HomeMy WebLinkAbout260 FLOWER ST - Building Permits-i
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1DDFESSOFBUIIOPIC: Z�O FLOWER �ST
OWNERSIUMEIFp10WN: G$ EELY, ALAN �
wo�ss: 260 FLOWER ST
COSTA MESA, CA 92627
645-9858
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B CITY OF COSTA MESA — BOILDING PERMIT
PERMIT NO: B 071496 PLAN CHECK NO: 00929-95 L
CONSTRUCTION TYPE; PERMIT TYPE: STR
JOB DESCRIPTION : LEGALIZE 932SF GRANNY UNIT
uxT:
LICENSED COMPACTOflS DECLAflATION: I Mreby eRvm wEar penetly d perjury RW I em licansetl imder provieions W Cheqer 9
(commerid�g xnh Seclbn )000) d Drvoi� 3 d IM Busima arW PMaevms Coda. vM mY licenea b in lull lam enE eXerl.
cm uc. No.: uc. cuss: uc. No.: E X P:
o�,: comree«:
OWNEN BUILDEP DECIANATION: I hareby etFrtn unEar peratly af parN�Y �� � em eRemq /rom ihe ConlreUon Lionee Lew lor the
Idbw'up resaon (�� ]03f.5 &nibss md Prdeaeiona CoEe: MY ciY a aoumy xfiid� �eyuires e pertnil to oonstrucl. eller. "unprova.
Eemole�, w repai eny aVuc1uro, prior b� s+��. ��Cwrea �Aa ePWimni lar wch permn to fib e agmd ele�emenl Mal ha a eM
is IicenaeE punueni to tM Orovieiom d�he CoMrwlora Licenae law �Chepter 9(wmma�rp wi�h Sed'pn ]000) d Drvbion 9 d Ihe
Buaineea eM Prolessiona Coda� or Ihe� I+e a she ia uemq ihsa4om eM IM buia lar iha elbpeE atemqun. My violetun d Sedion
)031.5 by enY ��^� Iw e permn eubjMe IM applicaM b e tivil peraM1y d M mae ihen Me huntlred Edlen 135WI).
� I. av ovrtwr W iM P�PanY or my emdMeea xil� we9� a+ihei sole cwnpenaetion. will Eo IM vroM. eM iM ei�w.Muro e na imanded
w ona�e ro, wa ls«ro„ �as. e�m�� �e r�w„s�, code: rne comr�aon u�,.e �w d�. „m woN�� � o�.,�ard wowro
wla WiAs a inC�+ea Iha�eon. md Ma Eom Butli hwk NmaeM or heeaer a �hrpph hb IX hm am emWnY�. pa'b� thm weh
improvemeMs ere not imeMed a d�aed ta sab. M. Mwever. iM EuiNi�q a inpo.emeM b sdtl wil�in aia Y� d compblion. Me
X owrwrvbuiMer will heve Ihe WrEen d paviiq M w eha did na Wild w improve lar �he puryose d aeb�.
� I, n owim d IM1e prapary. em ssdu.+rveN �Irepiq wlh IironseE conbenws io mnaUuq �M1e pojatl (�� ��M. �s'vwe enE
Protessiona Coda: TM Cantreqon �ense 1.aw Eoas �wl appy lo en owror d qope�y wlw bn'ICa a impv.m Iha�eon enE Mfio
comrecte la auch Drol�s xilh e a��Ma) liceneed pureuem lo �M Canlreaas Licemo lew). ..
� I em eRemq uMar Sectian: B. 8 P.C.. M Nie raeaon:
oe�a: o.,�a,:
i eo nmanr �.nM mm i em..,e,. a.�,e �w«siene me reaw�em«,m a cri�e Hmpn ena smmr cme see� . zssaa. e�e
255J0, arM Mel I a any Mure Wikiiq o�eni vrill / wil rwt (tieb me) neeE to eanply ' meia mdr ihe uieamsnb br
epa�mn/ vuctionormodifratbnhamlhsAi�ly.anepemant0imrie.RaeidaMiel rudioneppirat' me emqiromthese
wm.isi ��
Deta. � ApqiceM:
WORKEN'S CONPENSATION OECL�N�T�ON: I Mreby aifi�m unEer parehy d pe�jury aw d �he lollowiip Eetlaretons:
� I hare eM xil meimen e cendwe d odnenl io eatlineure br xwkers' comperumion, n povidad la by Semon 3)00 d �M labv
riOdB.�Ol��1B V81�0I1(iBI1CG O�I�1B'M*�O! WhlChl�119 �IBITIINI8BUBj.
