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Home My WebLink About3074 FERNHEATH LN - Building PermitsCITY OF COSTA MESA o�`""'F=,p BIIILDING DIVISION i� � 7� FAIR DRIVE, COSTA MESA, CA 92626 •(774) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.w.us F °.��. FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER: E09-00263 PERMIT TYPE ELEC APN: 14104408 JOB ADDRESS: 3074 FERNHEATH LN CM Vicinity: SIDE YARD STATUS: DATE ISSUED: ISSUED BY: Suite/Unit: SCOPE OF WORK: EIECTRICAL PERMIT FOR TO INSTALL NEW AIC UNIT. REF#: M09-00094 OWNER: SAMUELS,BARRY PHONE: 714-9793164 APPLICANT: SAMUELS, BARRY PHONE: 714-9793164 CONTRACTOR: OWNER-BUILDER Address: Unit: PHONE: City/State: ZipCode: ELECTRICAL PERMIT FEES Electrical Plan Check Fee: $0.00 Electrical Permit Fee: $78.00 Reinspection Fee 50.00 TOTAL FEES $78.00 ISSUED 10/1912009 RMD Address: 3074 FERNHEATH LN Unit: City/State/Zip: COSTA MESA, CA Address: 3074 FERNHEATH LN Unit: City/State/zZip: COSTA MESA, CA License No. 000000 CELL: NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia sututes and related regulations. (Ord. No. 92-28. § i. 12-27-92) EXPIRATION: PERMIT EXPIRES 160 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorizetl 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 expiretion of lhis permit. cooe�, wsvEcnOxrne Q�g i�� INSPEGTIONME o� nn�i 1618 Fixed System Final Fire Prevention 206 Final Mechaniwl 1266 Pool Spa Final 2�8 Final Plumbing 200 Final Re-Rool 210 Final Elecirical //% 201 Final BIxWRetaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupanry WORKERS' COMPENSATION DECLARA710N: I hereby aKrm under penalty o( perjury one of the tollowinq tleclarations: ❑ I have and will maintain a cenificate of consent to self-Insure (or workers' compensatian, as provided for by seclion 3700 of the Labor Cotle. (or the pedormance of the vrork for which this permit is issuetl. ❑ 1 have and will maintain v.orkers' compensation insurance, as required by section 3700 of the Labor Cotle, la the performance of the v.ork (a which this pertnit is issuetl. My workers' compensation Insurance wrrier and policy number are: Cartiec (7�is secfion neetl not De rompeteU l f�e pemW u vahietl al ane nurMretl tldWislSt001 a'less 1 �Policy Number: q;] I certify that in the peAormance of the work lor vfiich this permit is issued, I shall not employ any person in any manner so as to become subject to the vrorkers' com nsalion laws of Califomia, and aqree Ihat il I should become subject t he rkers' compensation provisions of Section 3700 0! �zt�bor Code, I iall lor hwith comply with these provisions. � I/ �"' —d %1�` Slanawre (� WA NG: F ILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,W0), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE IABOR CADE. IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aMrm thal I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in tull torce and eftect. Lic. # Class # Comraaor's Sgnamre Da�e CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm ihat ihere is a consWct"pn lending agency for ihe perfortnance of the woAc !p which this permit is issuea. (Sea 3097, Gvil Code). Lender'S Name: Lender's Address: Da�e OWNER-BUILDER DECLARATIONS: I hereby aKrm that under penalty of perjury that I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Pro(essions Code: My city or wunry which requires a permit to construct, alter, improve, demolish, or repair any strucWre, prior to its issuance, also rapuires the applicant for such permit to file a signed staiemen� Ihal he or she is licensed pursuant ro Ne pmvisions of the Contractors License Law (Chapter 9(commencing vrith Section 7000) of Division 3 of the Business and Professions Code) or that �e or she is exempt lherefrom antl the basis