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Home My WebLink About3041 FILLMORE WAY - Building Permits( . � � � c�/ �`1'L��Io� E' �o pcs 2 PcS � �cs �� 8� d� u+uPsTER D I Mausta�s go xs� nsY h xh � � � � WECTROOflE58: 3041 FILLMORE WY owNex�sx�Me: WENDELL CHILDS �onxess: 5011 ARGOSY AVE HUNTINGTON BEACH, CA, 92649 714/758-9058 RflLHIENGINEER: RODflE38: NEO.NO.: UNIT: UNR: PE"MiTTEE: pETAONELLA ROOFING ( 714 ) 598-1645 nooxess: z626 NEWPORT COSTA MESA CA 92627 utENSED CONTMCTON UECuq�TION: I nereby amrm that I am Iicenu0 unAer provivons oi CAaD�er 9(commencinp wiln Section 7000) ol Oivisian 3 0l t�e Buvness an0 Prolessions Cade, and my Gcenu k in lulliorce anG ett¢ct. ciTr uc:r 0^ 3 2��jj 0 5p S7TA/T-F� LIC.: O O A 6 O% cjus�s: C �7q • Date: `u' \_- 1 l / SiqnaNre: � ` �/� � WOBNENS' COMPENSIITION DELUMTION: I hereEy affirm Wt I have a certific�te al wnsent to utl�irisure or a ceroliqte oi Workeri Campensation InSurancO, Or a certifie0 coDY ��ereof (Section 3800. LaE. C�. PaucrNo.: 1079987-89 exr.on�: 07/O1/90 iMr�xr: STATE FUND . CenifieU mpy k IrereCy Nmishe0. � Certifie0 copy ¢ Gled wi�h Itce ciry Buildinp Djvision. ' �are: �j � � — / C� ppplicanc • ` • F%FMFfION FHOM VlOHNENS' WMPENSATIOX OECIAM710N: (Iluc se�tion nee0 not be mmplete0 il ihe permit is lor one �unEreO (5100� a less�. I certlty that in tAe petlormanca ol t�e work for wAic� tNs pertnil is iuuea, I shall nat employ arry p¢rson in any manner sa as to hecoma su0lect ro I�e Workers' Compensation Laws af Calitomia. Oate: Sipnatura: . NOTICE: Ii, atler maWnp tAis decWration, you shoultl �ewme su0lect Io tha Workers' Compensation pmvisions ot t�e Lahor Catle, yau must torl�with comDly with such pmHsions ar ihis permn s�all he EeemeA revokeL. CONSTBUCTION 1EN01N0 �GFNCY: I hereEy affirm that t�ere k a wnsiruction IenEinp apency for tAe pedormance ot t�a work lor wAicA ihis permit is issuetl (Section 3097, Civ. C). lENOEH: RDOflE33: OWNEB BULLDEP DECLANITION: I Aerehy alfirm that I am exempt /rom the Caniractors' State License Law for tAe followinp reason (Section 7031.5 Business an0 Prolessional COCe: My ciry ol caunry wNc� requias a permit to consimc�, alter, impmve, tlemolisq ar reDair any simcture, prior ro its Issuance, also requires t�e ap0ticant lor such parmit to lile a siA�eO statement tAat Ae/s�e is licensed pursuant m tAe provisions al Ihe Contacmrs' State License Law (Chapter 9(cammencinp wi[h Sec[ion 7000) ol �ivision 3 af Ina 9usinau an0 Professions Coae) or that he/she is axempt therefmm anA tha Easis for t�e alleAetl exem0�ion. Any violation ol Section 7031.5 by any applicant tor a permit subjects ihe aDVlicam ro a civil penalry of nat maa than five huntlreA Uollars (SSOU). I, as owner ol t�e