❑ i n�.�e w� �me:, won�a.• m�ro�� m�,.�... �a�n.e n� saa� a�oo a u,a i.em, cm.. ro, ms w�m.�. � m.
wwk ta wliicM1 Mn pemiu u iaued. MY ��' �Pa�� inwre�v;e wrier aM pdi.y number ars:
c�e�:
va� N�me,�
(lhis seaiwr neee rwt be romnime.i 1 tM W�� w/a are M1UMied Eollers Rraol w bn.)
❑ I cenly thet in �ha pe�iwmence d �� w� �w v.Tb� Ihie pe�mX ie isauad, I ehdl � emp�W e�y pa�em in vry menrwr eo sv to
bxome eudac io IM wM1an' t�ce��ion lewa d CeIX«nie. arM e0rea ihet il I shwk bacams wbjetl to tM waken'
�v�� w�o�. w s«�m ��oo d ma �no. coee. i�i imn.,nn �dr �n mW. wo.�a.
Deta�. Applicenf .
Wam/np: F�llun ro aacun woMn�' cOmpHuetlon cwerp� l� unl�wNl. �ntl iIWI �u4Me! an rrploy�r ro crlMnl p.rultlu uM
c/v/l nriw up ro om hurerstl thouuid ��an (SiP0,G00A In eWlHon ro th. eost ol mmpeiwtan, 4mep� o provWetl ror In
Sxtlon 9105 of Ms Lebo� COW, InfeM+4 and ettorney� Ma
CONSTFUCTION LENDING R4ENCY: � MraEy �rm uMer penalry d perNrv �� �� c e ooru�iud'an kMiip epem.y la the
u�no,mence a �ne �� i« wn� me ro^^+ �a ma,ee IseaA� aas�, cr. c�.
LENDEN'S NAME:
LENDEH'S RUDflE55:
I cenih �� 1 heve reed ihia epvlicmim ef�d meie ilut ihe ebova inlormetien is wrteq. I ep�ae �o comOH �h ell ciry end munry adina�ee
aM ala�e kxa ielmip to Wikvp conxhudion ard Mreby aulharte rqxeaente�rves al lho tily lo entar upon IM ebwe.menlnneE popeity
for imped'an pur •
°�-I��° � �� y _
� oma:
(5151d6 WP) Whne-BuiWvq 6 SeIMY: a��-Fle: Cenary-AppFram; Rnk-Revenue:Oddenrad-Aee¢yyw
CLAIM VALOE; 28,000.00 CALC—VALUE: 31,968.00 G
COMMENTS: REFER TO PC#682-93L 6 EXPIRED PERMIT #861367
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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
PERM NO: B 07149
GOVT: N SUPP: N
PURPOSE: NEW
Q FT: 432
OCC; R-3 /
**atr**�t*****�r
------------ MAIN BUILDING ---------- --------- ACCESSORX BUILDING ---------
FRNT: 73 FT 5 IN REAR: 18 FT 3 IN FRNT: FT IN REAA; FT IN
LEFT; 57 FT 6 IN RGHT; FT 6 IN LEFT; FT IN AGHT; FT IN
PARKING REQ• 3 PROV; 3 PARCEL: 11721403 ZNE; RI REF DR912q
PLANNING NdTES> LEGALIZE DETACHED GRANNY UNIT (1 BDRM/LBATH 1 )
> EX, 1 CAR GARAGE + Z OPEN PARKING SPACES ME� REQS.