for Ihe alleged exemption. Any violation of Section 7031.5 by any applicant lor a permil subjects the applicant to a civil penalry ol not more than (ve huntlred dollars ($500).): ❑ I, as owner o( the property, or my employees vrith wages as their sole compensation, WILL DO THE WORK, antl the structure is not intendetl or o((ered lor sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an ovmer of property who builds or improves thereon, and who does suc� work himsel( or hersel( or lhrough his or her own employees, provided that such improvements are not intended or ofleretl for sale. If, however, lhe building or improvement is sold within one year of completion, the owner-builder will have the burden o( proving that he or she did not build or improve for purpose of sale.). fll1; as owner ol the propeny. am EXCLUSIVELY CON7RACTING WITH LICENSED CONTRAC70RS to construct the project (Sec. 7044, Business and Pmtessbns Cotle: The cont2ctors License Law dces not apply to an owner ol property who builtls or improves thereon, and who wntracts fw such pmject with a cantracta�s) license pursuaN to the Cont2ctors License Laws.). ❑ I am ezempt untler sec. Business and Professions Code for lhis reason: i I D�l �--o � (G uIWB+—�. ' L.•O2Ie` 305 �0/0)) Ovmer ID verifetl by driver s license. Ves ❑ No � D veis;l:icense No. �( � Eapires;y --� Verification of Ownership by (type o( document, i.e. - propeny tax bill or deetl): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certify that no excavation frve (5) or more leet in tlepth into wfiich a person is require0 to descentl, will be made in connectbn with v.ork autMrized by this pertnit, and that no building struclure, scalfdding, false�wrk, a demolition or Oismantling thereof, will De more than thirty-sa (36) (eet high. (Chap. 3.2, Grp 2, M 2, Sec. 341, Tille B, Califomia Admini5[ra�ive Cotle). ❑ As owner-buil0er, I will not employ anyone to do work which woultl require a permil lrom the Division of Industrial Satery, as noted above, unless such person has a permit to do such work from the tlivision. ApPliwnfs SgnaWre Division of Industrial Safety Permit Number. _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicam or present or future building occupant neetl to fle antl certify a Business Plan lor emergency response to release or threatened release of a hazardous material7 ❑ Yes ❑ No (Section 25505 of the Calitomia Heallh and Safery Code requires. with some exceptions, that a Business Plan De filetl with the Costa Mesa Fire Department by every business which has at any one time Curing a reportetl year a quantiry of hazardous materials equal to or greater than a vreight of 500 pountls, or a volume of 55 gallons, or 200 cubic leet of wmpressetl gas at standard temperalure and pressure). 2. Does or will the applicant or present or tuWre builtling occupant neetl to file a regisiration (orm for acutely hazartlous matenals7 ❑ Yes ❑ No (Section 25533 of the Calitomia Health antl Safery Code, vnth some ezceptions, requires registration with ihe Costa Mesa Fire Depariment by each business v+hich al any one lime has on hand a quantity of acutely hazartlous materials equal to or greater than a weight of 500 pountls, or a volume of 55 gallons, or 200 cubic feet of compressed gas at sUndard temperature antl pressure). 3. Does or will the applicant or present or future huil0ing occupant need to prepare an RMPP (Risk Management and Prevention Program tor awtely hazardous materials)? ❑ Yes ❑ No (Section 25534 ot ihe Califomia Health and Safety Code provitles that Ihe Costa Mesa Fire Department may require the preparation, cetlifwtion antl filing with the Fire Department o( an RMPP by Dusinesses which are requiretl [o register acutety hazardous materials vrith the Fire Department. 