031.5 Bu5lness antl Professional Cotle: Any clty or county which �equi�es a permit to cOnst�uct, alte�, improve, tlemollsb or repah any structure, prbr lo its issuance, also requires the applicant tor such permit rn riin a zionea statemenl Ihat ne/she is Ilcensetl oursuant to the provisions of antl the basis for the allegetl exemption. Any violatlon oi Sectlon any applicant for a permit subjects the, applicant to a civil not more tban frve huntlretl tlollars ($500). � � I, as owne� of the O�Op compenSatiOn, will tlo the Wo for 5ale ($ectian ]044, B�Si License Law tloes not apply t tM1ereon, antl who.tloes such employees, provitletl that 54c sale. If, howaveq the builtli�� O�etiO tM1e owner will hav@ t pr for the purpose ol SaIQ). I, as owner Of llle proP@rt Vac[ors to cOnstruct Ihe Oroje Tne ConVactor's Licensc La builtls or imDroveS lhe�eon fldt l�5� ��CCOSE pUISUdIII f0 pr f o lheir Worket'S CO I'am exempt untler SecliOn Date ' Ow I he eby certify that I hav¢ intormatlon is correct. I agr¢¢ i antl state laws relatTng to bui sentatives of th' tlty to inspectlon rp Signature Drivers' Li ense or SS CMF 0865-46, rev. 10/84 Wh �e e�ty Or my employees with wage5 a5 �heir Sole rk, antl the s[ructure�iz not intentletl or offeretl 0255 dOtl �fOf¢SSIOIIdI Cotle: The Contractor's o an owner Of a property who builtls Or imp�ove5 work nimself/herselt or throu9h his or ner own h improvements are mt intendetl O/ oHeretl fo� or Improvement is soltl wlthin one y¢ar of com- he burtlen ot proving he/she tlitl not bWltl or iT- y, am exclusively contracting with li�enzetl con- CI ($ECL�00 �044. BUSIfIC55 dlld PfOfC5510f15 COdC: w tloes not appty to an owner o( p�operty who antl who cont�acts for Such projecl5 wit� a con- tne Conlractor's Litense Law). I am awar¢ that mpeysajjop 1^Furance shoultl be provitletl to ma. [his Builtling; Lanary TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR ❑ GONVERSION ❑ DEMOLISH ❑ OT R DESCF�fEZ10yOF WORK/USE OF BLDG. �� 7b �� TVPE OP PERMIT LJ GRADING' LJ FOUNDATION LJ STRUGTURAL ❑ TENANT ❑ ELECTRICAL ❑ 7LVMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION 5a F17/ nrruanraclv CONSTRUCTION TVPE �+ � VA�UATION 5 IZ� 20NE GRADINGGU.YOS. ACRES�T Remarks: . . - � Bar Sink eackflow Preventer � Backflow Irrigation Bathtubs i Clarifiers ' Dishwasher � Orinking Fountains Floor Dreins� ' Floor $inks Gas Service Outlets Interceptors Kitchen Sink Lavatories � P—Trap Roof Drains ' Reinspaction�Fee $15 Boiler � . Duct- Under Ground Duct - Struccural Duct - Ventilating � Exhaust System ❑ Multiple ❑ Firepl/Fact. BIt. ICBO # Heating System & Ducting ❑0100,000 BTU 0100,000BT� Reinspection Fee ; Pink - ACCounting; Goltlenrotl - Assessor $15 Showers .. ServiceSink - Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank $wimming Pool�vi. Urinal Water Closel Water Heater Water Service A uto-W ash Laundry Trays FEES � Issue Fee , Hood or � Type I ❑ Canopy Typell ❑ Refrigeretion System ❑aioo,000eru ❑ioo,oao System Repair/Alteration Fire Dampers Regizters � luue Fee $ 3 n.a.# Ll'Z � I'LI — S Main Building: E T Front AFear � C Right .} gLeft ' � Ping. Ref. # y Planning Notes: Accessory Building: Parking Req./ProvidE ELECTRICAL � � Automatic Washer . Transformer ❑ 15-50 KW�� Construction Pole Sub. ❑ 50 + KW Cooking Unit D ishwasher Dryers ❑Gas ❑Electric Fan F.q,U. Fixtures Device Boxes Outlets Switches Garbage Disposal Generator �0�5 KW �5-15 KW Fee � $15 - FEES DEVfIOPMENTSER � Zoning Appraved 8y_ Building Approved By Appliption laued By. $ 3 Meter Llup to 100 amps Meter ❑over100amps�. Sub Panel Motors � 0.1 HP � 1 X- 8 InaSolar.�9�15 HP �16-15+ Microwave . _ � Pole Light Range � Sign � Standing Sections Trash Compactor � , luue Fee FEES 5 3 - SUMMARV FEES ` BUILDING PERMIT .$ ��2��'0 �� SMIP $ e� PLANCHECK $ —�•� �2' PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50% $ MICROFILM $ MECHANICAL $ TOTAL FEE � $ 3�3.� PLAN CHECK 25% $ .. ^�ONSTRUCTION ANDPLANNING - POOL PA ' APPROVALS - Permit# Date �Inspector AppROVALS Permit# Date Inspector t 7. Temporary Electrical Service or Pole . 52. Pool & Equipment Location - � iE 2. -Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgmd. � 54. Forms 4. Electrical Conduit-Undrqrnd. � 55. Electrical Bonding � 5. Steel Reinforcernent 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE . ' 7. Footings ,. 58. Electriral Conduif-Undrgrnd. ', S: 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 Sewer Line & House Connection 62. Backwash & Receptor-Final _- 12. Sewer Cap 63. Heater & Vent-Final � 13. Roof Dreins � 64. Plumbing System - Final 14. Rough Plumbing . 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final . � ' 16. Rough Electric W�ri�g ,�� i C 67. Fencing & Access Approval 17. Rough Wiring Sign ' 68. APPROVED FOR PLASTERING � 18. Rough.Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 79. Rough Fieating & Air Conditioning FIRE DEPT. REQUIREMENT . '20. Rough Factory Fireplace APPROVALS Permit# . 21. Ducts, in Structu�e 70. Underground Hydro 22. Ducts, Ventilating . , 71. Product Piping � Gas ❑ Oil � •23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing � 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing ., 74. Overhead Hydro ' 26. T-Bir Ceiling (Structural) & Monocoat 75. Dry Chemical � 27. Frame and Flashing r �e% �q . Dry Standpipe 28. Lathing & Siding �� S 77. FIXED SYSTEM FINAL 29. Insulation . 78. FIRE PREV. FINAL 30. Drywall Nailing - � HEALTH DEPT. REnUIREMENT 31. Plaster Brown Coat `� � 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric ��C � Notes: 3�S /�S /-T �_= i Ci l". i1 � 34. Final Heating & Air Conditioning � ��1 � - � O' a � � c....G- 35. Final Gas P+pe�Test 36. Hood or Canopy 37. Final�Facfory.Fireplace 38. Final Plumbing. 39. Water Service-Final , 40. Gas Service-Final " 41. Solar pomesticFinal . , • - . , 42. Backflow Preventer . . 43. Backflow Irrigation � . � . .� , 44. Landscape Irrigation System � • 45. Sound Attenuation 46. Handicap Regulations 47. FINALSTRUCTURE & BUILDING � : � 48. Special Requirements Completed , 49. Electric Release to Edison - ' - ' � . ' 50. Gas' Release to Southern California Gas Co - � � • ' 51. CERTIFICATEOFOCCUPA/NCY ' �� . - No. �`�_ Date Co �S /�(/ ApPlicant to fill in all s0aces excepl those witlfin heavY bo�Ee� lines an0 si9n all appropriate tleclarations. CI7Y oF COSTA MESA ONST��JJy -C ION PERMIT �or rvo � Prolect � ess � 2� � � ` �� A�licant's P�^aQiling Address � OwnP,-f'sName�% � pG hone Address � � Arch/Eng. LicenseNa� �— Address � � , �� Contractor's Nam e(� n�,� Ph ne 2 Address (mailing) �� E' 1�� J City licen5e No. , LICENSED CONTRACTOR DECLARATION • 1 he�eby affirm that 1 am licensetl untler p�ovi5ions of Charter 9(commencing with section 7000) ot Division 3 ot tne Business antl Professlons C�e+zntl my ucense is in tuu force a p e t � License Class Lice 1 Date �� 7 5 9 t � WORKERS' COMPENSATI N D IARATION � ' hereby atfirm that I have rticate ot consent to zelf-insure or a certifiWte t Workers' Compensation In urance, or a certitietl�,thereof (Sec'on .800, Lab. CJ r � Compan �� Policy Na. •> > BCe�tified copy iz he�eby fu�nishetl. � Gert tl opy' fii tl wlth the city Bi"' Div' io . Oate �� ' APPIi ✓ EXEMPTION FRO WORK 5' COMP SATION OECLARATION (Thissection neetl not be c pletetl if t permit i5lor.one huntlred ($100) or less). I certify that in the Derfor ance ot e work for which this perm�t is issuetl, I snall not employ any perso manner so�as to become subject, to the Workers' Compenwtlon Laws of California. � , I Date Signa[ure � '� NOTICE: If, after making this tleclaration, you shoultl become subjec[ to the Workers' ComOensation provisions of the Labor Cotle, you mu5t forthwith comply with such provisions or this permit shall be tleemetl revoketl. CONSTRVCTION IENDING�AGENCV I hereby affirm that there is a construction lentling a9ency for tne performance of the work for which this permit is issuetl (Section 309] Civ. C.) Lentler's Name l.entleYs AAaress _ _ _. _ OWNER BUILDER DECLARATION ' ' ' I nereby afilrm that I am exempt trom the Contractor's License Law for the following reason (Section 7031.5 Business antl Professional Cotle: Any dty or county which requires a permit to construct, alter, Improve, tlemolish or repair � any structure, prior to its issuance, also requires the appliwnt for such permit [o tile a signetl statement that he/she is litensetl pur5uant to th¢ provisions o( the Contractor's �icense Law (Cnapter 9(commencin9 witn SecNon 7000) of ,nivision 3 of the Business antl Professions Cotle) or tnat he/she is exempt ��ierefrom antl ihe basis for the allegetl exemption. Any violatlon of Section ;'qy�`031.5 by any applicant tor a pe�mit Subjects the applicant to a civil n�lenalty of not more than five hunOretl tlollars ($500�. � LI I, as owner. ot the property or my employees with wages as {heir sole compensation, wili Oo Me work, antl tne sVucture is not intentletl or otteretl for sale (Section ]044, Business and Professional Cotle: The Contractor'S LicenSe Law tloes not apply fo nn owner of a property who builtls or improves lhereon, antl who tloes zuch work himself/herselt or thrOugh his or her own employees, provitletl that such ImOrovements a�e not intentle� or offeretl for sale. If,'however, the builtlin9 cr improvement is soltl within one year of com- pletlon,.ihe owner will have the burden of proving he/she tlitl not build or im- �ova to� the purpose ot sale). 