1EklFiF'MiflMiEifiF7kilitff4Mil1f1liF�kMlflfit�M'1ffFitlF�f1l4iEifiklfM'If%1�'Mifif%ff�IflfifltiflfihMiFif�lf� fFiffFiflt%�kiFlfifkiflElhiE.iE
D E V E L O P M E N T S E R V I C E S R E Q E M E N T S �
�
ZONING APPROVED BY �RS DATE; `31t4 (ar �,
BUILDING APPROVED BY : DATE: \
APPLICATION ISSUED BY: �bq� DATE; �
**�r***i�ir*�r************iF�iFiF3F"�iF� *�F'�'iFiFk�c�F�iF"iF*irx�*�*r*�* * * �.*
LEGALIZATION:Y F E E S U M M A R Y STRUCTURAL SEGMENT;X
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 595.00 3.20
SMIP/NON—RES �
PLAN 386.75
ISSUE FEE '
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 598.20 0.00 193.38 791.58 791.58 ,00
REVENUE DIVISION TOTALS--> COLLECTED; 791.58 OVER/SHORT; ,00
BLDG PMT!PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GAADING PLAN—CHECK
595.00 3.20 193.38
iflfiflfifMiflfiflliflfiFifMMiliflFiEitlfitil1E1F1fMIfif1f1f1fiflfifffitlFitMMfflflfiFMklfif1F1E1tMitffMfflfjEMiflElFifffifMiFlElfiElfiflfifMiEiE
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY
SFR 432
D E S C R I P T I O N
DWE—TYPE V—WOOD FRAME —GOOD
END OF FEES
EXPIRED
DATE — I � �
UNIT COST TOTAL COST
74.00 31,968,00
O1 OU:78214—OOi}822h Tt3'3 391.5�
PA�_: 03125'95 TINE' O�s20
7
CONSTRUCTION ANDPLANNING POO .�SPA
APPROVALS Permit# Date � Inzpector qppROVALS Permit# Date Inspector
1. Temporary Electrical Service or Poie 52. Pooi & Equipment Location �
�•
2. Soil Pipe�Undrgrnd. 53. S[eeI Reinforcement
� ^�•$.�'Electrical Conduii UtilitY-Undrgmd. 54. Forms
�` � 4�YEfectrical ConduiDUndrarnd. 55. Eleciricat 8oading
',5;�$t�el Reinforcement ' 56. Rough Plumbing & Pressure Test
< w�6.�lectrical UFER Grnd_ 57. �APPROVAL TO COVER�GUNITE '
�' �• 7. Footings 58. Electrical Conduit-Undrgrnd.
,. c �6.�-Eoundation � 59. Ga: Pipe, O Undrgrnd., Test - ;
i
y 9.:}Nater Pipe-Undrgrnd. 6Q. Backwash Lines, P�Trap, O Undryrnd. �'
10: -Structural Ploor Sysiem 61.'RPPROVAL TO DECK . �
t t_PropertY Sewer Line & House Connection 62. Backwash & Receptor�Final
12. Sewer Cap 63: Heater & Vent-Final
13. �ioof Drai�s 64. Piumbing System - Finai .
14. Rough Plumbing � ir, 65. Electricai�Final
15. Rough Electrical•Conduit ,66. Solar SYstem-Finai
76. Rough Electric Wiring . -57, Fencing & Access ApProval , �
1�. Rough Wiring Sign � 6&. APPROVED FOR PLASTERING
18. Rough Electrical-T 6ar Ceiling 69. P00�/SPA SYSTEMS FINAL
19. Rough Heatin9 & Air ConditioninFg -_ � FIRE D.EPT. REQUIREMENT
- -, :; r r., _ �;
20.rAou� F�,cto�y Firevlace � �:_: `" � `� �' - _ APP,�SO�?AZS'f', Pe'rmit #�`T_r�
: � y.
2/.�DuCts, in'�Str�Cture � �� •� - � S -% r� • -� 70.:'Unde�yr`ound Hydro '
'Y '1 .1 (it .-!l:
22..Ducis, �nti 3tin`; " t id`L �a ' �tx n. �-+" ' ' �' `
�� 4„y � �n, n . �;r .y F,: . 71 �ProduGt'Pipincj��:Gas �]Oil
23.�Gas Pipe,Rough & T�st ✓ t:<- • r: - w, + i-- 72. Undergrouiid Fhtsh %� - •-�
24. Roof Framinj' �'?"� '""�' "ry� - G �, �_�t T j,3. Undergrnd'Stor�Yank �Gas L�'Oil -
25. Roof Sheathing `M�. .i��-��'�j L' ' ?' 7A.:Ovethead HYdro� � � -
'�- �--
26.'-T-Bai Ceiting (Struc�urail & Monocwt = -' ' ' - - .