pmDetly or my emyloyees with wa0es as Nelr sole comDensation, will tlo ihe work, and t�e � stmcture is nat inten0e0 ar allere0lor sale (Sec�on 7044, Business anA Pmfessional CoOe: T�e Contactors' State License Law does not appty ro an owner of a pmperry who builOs or improves t�ereon, anE who does sucA work himsell/Aersell ar ihmu0h �is or her own emDloyees, pmvi0etl ihat such imDrovements are not iniended or ottere0 lor sale. If. Aowever the bull0inp or impravement is sold within one year ol comDletion, IAe owner will have the Gurtlen ol OmvinO hUshe di0 not OuiIE or Improve for IAe Duryosa ot sale�. I, as owner ot ihe Omperry, am extlusively coniractinp vnth licenseE contactors m canstruct t�e pml� (Seclion 7D60, Business ❑ an0 Pmiessiau CaOe: The Coniractors' State Liunsa Ww Cces not apDy to an awner at OroDeM w�o bml0.s or Impmves Nereon anA wha rnntrac6 lor SucA pml��s �� a cantractoqs) license Oursuant lo tAe Conlraclors' State Licenu Law�. I am awaa that D�� ol t�eir Worker's Campensation insurance sAoultl be Orovitle0 ta me. " � I am ezempt unCer Sepion: B. d P. C. lortn¢ reason: Date: Owner. I Eo Aere�y certiry t�at I am aware ol anG unAerstan0 the reQuiremenis of Calitomia Healt� anC Safery CaEe Sectlons 25505, 25533, antl 25534 anE that I or any IuWre �uilUinq occupant wltl/will not (cirGe one) nee0 to compry wiN ui0 state w0es anU Ue repuirzmen(s for a permit for wnstmction or moGifiwtian imm the Nr Oualiry Management Oistrid. HesiAenual construction apD�icaGons are evemD� ��om t�eu pmvisions. Datt: Appliwni: I �erehy certiry that I have reaE tAis aDDliwtion anE state that Ihe above inlarmatlon is cortect. I aA�ea to comON �� all dry anE counry arEuwnces anG sute hws relaunp m huildirp construclion an0 here�y authorrze reD�nuWes oi tNs city to enter upon the aDove�mentionM PropeM �a inspecibn purposes. /� �Oate:�l� �9nature: v �---= Driuer's License or Sodai Secunry x: ¢ 1H1d8 W�ito—BuilOirg: Gree�Cotle Eniwcement: Canary—ApPlicam; Pink—Revenue; GdEenroC—Assasaor CITY OF COSTA MESA — HUILDING PERMIT PEAM NO: B 047580 PERMIT NO: B 047580 PLAN CHECK NO: N GOVT; N SUPP: N CONSTRUCTION TYPE; PERMIT TYPE: STR PURPOSE: ALT JOB DESCRIPTION ; REROOF/REMOVE EXIS, COMP & REPLACE SQ FT: 2,100 CLAIM VALUE: 2,100.00 CALC—VALUE: 2,100.00 GROUP OCC: R-3 / COMMENTS: �r*�r�r�r�r*�r�r�r�r�r�r�e��e*�r��rx*�r*�r�e�r�r*�r*�r�e�r*x�r*****��r�r��r**�r�rx *��r*�r*�rx�r�e*�r*+r�r�r�e*x�+r**�r*��r Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN HUILDING ---------- --------- ACCESSORY HUILDING --------- FRNT: FT IN AEAR: FT IN FRNT; FT IN REAR; FT IN LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ • PROV; PARCEL: 14113451 ZNE; REF NO: PLANNING N(STES> > if it if iF fk i! fk it iE ik 