1, as owner of the oroperty, am exclusively mntractin9 with licensetl con- IfdCIOfS f0 COfISI(IICL ih2 plOj2C� (S2CIIOf1 JO04� BI151f1E55 dOG PlOi25510f15 COtlB: The ContractoYs License Law rloes mt apply to an owner of property who builtls or improves [hereon, antl wbo contracts for such projects witn a con- tractor(z) license pursuant�to the contractor'i License law). I am aware that proot of their Worker's Compensation insurance shoultl be provitled to me. ❑ I am exempt untler Section B. & P. C. for this reason Date - Owner - I hereby certify tnat I have reatl this application antl state that the above information is mrtect. agree to comply wi[h all dty antl county ortlinance5 antl Sta[e laws relati to b iltling construttlon, antl hereby autho�ize rep�e- senfatives ot'Nis y to ter upo the above-mentioned property for Inspection puFpos � , �� ' -� ��97 PERfyuj NO �� TRACT NO. . UNIT NO. �.� � ) O'L TVPEOFCONSTRUCTION NEW ADD LTERATION REPAIR ^ ❑ GONVERSION ❑ DEMOLISH ❑ OTHER ' Ap # d DESCRIPTION OF��.MORK/USE OP BLDG. �� E 3 - - — — S M ' B 'Idin � TVPE OF PERMITy� �LJ GRA�ING LJ FOUNDATION LJ STftVCTURAI_ ❑ TENANT J�TCLECTRICAI ❑ PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION SQ.FT. ocCUPANCv— CONSTRVCTION TVPE VALVATION S ZONE GRADING CU. VDS. ACRES— Remarks: Bar $ink Backflow Preventer Backflow Irri9ation Baffitubs ' Claritiers Dishwasher ' Drinking Fountains Floor Dreins Floor Sinks Gas Service �Utl¢LS Sink P—Trap Roof Drains Showers Service Sink - Sewer Cap Sewer Connection Solar Collectors Solar Pipin9 . Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service am w 9. E T Front ARear C Right S Left Pln9. Ref. # Planning Notes: - Automatic Washer Constructior PoleSub. Cooking Unit ' Dishwasher Dryers ❑Gas DElec Fan F.A.U. Fixtures. Device Boxes Outlets Switches Garbage Disposai Generator DO-5 KW C Reinspection-Fee � $15 I I . Issue Fee I $ 3'I _ Boiler Duct - Under Ground Duct - Svuctural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑0.700,000 BTU 0100,000 '.'..". — I I ReinsPection Fee I $15 Driver �ic se or 55 � � CMF OB 5-46, r¢v. 4/84 White - Builtling: Canary - ApO�itant; Pink - Accoun[inq; GOltlento0 - Assesmt Hoodor Typel ❑ Canopy Type I I ❑ Refrigeration System ❑0-100,OOOBTU ❑100,000 System Repair/Alteration Issue Fee $ 3 k �. - 7687 ' Zone Accessory Building: Parking Req./Provided ELECTRICAL Trensformer- � 15-50 KW � ❑ 50+KW � Meter ❑up to 100 amps .� Meter�over100amps Sub Panel 2oU ,g�,..� Motors�0-7 HP�Qj'h-8 Inc.Solar 09-75 HP �i6-15+ Microwave Pole �ight ' Range ' ' Standing Sections 5 KW Trash Compactor 1Reinspectian Pee 1 $15 '� DEVELOPMENTSERVICESREQUI 2oning APP�oved By Building Approved By � Application laued By Issue Fee � NTS: 21050 TL FEES $ 3 Z O N i N G R E Q M T S. . SUMMARV OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ t ENERGV P.C. $ ELECTRICAL $ �J� GRADING $ PLAN CHECK 50% $ MICROFILM $ �'� MECHANICAL $ TOTALFEE $ $L� PLAN CHECK 25% $ COI�STRUCTION AND PLANNING � POO, oPA . APPFiO1fALS Permit# � Date Inspector �qppROVALS Permit# Date Inspector , 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil ipe-Undrgmd. � 53. Steel Reinforcement � - .; 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical,Conduit-Undrgmd. � - � 55. Electrical Bonding � � � � _ , 5. Steel Reinforcement ;, • �- 1 56. Rough Plumbing & Pressure Test , - 6. Electrical UFER Gmd. � • , • 57. APPROVAL TO COVER-GUNITE � 7: Footings --� '� 58. Electrical ConduibUndrgrnd. � 8. �Foundation _� • 59. Gas Pipe, O 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 . 12. Sewer Cap - -� . , ` ' , � - 63. Heater & VenbFinal � . � 73. Roof Drains - '' ' . 64. Plumbing System - Final `� 14. Rough Plumbing �. - 65. Electrical-Final ` 15. Rough Electrical-Conduii - � 66. Solar System-Final � 16. Rough Electric Wiring , , 67. Fencing & Access Approva! - 17. Rough Wiring Sign ' 68. APP,ROVED FOR PLASTERING 18. Rough Electrical-7 Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Fleating & Air Conditioning � FIRE DEPT. REQUIREMENT � � � 20. Rough'Factor'y Fireplace � APPROVALS Permit # 21. DuCts,in,Structure 70. Underground Hydro 22. Ducts, Ventilating , 71. Product Piping O 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 (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. FinalElectric J,,7•;. -Y L; G, Notes:6-3o--�� 34. Final Heating & Air Conditioning � , . � 35. Final Gas Pipe-Test .7_� s_� 7. ��,J �n�„ �( �, 36. Hood or Canopy 37. Final Factory Fireplace � 38. Final Plumbing � . � 39. Water Service-Final 40. Gas Service-Final � 41. Solar pomestic-Final � 42. Backflow Preventei � " ' 43. Backflow Irrigati0n _ . .. .