4. If an RMPP is presenlly required, ha5 Section 25534 0l the Califomia Health and Sa(ety Code heen fully complied vnth? ❑ Yes � No 5. Does or will the applicant or presenl or fulure builtling occupan� require (or the wOrk whith i5 the SubjeC[ o( lhi5 apPlication a permit for such consWction or modification fmm the SouN Coast Air Quality Management Dislrict or from any olher air pollulion coNrol district or agency7 ❑ Yes ❑ No (Secl'qn 658502 0( the Califomia Govemment Cotla requires that the requestetl infortnation be fumished on applications for nornresidential builtlinq permits). 6. Will any part o( lhe facility to be constructed untler this permit be within 1000 feel from the outer boundanes ol a school7 � Y85 ❑ No Qf "yes", Ihe lacility must meet the requirement ol Sections 25534 and 42303 of the Califomia Health and Sa(ery Code). 7. If a permil from Ihe Soulh Coast Air Quality Management District or other air pollution conirol district or agency i5 required !or lhe work whiC� is �he subject of this application, have all of the disclosures prescribetl by California Health and Safety Code Section 42303 been matle7 ❑ Yes ❑ No 8. Qf "yes", attach certifcate of compliance lrom Ihe appropriale air pollution control offcer�. CERTIFICATE OF COMPLIANCE: I certify that under penalry ot perjury the information given above is cortect I a9ree to comply with all state laws and city ordinances regartling Hazardous Matenals and Emissions. SignaWre Da�e CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application antl state that [he informalion given is correct. I agree to comply with all state laws antl ciry ordinances relating ro builtling construction, and auchorize representatives of the City of Costa to enter upon the above-described property for ins n purpose . I agree not to occupy or allow occupancy of any building t� on d by this p rmi[ until final inspection. . d — ` r –&gna • Cegal Ovmeqs) .Oeia---... ��'a AntllarAul�OnzPtlAp0liWn� �ate (714) 754-5273 • Fax (714) 754-4856 • wv+w.ci.costa-mesa.c�„UILDING PERMIT �� FAIR DRIVE, COSTA MESA. CA 92626 .�obAddress: 3074 FERNHEATH LN Suite: Vicinity: RESIDENCE ONIY Parcel Number: 14104408 Applicant: WALKER, CHRISTINE M Address: 20081 CYPRESS ST - NEWPOR7BEACH,CA . Owner: SAMUELS, BARRY Address 3074 FERNHEATH LN ,. COSTA MESA, CA " Contractor: OW N ER-BU I LD ER Address: Zip: Arch : Atldress: Zoning: R1 R1 Phone: 949-747-1970 2ip: 42660 Phone: Zip: 9262G2729 Phone: License: 000000 Eng: Address: ISSUED BY: Status: ISSUED Applied: 07/24/2003 Issued: 07/24/2003 Phone: Phone: Zip: License: License: SCOPE OF PERMIT REROOF RESIDENCE ONLY: T/O EXISTING COMP ROOF, REPAIR/REPLACE SHTG AS NEEDED, 2 LAYERS OF 30# FELT, APPLY "30-YEAR LANDMARK COMP SHINGLES." NEW EDGE METAL, PIPE�FLASHING. 23 S�UARES Plan Check: $0.00 Permit: $111.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $111.75 SETBACKS MAM STRUCTURE Frant 0- 0 ACCESSORY Franl 0- 0 PARKING Existinq: 0 a Rear 0- 0 Rear 0- 0 Required: 0 FEESUMMARY PLANNING & ZONING Lek 0- 0 Left 0- 0 Pr000sed: 0 Calc Valuation: Claim Valuation: Righl 0- 0 Right 0- 0 ss,000.00 SS,000.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 72-27-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a peri0d of 180 days. INSPECTIONS: In order for the work auihorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspeetlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration ot this permit. FOR INSpECTIONS CALL: (714) 7545626 24A6�4fi18�Op) WORKERS' COMPENSATION DECLARATION: I hereby attirm under penelty of perjury one of tha following declaretions: ❑ I have and will maintain a certificate oi consent to sell-Insure for workers' compensation, es provitled for by section 3700 of the Labor