1E ik if jf k i! if ik if k k k i! k iE 1Elf iE iF iF it it if if iE iE if if if ik �t if 1t if k iE iE iE i! iF k 1E iE i! k if iE it iF if ik it 1k if if if if iF i! k iF it it iE iE iE it if it D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: HUILDING APPROVED HY : DATE: APPLICATION ISSUED BY; DATE: I Q ifMifiEitiEikititMMilitiEifiFilifklfitik ikitlklfiEiEikitiEiF iEiE �E iklE 1t �f iFlf 1F iE ik 1ElE 1E!! i! i!!k k'If ik iE �klE 1k ik if if iE 1f iE ft it 1f 1E 1E 1E jE 1ElElE 1! iE 1k iE iE dE it iE k if ft 1klf 1f iE iE 1F 1E 1klt 1f iE �f jt iElk iF it iE k 1F 1! iElF if !E iF if if LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRI6 �;MECHANIC FIRE SMIP/RES GAADING PERMIT 54.00 • , y ,50 • i `• SMIP/NON—RES PLAN '� ISSUE FEE � .'1. HUILDING—DIV—> PERMIT ISSUE PLAN�CIiECK TOTAL PAZD '" DUE TOTALS----> 54.50 0.00 ;,� ,0•.00 54.50 54.50 ,� . .00 REVENUE DIVISION TOTALS--> COLLECTED,: 54.50 OVER/SHORT: '" �.00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 54.00 . - ' ,50 " it M it if ik M i: iF iE iF jElk 1f if if �E iF iE iF 1E if if iE iF iE i4 iF iF iF �F iE iE if 1E if iE iE�iE iE if iE 1E iE if iE iklk if iF iE iE if iE iE ik if iE if if i61f if if !t iE if iF iE 1E iF iF iE iE ik iE iE 1E if !f 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 Z O N � UNIT COST TOTAL COST SFR 2100 REROOF BY VALUE RESIDENIAL NOZONE 1.00 ` 2,100.00 END OF FEES • O1 OOOb2262-G0062269 'f O'S 54.50 DRTE: 06/01/9D TIt1F: 15::0 � CONSTRUC710N AND PLANNING APPROVALS Permit # 1. Temporary �lectrical Service or Pole � 2._ Soil Pipe-Undrgrnd. � 3. Electrical Conduit Utility-Undrgrnd. � 4. Electrical Conduit-Undrgmd. . 5. Steel Reinforcement' - 6. Electrical UFEfi Grnd. " 7. Footings - 8.-Foundation 9. Water Pipe�Undrgrnd. . 10. Structurol Floor System � 11. Property Sewer Line.& House Connection 12. Sewer Cap � 13. Roof Drains ' 14. Rough Plumbing 15. Rough Electrical-Conduit 16. Rough E�ectric.Wiring 77. Raugh Wiring Sign 18. EYough Electrica6T Bar Ceifing 19. Rough Heating & Air Conditioning 20. Rough Factory F.ireplace . 21. Ducts, in Structure � • � � 22. Ducts, Ventilating '' • 23. Gas Pipe-Rough & Test 24. Roof Framing ' ' � , 25. Roof Sheathing . . -� 26. T-Bar Ceiling IStructural) & Monocoat 27. Frame and Flashing• , 28. Lathing & Siding ;- � - 29. Insulation � � • 30. Drywall Nailing _31. Plaster Brown Coat .-. - : 32. �Electrical Power Meter�Final .33-Final Eleciric� ' �34. Flnal 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 � ' ' ' `47. Solar pomesticFinal ' � 42. Backflow Preventer . 43. Backflow Irrigation. 44. Landscape Irripation System: � - '�45. Sound Attenuation ' . 46.�Handicap Regulations � � . 