� 44. .Landscape Irrigation System • �� i," 45. Sound Attenuation - 46. Handicap Regulations , ' , ' 47. FINALSTRUCTURE&BUILDING . ' � 48. Special Requirements Completed � , , 49. Electric Release to Edison , 50. Gas Release to Southern California Gas Co � 51. CERTIFICATE OF OCCUPANCY ' ' �' � � � No. ' Date`� � � 0 '��4'( �- 1'n �� AVG��ant to fill in all spaces excev� �hose within heavY Goraer Iines antl sign all aporoprlata aeclarations. CITY OF COSTA MESA CONSTRUCTION PERMIT PER I NO. TRACT NO. LOT NO. UNI7 NO. .Project Address Applicant's Mailing Address Z�.��,� ��j�� Owner's Name �� -� ��V Pho�e Address ayq �de�t? ��f'('e- '�C�a. Arch/Eng. License No. Address Contracmr's Name Phone Address (mailing) Ciry License No. �Z!'y� � 3 � LICENSED CONTRACTOR DECLAftATION I IiereUy affirm tha[ I am licensetl untl¢r provi5ion5 of Charte� 9(commencing with section 7000) of Division 3 of the Business antl Professions Cotle. antl my license is in ful� for e ntl effect. ��y�� LicenseClass— � licensq./Jo:,E�T� oate � - 1'� �ii , 'ICl�n C! �� WORKERS' COMPENSATION D CLARATION I hereDy aHirm that I nave a certificate ot mnsent to self-insure or a certificate �f Workers' Compensation Insurance, or a ceriitietl copy 4nereof (Section PoIOIc�Y No. �`—`�� ComPanY ^^ `�"^� � NIA� . ertillea copy is nereby furnishetl. Cer[i/' tl co y I5 til tl with Ihe city� n�,�''-'''n9 Divi ion. pa[e '��AOPlicanilr,$�-�� w+' E%EMP ION FROM WORKERS' COMPENSATION DECLARATION (Thissection neeU no[ be completetl i1 the permit is for ona huntlretl (5300) or IC55). I certity Ihat in lne perto�mance ot the work fo� whictt Ni5 perm�t i5 issuetl, I Shall nOt employ any person in any manner So a5 to beGOme subject to the Workers' Com0en5a[ioq l2ws of Calitomia. Oa[¢ ' Signa[ure ' 'NOTICE: If, aft¢r makinq tnis tleclaration, you shoultl become Subj¢<t to fhe Workers' Compenzation Orovisions ot [he fabor Cotle, you mus[ for[hwith comply with such provisions o� this permlt shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV I hereby affirm that there I5 a construction lentling agency for the perPormance of the work 1or which this permi[ is issuetl (Section 3097 Civ. C.) Lentler'S Name Lentler's Atltliess OWNER BUILDER OECLARATIOIV 1 hereby affirm that I am exampt irom the Contractor's Litense Law tor the tollowing reason (Sec[Ion.7031.5 Business antl Professional Cotle: Any ciry or County which requires a permit to construc�, alter, improve, tlemolish or repair any sUut[ure, prio� lo i[5 issuance, alzo requiies the applicant 1or such permit lo file a Signetl Slatement that he/she is licensetl pur5uant to the provisions of the Contractor's Llcense Law (Cnapcer 9(commencing with Sec[ion 7000)�ot DiviSion 3 ot [he Business antl PwfeSsionS Cotle) or that he/she is exempt :��herefrom antl the basis tor the alleqetl exemption. Any violabon of SecHon "`'031 5 by any applican[ tor a Oermit subjects th¢ appllcant to a Civil Znalty ot not more than five huntlretl tlollars (E500�. . LJ I; as owner of the property or mY employees with wages as their sole CompensaliOn, will tlo Ihe work, intl [he sVucture is not intentled or offeretl tor sale (Section 7044, Business antl Professional Cotle: The ConVactor's License Ldw tloes not apply to an owner oi a property who bW Itls or Improves thereon, antl who tloes such work himself/he�SeH or IhrougM1 hi5 or he� own ¢mployces, provitletl tha[ SucM1 improvements are not intentletl o� offeretl fo� sale. If, howev¢r, Ihe bulltling ar imp�ovement is soltl wiihin one y¢ar of com- O�etion, the ownor will hava tM1e burtlon of proving M1c/shc tlitl no[ builtl or',im- prOve tor tM1e purpo5e ol sale). ' ❑ 1, as owne� of the properiy, am exclusively contracting with licensetl con- traciorsto construct tha project (Section ]Oa4, Business antl Professlons Cotle: The Contractor'S Licenze Law tloes not apPly to an awner o/ propCrty who builtls or improves lnereon, antl who conVacts for such projects with a Con- tractor(s) license pursuant-to the Contrattor'i License Law�. I am aware [hat proof of [neir Worker's Compensation insurance shoultl be provltletl to me.' ❑ 1 am exempt untler Sec[ion B. & P. C. for th6 reason Date Owner' 1 hereby certity that I have reatl this application antl state that tne above Information i5 co�rect. I agree [o compry with all city antl counry o�tlinantes antl state laws relatin9 to builtling construcHon, antl hereby authorize repre- senta��•^- - �ity to enter (Cqon�the above-mentionetl proDerty tor CMF Licensc or 55 �lag�/S TYPE OFCONSTRUCTION NEW ADD ALTERATION REPAIR ❑ CONVEf3510N ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WOFK/USE OF BLDG. TVPE OF PEPMIT LJ GRADING LJ FOUNDATION LJ STRVCTV RAL -❑ TENANT ❑ ELECTRIGAL ❑ PLUMBING �MECHANICAI J'O OTHER PROJECT