�3 `}" i5._br ^ 's : •.-a rt ,-
-� .c : :� �. �j i _ Y Chemical :-' J .�
.- .. .. �_ : a�. . F r.. . � _. .
2�.�Fremeand Fla'shing. •�crc: s., �+- 76. DrySiattdpipe�•« ' '
' 28. Lathinq'& Sii�ing� " ''� �%'=-�=� R�"' # ' � 7,� FIXED�$YST�jvi'FINAL,... `' �
p i rl,,; � ..I ..i .. r S : t r,
._� o' ... ��,:� � ��i � � � ..
� 29. Insu�ation • .r � _ •� I i 78. FIRE PREV. FINAL '' 'T:
' 30. Drywall Nailing ° ` � °j �' • � � �; � ;"'HEAL7'H DEPf'REQUIREMENT
- i- :.a; � � .r._. .� .
' i 31. Plaster Browrt Coaf.� .� � ,r;:+ �"• �'a � , ,' - 79. FINAIlD15PECT�ON ' ` i.
`' 32.�Electrica1'Power Mefer-Final � - � � ^' � } � T `-` SOl FOOD CERTIFtG�ATE • S.UEDT'
:., • i � U ; � I; �... _� �„
;. .. �: f ' � '� "� -
33.:.- r . 1 •o i- . .
Fina��Electric. �,; � � � �• Notes: - ;i �� �; �rr•
i: 34.fF.inai�Heafing&AiYConditioni�> .i��.,+� � �' HOLD F�I� SP�CIAL RE N�' -
35.'Eina`1'Gas PiPerTesT , �: : _ ., � i I'_ ' , ' : "• 7:� y •• h,
36. Hood� or:CanoPY ' `� � � ,-' % cr r a � . � I �• _ ; i �� - + ..� �
r. � 'nt - I ��* - C•7 [•;
� � ` '�'' ' 1 'p' i-+ : � t {l F. ri
: 37. F.inal.faCtory FirePlace ;.- . _ �.., r r '� � , �, ' ;�; . :J
�� 38.�Final��Plumbing � ` ' ,. �.: � I � �� ' �:7 � '
`.H: 1 ' �l
" 39, fNate� Service�Fin�� � ' ' X � � ;• . � "' J • . �'
< 5 t I? > �
; 40. Gas Service-Final�.. .. Lt*^." _�: '+ yi I E �+ ��-+ :;�: .
'_ �5'ey '1 i 1+a 't
- 41.�Solar pomestic-Pinz( ' '' � " � � � �°'t" = ' �
�; . q ♦ I � �' P' �:^.Ci � :r ,
r _
� 42. Backflow Preve�ter - �., .- . + � � i �:: �>F.. . .° r� -
_ � i y ' �Y .-:t �:: Y1 ��
� C . i . .> � r _
�'�-_Backflow Irri'gation ' :,,, �- . � ' ; " t • .
94. Landscape�IrnqactonSystem "�try.' :�-+ 4 ti ` C + c `i• • - N c..
^. u.
�35.'Sound Attenu'ation'. ""' �''` . `'� `"' _ � i " , :" '
- . .. r_. �. . r t+; ~, A - r_� - „
=46. HandicapRegalations . � ' � �: u; - c^-:• <_' .
_ i -
,47. �FINALS.TRUCTURE & BUILDING ,., - �:'a � " �':�= :- � ' _
.,` v F � � ( � i C' .p
48. �FINAL PLANN�NG _ . 2-� � � � :� F, -.
49. ElecCric Release to EiJison ' �: ' i' ' ' � � �-�
a �:.