Cotle, tor the pedormance of the work for which this permit is issued. ❑ I have antl will maintain workers' compensa�ion insurance, as required by section 3700 of Ihe Lebor Cotle, for tho peAortnance of ihe work for which (his partnit is issued. My workers' compensation Insurence carrier antl policy number are: Carnec � Policy Number. (T s section neetl not be camp/e(ed i/ (he permif is valued et one huntlred dWlers ($100) or less.) I iertity that in tha partormance of Iha work br which this permit is issuetl, I shall not employ any pereon in any manner so es to become subject to the workers' compensation lew 1 Califomia, antl egrea that II I shoultl become suDject to Ihe workers' wmpensetion provisions oi Section 3700 ot the Labor Coae, I shall torthwith comply with thes ' oae. /f%� � / �7 Applicent Signature: _ � ��/ / [ Da�e: ) % �'� U �7 WAFWING: FAILUflE TO SECURE WORKERS' COMPENSAiION COVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPIAVER TO CRIMINAL PENALTIES AND dVIL FlNES UP TOONE HUNDflED TYi0U5AND OOLLARE (5f 00,000), IN ADDRION TO THE COST OF COlAPENSATION, DAMAGES A$ PROVIDED fOR IN SECTION 3]OB OF THE LABOR CODE, IMEREST, AND ATTOfiNEY'S FEES. LICENSED CONTRAC70RS DECIARATION: I hereby aflirm that I em licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business entl Professions Code, and my license is In full force antl eHecl. Lic. M Cless a Contraaors Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby eRirm that Ihere is a constmction lending agency tor ihe Dedormance of the work for which ihis permit is issued. (Sec. 3097, Civil Code). Lenders Name: Leneer's AOtlress: Signawre: Date: OWNER-BUILDER DECLARATIONS: I hereby eNirtn t�at untlar penelry of perjury Ihai I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reeson (Sec. 7031.5, 8usiness and Professions Code: Any city or county which requires e permit to constmct, alter, improve, demolish, or repair any stmcwre, pdor to its issuance, also requires ihe applican� for such pertnit to tile a signea statemenl thet �e or she Is Ilcensetl Dursuant to Ihe O�ahsions of the Contrectors License Lew (Chepter B(commencing with Section 7000) of Division 3 oi the Business end Professions Cotle) or the� he or she is e:empt thereirom and the basis for the elleged exemption. Any violatlon ot Saction 7031.5 by any epplicent For a permit s�ubJ'� Is the epPlicent to e civil penelry ol not more ihan five hundred dollers ($500).): Q�� I, as awner at t�e property, or my employees with wages as their sole compensetion, WILL DO 7HE WORK, end the s�ructure is not intended or ottered tor sala (Sec. � 7044, Business and Professions Code: Tha Conirectors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or hersalt or through his or her own employees, provided thal such improvements ere not Intendetl or oHered tor sale. If, howaver, ihe building or improvement is \sold within one year of completion, the owner-builder will have the burden of proving �hai he or she Oitl not build or imD�ove for purpose ol sale.). � ❑-I, as owner ot the pmperty, am EXGLUSIVELV CONTRALTiNG WITH LICENSED LONTRACTORS to construct the prol�� (Sec. 7044, Business and Professions Code: The croNrectors License Law does no� epply to an owner of property who bullds or Improves Iheraon, antl who contracis lor such project with e contractor(s) liten58 pur5uent lo ihe Contraclor5 Litense LawS.). ❑ I am exe t d� e Signature: Owner ID verilied by tlrivef5 Ilcense. Verification ot Ownership by (type ol and Ves ❑ No i.e. - properry tart bill or daed): DIVISION OF INDUS7RIAL SAFETV PERMIT CERTIFICATON: Drivers Litense No. reeson: ❑ I hereby ceniy thet no ezcavetion five (5) or more feet in depth into which a person is required to tlescentl, wlll be made in wnnection