DESCRIP710N 51i. FT. oCCUPaNCv_ . CONSTRUCTIONTVPE VALUATION$ ZONE GRADINGCU.YpS. ACRE$_ Remarks: Bar Sink Backflow Preventer Backflow Irrigation Bathtubs �rinking Fountains Floor Drains Flaor Sinks Gas Service Outlets I nrerceptors � Kitchen Sink ' Lavatories P—Trap Roof Drains Showers Service Sink Sewer Cap Sewer Connection Solar Collecrors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Cbset Water Heater Water Service Auto�Wash FEES < Reinspaction Fee $15. Issue Fee $ 3 � Boiler Duct - Untler Ground � Duct-Strucmral ' Duct - Ventilating Exhaust System ❑ Multiple Firepl/Facc Blt. ICBO # Heating System & Ducting ❑6100,000 BTU �700,000 Reinspec[ian Fee I $15 Building; Canary - Applicant Pink - Accounting; Goltlenrotl - Assessor Hoodor Typel ❑ Canopy Type I I ❑ Refrigeration System �ai00000eTu ❑ioo,000 System Repair/Alteration Fire Dampers Fegisters I � � luue Fee A.P. # S Main Buildin9: E T Front 6 Rear A C Right g Left 71n9. Ref. # Planning Notes: Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Elec Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Dispoul Generetor �0.5 KW C <<6697 5i�ei^� 2one Accessory B ELECTRICAL . • Transformer ❑ 15-50 KW ❑ 50+KW Merer ❑up m 100 amUs Me[er ❑over100amps Sub Panel Motors O0.1 HP O 1 X� B Inc.Solar 09-15 HP �16�15+ Microwave Pole Light Range I I! Standing Sections 15 KW Trash Compacror Reinspection Fee $15 Issue Fee ES - DEVELOPMENTSERVICESREQUIREMEN7S: Zoning Approved 6y Building Approved By Application Issued By , Lj � E 3 �"e5C TL Z O N I N G R E � M T S FEES , $ 3 SUMMARV OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ � PLAN CHECK 25% $ ENERGV P.C. $ � EIECTRICAL $ GRADING 5 PLAN CHECK 50% $ MICROFILM $ /J MECHANICAL � TOTAL FEE 5 ✓'� PLAN CHECK 25% $ � CONSTRUCTION AND PLANNING POO�._ SPA '�APPROVALS - Permit # Date Inspector AppROVALS Permit # Date Insper,t�r � �7. Temporary Electrical Service or Pole 52. Pool & Equipmenc Location . 2. -Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plum6i�g & Pressure Test 6. ElectriCal UFER Grnd. 57. APPROVAL TO COVER-GUNITE . 7. Footings 58. Electrical Conduif-Undrgrnd. . 8: Foundation 59. Gas Pipe, � Undrgrnd., Test 9. Water Pipe-Undrgrnd. � 60. Backwash Lioes, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVA� TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 72. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains � � 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electriral-Conduit 66. Solar System�Final . � 76. Rough �lectric 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 Structure ' 70. Underground Hydro 22.�Ducts,Ventilating 71. ProductPipingOGas ❑Oil 23. Gas Pipe-Rough & Test � 72. Underground Flush 24. Roof framing 73. Undergrnd. Storege 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 ' 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes:3..�.yb+Cqn��gpg,D UhL4. �-E4 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. Solar pomestic-Final . 42. Backflow Preventer � - '' 43. Backflow Irrigation 44. .Landscape Irrigation System .. 45. Sound Attenuation , , � 46. Handicap Regulations - 47. FINALSTRUCTURE&BUILDING 48. Special Requirements Completed 49. Electric Release to Edison �- 50. Gas Release to Southern California Gas Co � 51. CERTIFICATE OF OCCUPANCY Nn. Date City of Costa Mesa Building Sofe}y Departmenf p. O. Box 317 Costa Masv. California CERTIFICATE OF OCCUPANCY N� 2469 C The Building located at '�� has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable Thereto for a Group 8� Occupancy. Use of Buildinq �` �' ��' Legal Description �"�'�' ($eo revana tida for Mete� ond Bo�nd�) Building Permit No. ffi� Elecirical Permit No. �� Plumbing Permit No. �%��% " Floor Load Signs have been installed as Room Capacity Signs have been instaled as required vnder Sec. 2308 U. B. C. . required under Sec. 3301 (1) U. B. C. � 17050. CERTIPICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be used or occupied uniil the owner or operator has been issued a valid certificafe of occupancy by the enforcement agency. (b) A new certificate of occ�pancy shall be obtained whenever there is a change.in: 1) Occupancy classification of a building or porfion ihereof 2) The number of apartments or guest rooms _ _ 3) Ownership If Group H Occupancy, number of apariments ond/or guest rooms as required under Sec. 17050.1 (d), California Administrat�ve Code, Title 8, Chapter 9, Article 8. ' Number of apariments and/or guest rooms ISSUED TO: Building Offi� �/n r Z r� �� I�V � �� by r�cu� Date ��'u � ��: This Certifica�e of Occupancy SHALL BE posfed in a conspicuous place on the premises and SHALL NOT BE removed excep4 by the Building Official of the City of Costa Mesa under Sec. 306 (e) U.B.C. For�, suaa—iM—ii-ca—s-s r ► CALI FO R N IA COSTA 11�ESA � P.O. BOX 6� 1200 FROM THE OFFICE OF THE PLANNING DEPARTMENT 10-28-66 SPECIAL REQUIREMENTS 728 Ohms Way 1. Dedication to the City of Costa Mesa of half of street (Farad) for Cul-de-Sac (exact amount of dedication to be determined by the City Engineer). This will complete tlie termination of Farad Street. 