�50. Gas Release to Southern Califomia Gas Cn , - ��..�_`� �� # ci
< �; _ « �c
51. CER7IFICATE OF OCCUPANCY ' ` `' - "- � - -+ �-
No. Dace - '
I �� 1
PF0.IECT RDOBE55: 2 G O FLOWER JC T
OWNEF'S NAME: GRF.ELEY, ALAN
nooness:260 FLUWEH ST
COSTA MESA,CA 9267.7
uxiT: GRNNY
APCM/ENGINEEN:BxOR NUNBERG ARCH xcc.xo.:C15536
noosess: 1 2 7 4 2 ND ST uxir: B
N.B. CA 42663
PEHMITTEE:ALAN GREELEY (714)645-985R
aooRess: z60 FLOWER ST
COSTA MESA CA 92627
UCENSEO CONTflFCTOB DECLAPATION: I here5y afiirm �ha� I am licensetl unEer pmvisian5 0l ChaD�er 9(commencing wi�h Section
7000� of Oivsion 3 0l the Business and Pmiessions Coae. antl my license is in lull lorte and ei�eci.
CITY LIt.: STATE LIC.: CIASS:
Date: Signamre:
WOBKEHS' COMPENSRTION oECIABRTION: I here�y affirm ihat I have a ceniticate of consent to self�insure ar a cenificate of Worker5'
ComOensatmn Insurance. or a cenitietl copy Ihereol �Section 3800, Lab. C�.
POLICY NO.: E%P. DpTE:
COMPpNY:
❑ Certrtietl capy is hereby furnishetl. ❑ Cenifie0 capy is tile0 wilh lhe ciiy 6uilding Division.
Daie: Npplicanl:
E%EMPTION FROM WOPKEXS' COMPENSATION OECL4BATION: Qhis section neea nol be comple�etl if �he permit is a e hunAreO ($100) or less).
I cetlily thal in Ihe petlormance o� �he �vork for which Ihis permil is issuetl. I shall no lploy any person in manner so as �o become
sublecl �to/ �the W�orkers' Compensalion Laws oi Calitomia.
�aie: • - �af� � 4 Signalure:
NOTICE: Ii. aiter making Ihis tleclaration, you s�auld 6ecome suble�� �o ihe Workers' Compensation provisions �'he Labor
Cotle. you musi fatlhwil� comply with such pmvisions or Ihis permi� shall �e tleemed revoked.
CONSTflUCTION LENOING RCENCY: I �ereby affirm ��ai ��ere is a conslmciion lentling agency �or ��e pedormance of the work for
whlCh IhiS p¢�m7i I5 i55ued ($eclion 3097, Civ. C).
LENUEH:
AOUNESS:
OWNEfl BUILOEN OECLABATION: I hereby allirm Ihat I am exempt trom t�e Contractors' State License Law lor the following reason
(Sec�ion 7031.5 Business an0 Professional Code'. NnY ai�Y ot counry which reQuires a permi� to conSimcC alter, impmve, tlemolish, or
repaii any S�mcWre. prior Io ils issuance, alm require5 ihe aD�licanl lor such permit to �Ae a signed sla�emeni Iha� he/she is licensetl
pursuani to Ihe pmvisions o� the ConVactors' S�ate License Law (Chapter 9(commencing wiih Sec�ion 7000) of Oivision 3 0� the Business
an0 Pmfesswns Cotle� or thai he/she is exemD� therelmm antl lhe basis �ar Ihe allegetl exemption. Any viola�ion ot Seciion 7031.5 Dy
any applicant lor a Dermi� SuDlectS ihe applicani lo a civil penalty o� not more t�an �ive hunOrea dollars �5500�.
I. as owner ol �he pwpetly or my employees with wages as �heir sole compensa�ion, will do the work, antl the
❑ 5imciure is noi intentletl or olleretl �or sale (Seclion 704G. BuSinesS anU Pmiessional CoOe: The ConVactors' Stale License Law
does not apply ro an owner of a propetly who builtls or impmves thereon, antl who Ooes such work �imSelUhersel� or Ihmugh
his or her own employees. pmvidetl Ihat such impmvemen�s are nat intended or ofle�ed for sale. I�, however the �uiltling or
imDmvemen� is SoIA wiihin one year ol complelion, the owner will have �he hurden ol D�oving he/she Oid not �uild or improve
�or Itle purpose ol sale).