with work authonzed by Ihis permit, end ihat no building stmcNre, scaHoltling, falsework, or demolition or tlismantling thereof, will 6e more than thirty-si: (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, 7tle 8, Califomia Atlministrative Code). ❑ As owner-builder, I will not employ anyone to do work w�ich would require e permit from the Division of Indusirial Safety, es noted above, unless such person hes a permit to do such work irom Ihe division. Signature: Date: Division ol Indusirial Safety Permit Number: CERTFICATE OF COMPLIANCE AND AUTHORVATON OF ENTAY: I cenify under penalty of perjury that I have read ihis epplication and state that ihe information given is correct. I egree to comply with ell state laws and ciry ordinances relating to building consiruction, entl authorize rapresentetives of ihe City oi Costa Mesa to enter upon Ihe ebove-descnbetl D�operty for inspection purposes. I agree not to occupy or ellow occupancy al eny building euthonzetl by this permit umil tinal inspection. � n � • u�IP(, ��L�/I �",%/ / % �;_� .• COOE �. INSPECTIONTYPE f6�6 Fixetl System Final Fire Prevention 7266 Pool Spa Final 200 Final Re-Root 201 Final BIocWRelaining Well 202 203 Final Factory Fire Place Final Sign 204 Final Demolition Q�g �NfIfIALS ��Q� Date � COQE� INSPECTIONTYVE 206 Finel Mechanical 208 Finel Plumbing 210 Final Electrical 212 Final Flre Prevention 220 Final Planning AOproval 222 Final Site 250 FinalBuilding/Occupancy PLET UiI�Lfl 07/23/2003 09;50 7147546918 FARMERSINS PAGE 03 J�ul �2 03 04:46p � � P:z� �?a�' 7/�a-(o3 CIN ot Cpgta Mesa P1��,I^�p E.^.� RLfI!al � nE�Bf?^'!4llt �ri ��:- K� i r i an uuVre Costa iviesa, Ca �Nrolect Atldres9: 3.�.�_y �'e-C� r�eGZ."� L.� �+��— Gu �-�a. �'l. �-s' �, C,� q Z 6 Zk, vesCriptipn'of Job: .� .. .,��— nr„�et�. t�r..0 r21.- Cvi�SA-�u_�� ib ('�l/- '�yr� �-u�a�._..col��P�� lr�dc�,Eow�a.t�4+, �5,000 -- .23 � t2 . r +� �en,�� r .�^ �v. r�n ir�rnYb. . Iv Vr��vlvl 11 rVll�'1 vv�VVrIIY. This letlar will enn+a A� autMuizathm frn CMi�tina M. Walker to null att n�mary �xmits in mnneMi�n :::y H�� gw .e n..+weM „ r�..r....f' snouu� vou nave any auesuons reoarauia tms mateer. a�ease cm nbt nesrcaae to contaa me 1C ?t !'71a � 4'l 4-� I b�4 Sincerelv, I • �� ,.... . -,.r.. m�c�..: - � �oonEssocem�axo: 3 0 7 4 F ERNHEATH L N °""E"'"'"'E"'Q'°r'":SMITH, DAVID 1iD0XFS5 3074 FERNHEATH LN COSTA MESA, CA �Pi. �� op�: 5 4 6— 5 2 3 9 urcxrtecr ox �ax�n: ANCN.Ofl FNO.'S ADDRE55: Z�� UNT: FLOOD: X 46 92626 �. � � uc. xo.: UNT: , i CONTpACT011'SNAME:A—AMES PLUMHING & HEATING (719) 3 2440 CONTIIACTOH4MAlI1N0 g g i l LARSON AV eooxEss:GARDEN GROVE A �� ' 0 07 92642 u 110EN5ED COHfNACTOFS OECL�XA N: I hereby N'rm uMer pe d rjury I Mm '' s d Chaqm 8 (comme�ip v.ilh Section ]000 d on � o/ �he Buai�roea ard PMea e. mY � aM Hed. cm r+o.��,�j uc.cuss:C-36 � °` 3 • 06/96 py� �-�`" � CwNreaa: OWNER BUILOEN DECLRHRTION: I Mreby eifirm unJer penely d parjury �hal I am eRemq Imm �he Canlredan License law fa IM lollowmg reawn (Sepion "l03t.5 Buaiiasa enC Pm/eeaiona Code: Any cny a mun�y xfiich reQuirea e permn ta mnatrun, eXer, imprwe, 'emoleh, or repe'v eny ewcime, pbr lo ils asuerca, eLvo requires Iha epqimnt la auch permn m fle e sgned sletemant Ihet he «sM IicenseE W�ueni �o tlre proJsians d �he Comreewe License Lew �Chepter 9(commandnB m�h Sedon )OW) d DiJsian 3 M Ihe .usinesa end Prdessbns COEe� or ihm M or eha ia e�emq Iherelrom end Ihe besia la the allepeE exemqion. Any volelion d Sedion ]0�1.5 by eny epplimnl lar e permn subjeda �he epplicenl lo e civil penelry W rwt mora �han live hundrad dollere �5500�). � I, es ownar N ihe pmpeity or my emqoyeae wiih wegas es Iher eole compensetion, xill do the woM, eM �he svunure o rwl intenCed or oHered lor sele (Sec�ion ]Oad, Buvness enE Prolesaiana Cade: The Conveqon Liceree Lew doea m� eppy ia en ownxd qaperry who Eu1Ca a inproves Ihereon, eM x1w doee auch wak Nmsell a Mrse� or ihrouBh hc a her own empbyees, proviEed Ihet a�ch imqovemanm ere rot inteMed a dlerad lar eab. tl, lwwever. lhe EuiMiig a'vnporemenl n edd wilhin aie yeer d mmplMon. iM o�,awu« �n ne�a ma w�� d wWi�ro n, «.n, db �w n,�u « �mo� �« me w�m�a d..bl. ❑ I. sv owrer d tM P�oVa7. am exduaVeh oonireaiq with licerued canl�eclas �o canmwf Ne MM� (Setlion )011. Bus'ums enE Prolea+ima Code: TM Caniredon L'eenae law Eoes nd �qy b en ownar d propeny who WJda a impwes iheraon eM w1w eonvae�s la wM O�M�e wnh e wmredoe�s) Icensad W��t to tM CanUndon Lieenae law). ❑ I em ezemq uMer Sectim: B. 8 P C.. M Nb renron: Deie: �� I do hareby ce�iy Itut I em ewere d arM uMerstend the reQuiremanta of Cellomb Heellh end Salety Cade Seciona 25505, 2553], vM 2553a, ard ihm I or eny fulure W iMinO �C�� II / will nM (dreb ore) neeE b mmDH weh xiA etme mEee enE iha repuirememe br epertniltawrrewnionormadifrcetionlromiMn'v ue�iy.enepementDimna.Reeidamielcanst�udionep0u�etionsereaaemqiromiheea qovisione, Da�e: Aodtiem: WONKEN'S COMPENSATION DECLGFATION: I MreLy alF�m untler penatly d per'ryry me d IM Idbxirp Aetlerelom: � I liew vM xil meinten e ceNlicela d mruanl m eaH�inaure la warkers' canpanamion, eeW�� a M`�� 3)00 d Ihe leEar c�. r« in. �n�� m ma .� ia.�m m� �e a��d. ❑ I la�e eM wJ meinten xvikers' oanDanvaiun ireuremn. m re9uired M Seeim 3)00 d Me lebor . br �M wak la whiM Ihis pe�mn'v rmuad. MY ��n �^Da^eda^ insurence rartbr aM pdiry num a: ce^'°' RE&L18L I Patir ��meg: / 0 / 9 6 . n;, �nra, �e.d,�w e. comaaree r rn. �,mx r: ro� orb nu�eree edrars Is, � b.� � I cenLy ihm in the parfmmarrs ot th ork fa wlic� ihie paim� ie ias , s 1 ml y m a ro to come au ae i wa penaeiion lewe d Celifomie. E thm M' ehaul �M W co penxtb o � aloo M tne Lebor c a, I ahel y n tn 'sio . � V'i i i oei Aoai Wem/ny: Fallun ro�xuro woAera' mmpensetlon rovernps I� un/e , e a wb)xf an s or ro cr/Mnsl penall/u eM clvll Hnsi up ro on� hundred fhouurM Ooll�n (5100,000), In eJtlltl ro s o,� er romn.�..n fi, a�.. ., poHc.e ro. r� Swtlon 3106 0l Me Lebor Cotle, lntuesf, en0 eM�nsy'� lsea. CONSTHUCTION LENOING AGENCY: I �rtn uMer elry ryry then u e mnstivaion IeMiig epeMy tor tM ron«m�ce d me won� �a .nd� ma - n ms�ad Iseao�, �, c� LENDEfl'S NAM Ic for s1e1e upon IM ebove.mentoned vmpMy � (5151db.WP� Whne-Buikiq d Sefary: OreeMFle: Cenery-AOCke��: Pink-Hevenue: (3oldenro�Aaeava CITY OF COSTA MESA - BUILDING PERMIT PERM NO: M 076616 PERMIT NO: M 076616 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V-N PERMIT TYPE: MEC PURPOSE: OTII JOB DESCRIPTION : REPLACE FAU SQ FT: CLAIM VALUE: CALC-VALUE: GROUP OCC; R-1 / COMMENTS: FAU REPLACEMENT UNDER 100K BTU PLUG-IN TYPE 1E IE ff 1F iElE iElE * if iE if i6161f 1E 1E 1E 1E iE fE iE 1E iFlF iE iE iE iE iE iF IF iF i61E 1E iE jE iE 1E if iElE iE �E iE fE iE i6 iE 1ElE fE if 1f i6 �E iE 1E iE iE i61E fE �)f 1f iE iE iE IF iE if iE jF IE 16 ff 1f iE 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 HUILDING --------- FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARGEL: 14109408 ZNE: REF NO: PLANNING NOTES> V� 1 i� / 1E 7E 1ElE IE fF'lE 1E'IE 1E iE 9E iE �1E iE 1E 1h 18 fE 1E iE iE 7E �IE 3F iF if 1f ik 1E 18lE if� iE 1k iE iE'7(� 3F 1E iE fE 1ElElE 1(� 1E 1k if 1E iE fE 7E 1E 1E')E 1E �E iElE 1E 16 if 1ElF if iElE iE 1E iE iE iE 1E ik �If 1E 1f if� D E V E L O P M E N T S E R� I C E S R E Q U T A E M E N T 5 ZONING APPROVED BY ��; DATE: BUILDING APPROVED BY : �"7_•� DATE: APPLICATION ISSUED BY: � DATE: � 2-R� ''1,1� 1E1E'N'iE1E1EiE1ElE1EiE�1E�EfE1ElEiE1E1EfE1fiE��TE��3F��iF�3F�iE��F3F�F3F �if�{F{F3FSf3FiflfiElE3E1E1EfEit1E lF1f� LEGALIZATION:N F E E �S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT v 9.00 PLAN �, r� 25t SMIP/NON—RES ISSUE FEE „ `� 15.