2. Installation of the southerly one-half of Farad Street complete with curbs, gutters, base, pavement and sidewalks as per standard specifications of the City of Costa Mesa, Uy the owner, at his expense. (This installation applies to the Cul-de-Sac portion of Farad). 3. Once the cul-de-sac desi�r. is determined, check with the Street Lighting Superinteadent to see if an additional street light is required. If required, this installation is to be made by the owner, at his expense, as per standard specifications of the City of Costa Mesa. 4. Tree plantino compatible with the area at the applicants' expense. 5. Parcel "s" s'.:zll beco�-:e :n inteo-al part of Lot 12, Tract 4157. 6. Parcel "B" shall become an integral part of Lot 11, Tract 4157. 7. Parcel °C' shall become an integral part of Lot 10, Tract 4157. i I 8. A copy of che recordcd SaLdivisi�:.a �iap nust be filed with the � Planning Department berore Applications for Building Permits I� can Ue approved for any c�.struction on Parcels A, B, and C. � 9. :Vo Applications for Buildin� Pernits will be approved by this Department until satisfactory arrangements have been made with the City of. :;osta rtesa to satisfy Condition ll2 and Condition !i3 by eitner depositing a Cashier's Check or a Cash Bond, the amount of cahich is to be determined by the Engineering Department, with this Department. 12/13/66 - Condition No. 9 waived, but no occupancy ie to be given the building until the required improvemente have been inatalled. (App. for Permit aigned by W. L. Dunn.) � �- � � LIPPOLD AND McCARTIN nssounres ROD EARL LIPPOLD ATiORNEYS AT LAW TEtE>NONe LlaeArr B-�>56 DONALD A.M<CARTIN I)55 ORANGE AVENUE,SUITE C EARL O.LIPPOLO COSTA MESA,CAUFORNIA FFEO M.Cfi055 November 30, 1966 MEMORANDUM T0: Saint A. Cicero and Lulu Mae Cicero Re; Cicero-Uwaileebe Matter Please take the original �asement Deed signed and executed by you and the original Easement Deed signed and executed by Michael C. Dwaileebe to the Planning Department of the City of Costa Mesa. It is suggested that this be done in person with your contractor, so that there is no question but that the building permit wi11 be issued to you at the time of your delivery o£ the easement deeds. I sincerely doubt that you wi11 encounter any difFiculties with the city, as I understand from your architect that all problems relating to parking and/or the improvement of the proposed street and cu2 de sac have been cleared. As I indicated to you before, no bond is being required by the city relative to the improve- ments of the cu1 de sac and street. On the other hand, I am advised that no use and occupancy certificate will be issued until the improvements are approved by the city. I am also en- closing your copy of agreement with Mr. Dwaileebe that he is to be put to no cost or expense relative to the i_mprovements of the proposed cul de sac. I am forwarding hi.m copies of the easement deed executed by him and of the agreement. REL/ £w Encls. m a l 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 321 � A G R E E M E N T THIS AGREEMENT is entered into at Costa Mesa, California, this �� day of �f �(��i� ��'C , 1466, by and between MICHAEL C. DWAILEEBE, hereinafter referred to as First Party, and SAINT CICERO and LULU MAE CICERO, hereinafter referred to as Second Party, WITNESSETH: WHEREAS, the parties hereto are owners of contiguous proper- ty which properties also abut on a proposed extension of Farad Street in the City of Costa Mesa, California; and WHEREAS, the parties hereto by this Agreement do hereby desire to provide for the necessary dedication by easement deed of property to the City of Costa Mesa, California, for the purpose of providing for a terminus of Farad Street and the improvement of a portion of the area as part of a cul-de-sac at the terminus. of said Farad Street extension; and WHEREAS, said terminus and cul-de-sac as to purtions thereof cover property owned by the parties hereto; NOW, THEREE'ORE, the parties hereto agree more particularly as follows: Each of the parties hereto will grant by easement deed to the City of Costa Mesa, California, property described in those certain easement deeds ��1593 and ��1592 approved as to description by 0. Wilson, right-of-way agent. IT IS FURTHER UNDERSTOOD AND AGREED that in connection with the improvements to be