I, as owner ol Ihe propehy. am exclusivety conirac�ing wi�h licensetl conlmctors �o consimc� �he pro�ec� (Section 704d, Business
.� antlProle55ion5Code: TheConVaclors'SlateLicenseLawdoe5notaDDty�oanownerolOropertywhobuiltl5orimpmvesihereon
and who toniraqslor SUCh pmle��5 wiih a tonlractor(5)license pur5uan�lo Ihe Con�raCtors' $ta�e LiCense Law),I am aware
that pmai ol iheir Worker's Compen5aiion insurance shoultl �e pmvitletl to me.
� I am exempt untler Section: B. 8 P. C.
brlMs^reason
Oa1e'. " �"� �' � Owner:
I Do here�y ceNfy ihai I am aware ol and untlerstantl Ihe reQuiremen�s oi Califomia Healih antl Sa�ery Cotle Sec�ians 25505, 25533, antl
25534 antl I�ai I or any tuWre buil0ing occupani willlwill nol (circle one) neetl ta comply with 5aitl s�ate codes antl �he requiremenls �or a
� permit for cons�mclion or modilicalion imm the Air Oualiry Managemenl �iStncL Resitlen�ial constmc�ion applications are exempt �mm
IIh¢SE plOVISi0115.
�ale: Npplicanl'.
I �ereby certi�y�hat I have reatl this applicalion and Slaie�hatihe above iniormalion i prrecl. Iagreeio co �ply with all ciry and counly
oralnances nntl Stale laws relaling �o building consWctlon and hereby authonze repr n ives ai Ihls ciry lo r uDon ihe above�menlioned
pmp¢ny �oi inspeciian purposes.
�aie'. _��/],T ll� SignaWre'. �
oriver's License or Social Secunty �
t64t�d6 White—Builtlingl Green—Code EnlorcemenL Canary—ApplicanC Pink—Revenue; Goltlenrotl—Assessar
<
CITY OF COSTA MESA - HUILDING PERMIT PERM NO; B abi36
PERMIT NO: B 061367 PLAN CHECK NO: 00682-93 S GOVT: N SUPP; N
CONSTRUCTION TYPE: PER�7IT TYPE: STR PURPOSB; NEW
JOB DESCRIPTION : LEGALI2E 432Se GRANNY UNIT SQ FT; 432
CLAIM VALUE: 28,000.00 CALC-VALUE; 31,968.00 GROUP OCC; R-3 /
COMMENiS• REFER TO PC#4879-92L / SMOKE DETECTORS RE�UIRED PER 1991 IJBC
***+��*�*�*x*x����****�**�x*x****�*��****x��***��*x�� �*****�**x-�*��**�x**�****��*
Z O N I N GS E�TEB�AUCIKRSE M E V T S
HOLD FOR SPECIAL RfQ1JJREMEdJ�:
--------- — MAIN BUILDING ---------- --------- ACCESSOkY BUILD'ING ---------
FkNT: FT IN REAR: FT SN FRNT; FT IN RE:AR: FT IN
LEFT; FT IN RGHT: FT IN LEFT; F'T IN RGHT: FT IN
PARR LUG REQ• PROV: PAI2CEL• 11721403 7.NE; R1 REF NO• DR9124
PLANNING NLST'ES> LEGALI2ATION OF GkANNY (]NIT ALONG THE EASTERLY PROPEkT'Y LINn
i
iE iE �f iE if iE jF 1E iE iE if -If iE iF iP �7F iF if iE iE iE if iF iF iE jf� iE iE 1F iE iE iE iE iE iE iF 3E K� iE ff iF ik i! 1E iF iF9F iE iE iE fElf 1F iP If jE # iE-k iE fE jf if iF 3f �Flh iE ih !f jt� 3P �f� �!E 1t i(� 1e if 3E
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
ZONING APPROVED BY : �T�-� DATE: .3 !