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 9.00 15.00 ,, 0.00 24.00 24.00 .00 REVENUE DIVISION TOTALS--> COLLEC'fED: 24.00 OVER/SHORT: .00 BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK �,24� 00 IEfE1EiE�EfE1EfElE3E9E3ElE1F1EfEiEfFiElflElFiF3kifiFlfifiEl!lF1F1k�k1E1E,iEif_If3E1Fik3EikiflEiflfiflFiElE1EiFlFaElEiE�ElFlfiflEl6lFfEiflEjklkiFiFiE9E3E1E1E1E1E I N D I V I D U A L ';F E E H 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 MEC 1 INST FORC-AIR/GRAV FUktv1<= 100 K BTU 9.00 9.00 END,�OF FEES J I ^ f / I :� /� O1 Oli:'.1' JC.' -'' 'r.-�_' :l{l v✓, Dp'.ct l�' . . ��'[; :;� �.. N 1 � , /� �� GONSTRUCTION AND PLANNWG ��' 'PA . APPROVALS Permit # Date lnspecior pppROVALS Permit # Date lnspector 1. Temporary Electricai Service or Poie 52. Pooi & Equipment Location • Q, Soil Pipe•Undrgrnd. � 53. Steel Reinforcement . _ -3rEleLTricai ConduiyUtifity�Undrgrnd. 54. Forms � 4. Elec[rical Co�duit=4Jtldrgmd. 55. Electrica� Bonding 5. Sieei Reinforcement . 56. flough Plumbing & Pressure Test �:6.� Elearical UFER Gmd. ' 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, � Undrgrnd. 70. Structural Ploor SYstem _� 61. APPROVAL TO DECK - '11. Property Sewer Line &� House Connection 62. Backwash & ReceptorFinal 12. 5ewer Cap - 63. Heater & Vent•Final � 13. floof Drains � 64. Plumbing System � Final . 74. Rough Piumbing ." 65. Electrical-Fina( " • - 75, flough ElectricalLonduit �; 66. Solar SVstem-Final � T6. Rough Electric Wiring �rt . 67. Fencing & Access Apprqval � 77. Pough Wiring Sign �, 68. APPROVED fOp PLASTERING 78. Rough Electrical,T Bar Ceiling - 69. POOLlSPA SYS7EAAS FINAL 79. FjOugh Heating & Air,�onditio�ir�g� :� - FIRE DEPT. REQUIREMENT 20. Rough PacTory Pireplace _ �- - - - 'APPROV1kLS �. �Permit # ti- 27, pucis, in Structure, .- "" _ ' � � 70. Underg'rbund Hydro + 22, pucts, Ventilating °; � �� . '71. Produc(�Pipizig O Gas OOii 23. Gas Pipe-Rough & Test - � - 72. Underground Flush � . 24. Roof Framin9 J � � 73.'Undergmd.StoragA7ank �Gas ❑Oil 25. Roof Sheathing ' �. ' 74. Overhead HYdro 26. r.8ar �Ceiling {StrucEuralj & MonOcoat � _ � 75. �Dry Chemicai - _ 27. Preme and �lashing � K - �_ ' ' � 76. Dry Standp+pe ' "� � 28. Lathing & Siding '�� ;, _ " � j 77r FIXED SYSTEM fiINAL- Y � " 29. Insulatio❑ " 78t' FIRE PREV. PINA�I. .� 3Q, pryevall Nailing - + HEALTH�DEPT: REQUIREMENT � 31. Plaster Browr Coat• ' - ', 79. FINAI INSPECTION '�-�32. Electricai Power Met��-Fi�al '� '� 80.;F000 CERTIFICATE ISSUED� _ 33. Finai�Electric � _ ' - - �, , Notes: -�:��'^�� ,(_,'.Q „S_ /�,�-�./�..,,,� � � i��_s_�..�c 4c�c<_�w�r7�� 34. Final Heati�g &�Air Conditioning �- _��i.-�!v , ''3".�J'q�( : ,�-:G�i6��_� � �. 35. final Gas Pipe�Test � - " - _ ' ' r ' 36. Hood;.pr CanoPv - ,; - _ � � � -97, Final �Factory Firepiace ' . -- - " �� ,' , � _ n1 3$. Finai Plumbing . .. , . � . . -- - 39. Water Service-Final . � :. ' -� 'i' . �, �d0. GasService•F�naf - � : -_ �- � � , 41. Solar pomestio-Pinal � . r � - -' � 42. 9ackflow Preventer �` ' _. ' ' , 43. E3ackflow irrigation � , - ' � � 44. Landscape irripation SYstem � _ ' Y � „^ ' " - ��' � . � 45. Sound Attenuation � - � " - � - � 46. Handicap Re9ulations, , _ : ,_ ' . 47. FiNAI STRUCTUFE�& BUILDWG - � 48. FINA�PLANNlNG , $, � � 49. E�ectrie Release to Edison ' � . 