47. FINAL STRUCTURE & BUILDING 48..FINAL PLANNING 49. Electric �Release to Edison 50. Gas Release to Southern California Gas Q 51. CERTIFICATE OF OCCUPANCY Date 8 � PC 9 SPA Date Inspector qppROVALS P 't # t e ermi 52. Pool & Equipment Location 53. Steel Reinforcemen[ 54. Forms 55. Electrical Bonding 56. Rough Plumbing & Pressure Test 57. APPROVAL TO COVER�GUNITE 58. Electrical Conduit-Undrgrnd. 59. Gas Pipe, O Undrgrnd., Test 60. Backwash Lines, P-Trap, O Undrgrnd. 61. APPROVAL TO DECK 62. Backwash & Receptor-Final 63. Heater & Vent-Final 64. Plumbing SYstem - Final 65. Electrical-Finai 66. Solar System-Final 67. Fencing & Access ApProval 68. APPROVED FOR PLASTERING 69. POOIlSPASYSTEMSFINAL . FIRE D.EPT. REQUIREMENT _ , � � '. APPROVAUS ._ "Permit # � � �70. Uriderground�Hydro - ;-77. Product Piping O�Gas ❑ Oil . . ' 72. Underground Flush ' � � • �.73.=Undergrnd. Storage Tank O Gas � Oil 74. OJerhead Hydro_ _ , � 75. Dry Chemical - � - • 76. Dry Standpipe ' . ��. ��. 77.-FIXEDSYSTEM��FINAL ' 78: -FIRE PREV. FINAl - ' � � HEALTH DEPT.. REQUIREMENT � � 79. �FINAL INSPECTION ' ' S0. FOOD CERTIFICAT ISSUED Notes: � � /� a . , �� r'�� .��=•�:. �� , �. . � _� .. �r " �� I�.LO�1 � � � / � � �, i � � � � Date � Inspector � • i �oT �4 TRACT 4z8� �s�� `COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 C08TA MFBA. WL��A Fo� Applicani io Fill In Complefely TYPE OR PRINT BUILDING �� FILLMORE WAY ADDRH88 COSTA MESA. CALIFORNIA NEWPORT BEACH No�MI 6 ZZ rR NONE �jp��-�3�� ciTY NEWPORT BEACH STATE TEL. uc. No. No. - $�=E g6. � x ��5 �. � NO.OR BLDGB.o �F l(1T NOW �N l�T 88TBAGK LINH PROM � CEMER OP BTRHeT R�R YAR[ SIDE YARD LEFf � O� ' I RIGHT DESCRIPTION OF WORK NEW � IIA�TERATION I IIADDITIO REPAIR I II MOVING I II DEMOLIE BUI1,pING ARI SF NO. OF SIZECSU I L : SFROOMS � 2 STOF EXTBRIOR WALL ROOP COVBRING STUCCO COVERING ROCK U6E OP BUIL I D WORK TO BE PERFORMED TRIPLE FAMILY DWELLING '�ITH A GARAGE FE RECEIVED �. "` � JAN 1 1 ��2 " FINANGE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Onl y NHC81P! NO. PEJ[A1�T�N0. BY QCiI�C COSTA MESA. CALIFORNIA APPROVED ZONING ZONE NO. OP U86 OF NEW %r /�-3 I PLAN9 � sU1LDIN0 �/� LEWL oFsr.a��ior� o �`% T� '`✓ L 8 YARDS APPROVED t 5' (CCMBR LINe 8TJ FRONT S 3 t q R. SIDE �� L.SIDE /� IREAR I S t I APPROVE� /� — BY �N 2 �� p �3 � �� . _.._ n i EVES ALLOWED `� IN. i7��PY IN. . DATF � / / IO Z� I H6RHQY ACKNOWL8DG8 TNAT 1 XAV6 IiBAG TM�9 MPLIGT�ON }HE AMOUM BNOWN UND¢R VALUATION IB FOP TXE ANO BTATH TXAT TXE ABWB IB GORPBGT AN� AGPlE TO COM- p{�pp09H OP 88TABLIBHING A P¢RMIT FEE ONLY. PLY WITX ALL CITY OROINANC89 M1D BTATe uWs ME�UGATINO eu1LpIN0 CONBTRUCTION. VALUA710N / SIGNATURH OF /� / � PERMIT FEE $ .�((� "— H PERMITRr $.��J I-��'� PLAN CHECK $•� 9� a AUTHORIZED AGHNT �Y//� p 70TAL FEE 7 LL