constructed on the property owned by Second Party affected by the said easement deeds, that in addition to such improvements, Second Party will also, as per the instructions of the City of Gosta Mesa, through its authorized representatives, undertake to improve that portion of the extension of Farad Street - I- 0 1 2 3 4 5 6 7 g' 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 251 26 27 28 �29 30 31 32 including that portion of the cul-de-sac which is on the said property of k'irst Party being granted to the City oE Costa Mesa, said imprdvements shall be at the sole cost and expense of Second Party, it being understood and agreed that First Party is to be put to no expense by reason thereof, Fixst Party agrees, however, to permit the Second Party and their authorized agents and . representatives to enter upon such of the property of First Party as may be convenient or required for the purpose of effecting the necessary improvements, all improvements to be as per specifica- tions of the City of Costa Mesa. IN WITNESS WHEREOF, the parties hereto have placed their hands the day and year first above written. ,�� ti�,-�:Le�.P'��. c ae C, Dwailee e � � First Party. -2- ��'� � :�/.�.t; nt icero ��/� _� C r.rr,; �i _.i u� cero Second Party. CITY UF COSTA NYESA CALIFORNIA 92626 P.O. BOX 1200 FROM THE OFFICE OF THE PLANNIN� DEPARTMENT �r..:an ai. 1489 8axter i� Cioeso 8nii Lofc p, �. B�z 1612 �tewporC BeacBr Cn11£orcin The City of Costa Mesa wishes to advise you that in revising street addresses, the ntmibers listed belaa were changed: Old Address New Address 7�8 ahus Nay T29 Aared 9tremt For your convenience we are listing the agencies belaa that we will notify of this changeo In addition to those listed, you may desire to notify your correspondents of the change. Your cooperation in this matter is appreciated. Ver� truly yours, W. L. Dunn Director of Planning �%r-�`�a"� �'�c�Zv7� By: � � Planning Analyst r]b cc: Southern Calif. Edison Co., Southern Co. Gas Co. Costa Mesa Co. Water Disto Pacific Telephone U. S. Post Office County Clerk (4) Public Works Dept. / Engineering Dept. / Bldg. Safety �� Street File Pacific Facility Test Center Bond Department lTol�ee iie�art�en[ Eiza t1e�,-�rt�cat s-oa�� SIGN PERMIT CITY OF COSTA MESA Development Services Department P. O. Box 1200 Costa Mesa, CA 92626 (714) 754-5245 Tag No. ` Type of Sign Vv / �1/i+�2L( � , ❑ Electric �Non-electric Location �7 � Building Si[e Address / 2� �� phone � �� Name of Le , Q Contractor W "Q Address a � � a. W 0. � � 6. z W x 3 W � E' U W w � r� Ciry Phone State License No. City License No. . Zi� Legal Ownet of Sign �'� ON �� i � fVl i Phone Address �` / f"�'`lc�IJ City W"�I F1 /V1g� Zip ��2-% ❑ Ground 12� Wall � ❑ aoor ❑ Projec[ing � Construclion ❑ Convenience ❑. Super Graphic ❑ Planned Signing C.U.P. No. _ ❑ ❑ ❑ ❑ ❑ ❑ � Descriptions Canopy At[raction Board Advertising Stamary Other Tract $ign (Security & Right of Entry Agreement) Special Event (Request form submitted) Change of Copy,(amortization) Programs O $hopping Center/Integrated de�. � By Ownei/or ❑ by Ciry (Da[e let[er sent All applications must be filled out by the Applican�, all Signature of Permittee or Authorizetl Agent Received by Date l and final �. Valuation: $ Date tllumina[ion �. Non-illuminated � Interior Illumination ❑ Ex[erior Iliumination ❑ Variance ) ❑ Minor Vaziance shall be called. (714) 754-5273 PlanningCee. �1��(,[• `J"`t Building fee Plan Check fee Total Fee S �O • Signawre (Bldg. Staf� $ignature (Planning $tafQ Date (Approval subjec[ to the condition of Ord. 7445 Sec. III 3.d) CMF 0068-30, rev. 3/83 White - Builtlin9; Green - Customer; Canary - Planning; Pink - Flnance; Goltlenrotl - Assessor �U69 7/12/.�`� �'104' TL orr�e uu o�Y �(�(� � �� [�Property /� A.P. No. _d,�t'V '�Q _1 Zoning V Sign DisL ��' � Date Received: Received bv � Street frontage: r 1'ront: /3 i ft. Strcet: �AiiLi� RighL fL StreeC Left ft. Sveet Rear: ft Street: Building set back fmm center line of street fL Master Plan Highways ultima[e righFof-way ft, Sign Location Pront� Right Left Sign Desaiption Sign Dimensions Arca / � <<> �—. _I�= i0 r5< sy. �� (.2) x = sq. fl (3) x = sq. ft Items of Information: (1) x (2) (3) ToWI for Activity Copy Vcrbage � ��-i Q/li �/%P,�- Let[er Height . �i� ' '�a �r Cround Sign: O�erall height Planler Arca Ground Clearance Tulal Sq. FL of NI Signagc This activity ` Total Sitc - �O•�� l- Notes: �n n�a `�S�/ S.� .— �/lrJ). pI�C r__ , � � / �---. i Inspec[ed by: Date Ciry af Coste Mesa Oevelopment Services Department Building Safety Division P. O. Bax 1200 Costa Mesa, Califomia CERTIFICATE OF OCCUPANCY No.V�yy�� The Building located at 7�Q F'a.