50. Gas Release to Southem Cali(orni2 Gas Co . � -� - 51. GERTIFICATE OF OCCUPANCY No Date Fernheath Lane GENERAL CONTRACTOR BUILDING PERMIT NO. VALUE AP. No. LOT 91 TRACT 2671 � ZONE DESCRIPT[ON OF WORK ginKle dwellin� e��att, aar. r,ecx�v I&J �rmF V zorrs � P�.AN Nn. PECTION$ coat L_ DATE � $UBCONTRACTOR PERMITSI$$UED DATE NUMBER � /: '7,��0 COSTA MESA BUILDING DEPARTMENT P. O. BO% 31'! COSTA MESA, CALIFORNIA FOR APPLICANT TO FILL IN 3074 Fernheath Lane COSTA MESA, CALIFORNIA MAIL ADDRE55�� Q� BOX 2277, Brookhurst ciTv Anaheim T�vo: KE ARCHITECT BULO QUl 10y LIC. OF ' 'iNEER an�� i.lar� �o. RE ADDRE55 1102 W. 17th St., Santa Ana LEGRI L�T ^ OESCRIpTION NO. J� an - A.P. NO. 51ZE 67 x 101 OF LOT EXISTING BLDG. SETBRCN LINE FROM SO' CENTER OF STREET NEW REPAIR BUILOING 1 SIZE EXTERIOR WA COVERING USE OF NEW BUILDING iri �T� No: 7350 iaheiireo: KE 3-3161 K TRACT ZG71 rvo. or e�ocs.NORe NOW ON LOT REARVARD 3O� RIGHT 9� LEFT LO� DESCRIPTION OF WORK X ALTERATION ADDITION �] MOVING DEMOLISH ZSJ' �L1V. NO.OF /y(yn -(:ay� ROOMS 5 STOFIES �_.�� IROOF RYnrrn COVERING Cmm�n � ba Y Y � V er. Y� u�. �-��'�,��I�� •♦ APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY RECEIPT NO. pEF�I1JjMq � e:u; euaniNc I. ADDRE55 � COSTA MESA. CALIFORNIA FIRE ZONE 20NE NO.OF TYPE PLiNS APPROVE I MENEBY iCRNOWLEOGE TMAT I NiVE RE�O THIS iPPLICATION AND $T/�TE TMRT TXE ABOVE IS COflRECT AND AGREE TO COMPLY WITH RLl CITY OPOINANCE$ AND STATE L4W5 REGI/LFTING BUIL�ING CONSTFlUC� T��" COLLEGE MESA COMPANY VALUATION PE�AJ�T e e Hale Com anv Ge artner � � . /1, � s 12,890 DATE CORRECTIONS PERMIT FEE S 30.00 PLAN CHECK S LS.00 TOTAL FEE 5 �FS.00 t IL GENER � AP No. Q I' 'Ec \_ GAS WATER ra,c.trlt�, oeuritw SPRINHLING SYSTEM MISCELLANEOUS ROUGH HEATING AN� AIR CONDITI UNOERGftOlINO LJ POWER FOUGH WIii1NG TRENCHES � FOFMS � FLOOR SVSTEM - BOND BEAM � STEEL RE SHEATHING FPqME FN� FLASHING LATHING - IN [� OUT r PLASTER, BROWN COAT P:tJ,-;,��+"31NG, FINAL AND GAS ELECTRIC. FINAL REI F INAL TRACT DATE BUIL[ DESCRIPTION of WORK FIRE ZONE VALU SUBCONTRACTOR 7 v n PERMIT 1 39935 Patu - :!nY —e-75�M;�00 197'� ��*�x5.50 COSTA MESA BUILDiNG-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 ForApplicant ta Fillin Completely '�'PP�� TION FOR BUILDING PERMIT RECEI DATE RECEIVED T ISSUEOy BUILDING l.� ADDRESS '� / PERMIT NO. OWNER S s A.P. NO. � MAIL BUILDING - ADDRESS � ADDflESS W W TEL. TRACT LOT / BLOCK d U CITV NO.� ,�jd ~ Z CONSTRUCTION W A A P O N �ENDER '^ am J � BRANCH —� N OWNERS � ADDRESS '� „�J � U l. VALU$ O " J N OR ENGIN ER — f`1E� S�� V FIRE � w� ADDRESS — ZONE VPE GFOUP a w ' APPROVED W Z CONTRACTOR� v � BV DATE � J � m Z J� ADDRESS ,�D CC.L�/ w w TEL. ZO E NO.OF USE OF NE Z� CITV QN NO. (—a �G P�� BUILDING � Q C w O §TATE CITY VAROS APPROVEO VAPDS APPqOVED �� j O 41C. NO. a 3� Q LIC. NO. MAIN BUILDING ACCESSORV BUILOING y12E NO.OF BLDGS. (FROM C/LST T) OF LOT �� NOW ON LOT j qOM FT. VSE OF � _ �XISTING BLOG. . "��— FT FT F� $IZE OF / � NO. OF Z NEWBLDG. % K� ROOMS STOFIES ' L.SIDE ST. FT. U �XTERIOR WALL ROOF COVERING COVERING �/�'�. REAR FT. FT. USE OF BUILDING AND WORK TO BE PERFORMED DISfANCE BET. BET. MAIN & MAIN BL�GS. ACC6S BLDGS. 4 VAR.# �ATE o �Pe y C.U.P.� APPROVED F APPROVED � -6 -- .r z 0 U� hereby acknowledge that 1 ha�e reatl this apPlication antl state S1AIt � _ �hat the above information is correct and ag�ea to comply wlth � all laws reguleNnp builtling construction, anG I shell not employ F a�V Parson in violation of the workman's compansation laws of (q the State of California. \ T� / � z� hereby cartity thai I am proDerly Iicensetl as a conttactor untler SQ. FT. o tha State of Celifornia B�siness antl Professions Code, Divisicn 3, THE AMOUNT SHOWN UNDER VAlVAT10N IS FOR Ghepter 9, antl tfiat such licenses ere in fuVl torce end etfect, or I THE PUflPp6E OF ESTABLISHING A PEFMR FE£ ONLY: ¢ am exempt from the provisions of the State of Celifornia Business VALUATION a�tl Professions Cotle, Divislon 3, Chapter 9. �`� m OQ PERM�T FEE $ j S�6�ature o� �/ § ��O � m Permittee ��/ w.i/ /./�'�i...,P / PLAN CHECK $ �.f E Authorizatl Agent — V o LL TOTAL FEE $ �`—