�=A R+.m+ has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group R-2 Occupancy. Use of Building hffira Legal Description d�4-1�1—l1Q (See reoersa side (or Metea and Baunds) Building Permit No. nz'17Ro� Electrical Permit No. RF't7Ao� Plumbing Permit N Mechanical Permit No. ^ Number of apartments �_ and/or guest rooms � ISSUED T0: l7ry)kc �m 'Pam Tr� 7�4 FaraA Chraca� f'naf�a '.tcaar !`n Building Official bYEi � / /! • — V C_. This Certificate of Occupancy SHALL BE ported in a conspicuous place on th� premises antl SHALL NOT BE removed exeept by the Building Official of the City of Corta Mesa under Sec. 307 (e) U.B.C. crvtF 1o15�a6 rav. 1/83 White � Owner; Canary - Numerical File; Pink - Bldg. Permit File . " . COSfA AAESA BUILDING-SAFETY DEPARTMENT P.O. BOX 121N COSTA MESA� CALIPORNIA Y2020 For Appllmm ro Ffll In Complebly � �P' PRINT ■UILOINO ADONEYG COSTA MESA, CALIFORNIA � OWNBR � Il�J V - C I Y�fJ �o A �in Z9 � tJ. � � ��. OCT 31-66 ' Q91367 +� �* * 267.00 ArPIICATION FOR PERMR BUILDING fOI �NlC� {/!O �n� . R[C[11T NO. �[11MIT NO. GITY N£.(.l1 Vl�\n 7 NpL�I� �P�� ZON6 � TYP Y�`aRo�P��"y AR�NO N HR lN � � 'Y . I C.� � • � N� �.�j �j� g�.PROVQD' / I . DAT! � �� L10 . 4-b �,� J� ZONINfi w..JRHYY ZON[ . NO.OI Y�[aIN[W CONTRA R L D LL '(,J L . �u��' • eWLDINO " . � ,, ` ,I L60AL /O ADDR � � �J�J �i) . � D¢acRIR10N � CITY � .. . A. P. NO. '��. � -/ N0T8: NOPJIVEOVERHANOHHALLEHLQ88TXAN BTATE J V'TSL / 9 �!) , SO' TO 81D6 O REAR . L. � ' - . LIG. NO. d O NO. C> J U � S7. 9 K Z 9�i• G ewvea � BI2H /� Ha.ole�oo�. ALLOWED <U.B.C.R80UIRQM[NT) OFLOT � •_(O �6>•� NpWpNtAT O YAHODMPROV[D VARD9APPROVHD U9EOP ,�.I MAIN BUILDINO ACCHGSOPY BUILDINO EXI6TINOBLDO. `^_� � (FROMC/ R[tCl�J -• � BCTBACKLIN[�ROY 4 � �. � � Q cL �, CBHiLp OP RRHR V 0 RGR YAR . , , // B1D YAR L6r{• �� RIQtiT b R.�YID O Ft. � DESCRIPTION OF WORK . � �.ain rr, rr. ALTRRATION ADDITION p�R O �• �• - DI8TANC! 06T: , BET. MAIN a FEPAIR MOVINO DGMOLI M' MAIN BLD�9. ACCE89.BLD08. BUILDINO �3j1�` 6S NO.OP VAR.ZC DATB 62E S ROOMB HT RI I C. . APPROVHD �� EXTERIOR WALL ��K ROO�' � '�' '1�L` 1\n A► � ��_ `� -66 cOVERINO OD COV8RIN0 �+" "I' fPFO EC ln - ��c UYiOPDIJIIfDIpYANDWORKTOB�P[RRORM�D Tl . I�-/G J- t• y 5� L l..1/ � - �7 : '"7t.Gt'1 " �dry�CCA i /.l�IC4 �PN'. ��r /(,5¢by��' � (Q ..., , .. . � - , �\. . - �-' - s�` @ 6-� � � ` ' _ /� � 4.�. � � P,G/G f!� a- =�f s 1 MLt[pY ACNNOWL6D0[ TNAT.1 NAV6 111AD,TM1� AP�YGTION T1� AYOYNT �NOWry UHD6q VI1LUAilON IC IOR TN[ � AND BTAT[ TMAT ill[ ApOV[ IB CORp[CT ANO A0116[ TO COY. M1PP09t O! fITMIJGXINO A P6qY1T P86 ONLY. � PLY WITM ALL CITY OROINANC{{ AryD /TAit LAW/ 11[YYLATNO GOILDINO CONHTPYCI'�ON. VALUATION /y� „ � PHRMITTB C O' � I� C. PERMIT FE6 �<_ � : 7�� w AUTNONIZ[D AO[N7 � � � TOTRL PEE � � SPECIAL'R�QUIREPIENTfr: � 2 r �3 , 4. 5. 6: 7. . 8. , �,...,,.,, - - ��rJuuy . ' . .=: .. . . .� -: . , . , . .. ' . ,Dedication to the City of Costa Mesa of.•half.of^street , -(Farad) for Cul-de-sac (exact amount of dedication to-.be .determined by the.C�ity�Engineer). This will com�lete_the termination of Fara'd Street. - Installation of the southerly•one-hal-f of I�arad:Street- -- complete caith curbs,.gutters, base, pavement and•sidewalks as per.standard�specifications. of the City of Costa Mesa, by the owner; at liis expense.' (This installationapplies----- �to .the Cul-de=sac .por.tion .of Farad) . . .' . ' ' Once� tlie'cul-de-sac 'design is determined, ctieck'with [he , Str.eet LigHticig�.Superintendent_.to-see if.-an addiCional-- • = street light_is=required::_.If required,.th3s installation ' is Eo be_made by the owner, at his �expense, as per standard , specifications of'theCity of Costa �iesa.,. ... . _. ._� _ , __ �- Tree planting compaEible_.with the area at appliean't expense. Parcel "A" shall become an integral part of'Lot 12; Tract; 4157. ': - �- _ _ -_ _ ' _ Paicel "B" shall become an integral part of Lot 11, Tract 4157. Parcel '�C" shall become an integral part of Lot 10, Tract 4157. A copy of-the recorded Subdivisidn P1ap must_be filed with the Planning Department before,Applications for Building Permits . can be approved for any construction on-Paicel:s A, B, and C. � No Applications for Building Permits-will be approved by - this Department until satisfactory arrangements have beeiY� made with the City.of�Costa Piesa to saEisfy Condition i�2��. and Condition li3 by either depositing a Cashier-'s Check-or a Cash Bond, the amount of which' is to be,determined'by,the Engineering DeparEment, with this DeparfinenE. �;.� ' - �� -Y� ` --- -� ; 12-13-66 - Condition No. 9 waived, but no occupancy is_�to_be_given,� the building until'the required impr�n ents have been installed. � -- Jy! �/f' //� — - . . � _ �'l� v C/ �/.IA..---� - William L. �Dunn � �