BUILDING APPROVED BY : DATE; 1,���
APPLICATION ISSDED BY: - DATE• � S"
7E1EiE�lEiF1(�3Ei(-ifihiEiEiFil�7li(�ipiEiEiElElf 1r ic . ftit - �1k1Ei(�K�iFiEi6�lFiFiFar vuR �r tx� i .��1E�E
ifiEiEiEiE#3E3EiEiElEiEjkiEifiFi61E%'K�iEiElE3EiFiEiEiE3Fjf'1FiEiF�Fil�E�f�Eii�9f�lFih ifiEiEdF%�9Ek3hlfifiEM�1EiE3EiEiE%�ikiEif�EiF9F�K�N��F3f-3(�iEiFjFjF�M��H�
LEGALIZATION;Y F E E S[J M M A R Y STRUCTURAL SEGMENT:Y"
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 595,00 3.20
SMIP/NON-RES
PLAN 386.75
ISSUE f'EE
BUILDZNG-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 548,20 0.00 193.38 791.58 791.58 .00
REVENUE DIVISION TOTALS--> COLLECTED: 598.20 OVEk/SHORT: .00
BLDG PMT PLUMBZNG ELECTRIC MECHANIC F'IRE SMIP/TOT GkADING PLAN-CHECR
595.00 3.20
iE iF iF if iE �1F 3E 1E 3f if 1f iFlE 1E iE iE 3E iE iE iElE ik if �F if 1E �FlE 1F iE 1f )E 1E iE iF iF iE i(�iE iF �E iE * iE if 1E iE 3f if if iE �%�iF iE 1E if if iE 3E 3E iE 3F it iF if iFih iE ih if it !F if 3h iE if iE IF 3f
I N D I V I D D A I, F E E B R E A FC D O W N
TYPE QTY D E S C R I P T I O N UNIT COST
SFk 432 DWE-'PYPE V-WOOD FRAME -GOOD 74,00
;�qi END OF FEES
W. �
� E7ir, .. ..
TOTAL COSi
31,968.00
Incomplete I,::,:. .... „ .
_ I,, �.. ; �?c.,.��. ,r—..^„i�
:'s,�f;�QIIqJ�• i�l Dut�`3a:,-Of:3s5366 i'i� r -
�.��..�+em.Q,.�� ��i"': �i:�:ii3 TIf1t'" '...
�
i
�� � �JFeTt�•.UJI{.�i�%S 1i.�'l� rii ` ` "
1
December 22, 1992
To:
CITY OF COSTA MESA
CALIFORNIA 92628-1200 P.O. BOX 1200
DEVELOPMENT SERVICES DEPARTMEN7
BuilSing Saiaty Divisicn
Code Enforcement
Communications
Copley-Colony of Costa Mesa
County Administration Office
County Clerk/Bd. of Supervisors
County Registrar of Voters
County Tax Assessor
Engineering Division (2)
Fire Admin.-Training Officer
Fire Prevention
File (2)
Newpor.t-Mesa T_Tn_ Scrpcl I?ct, (21
Pacific Bell
Police Dept. - Ping. & Research
Santa Ana Heights Water Company
Sanitary District Engineer
Southern California Edison Co.
Southern California Gas Co.
State Board of Equalization
Street Division
U.S. Post Office - AIS
U.S. Post Office, Adams Avenue
Mesa Consolidated Water Dist.
The City of Costa Mesa wishes to advise you that the following
addresses have been changed or added:
OLD ADDRESS
260 Flower Street
NEW ADDRESS
260 Flower Street, Unit A
Unit B
Your cooperation in this matter is appreciated.
S cer y,
MMY K. BASHAM
Associate Planner
(260FLOYR.ADD) I1
77 FAIR DRIVE
Building Division (714) 754-5626 • Code EnforcemenVBusiness License (774) 754-5234
FAX (714)556-7508
A.P. NO.
117-214-03
• Planning �ivision (714) 754-5245
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CITY OF COSTA MESA
BUILDING DIVISION
OWNER-BUILDER VERIFICATION
A city or county, which is required to give notice pursuant to Section 19830, shall attach to such
notice, and, as a condition precedent to issuing a building permit, require the completion and require the
return of, an owner-builder verification.
Attention Property Owner:
An 'owner-builder' building permit has been applied for in your name and bearing your signature.
Please complete and return this information in the envelope provided at your earliest opportunity
to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued
until this verification is received.
1. I personally plan to provide the ma�' labor and materials for construction of the pro-
posed property improvement. C3'Yes O No
2. I(have/have not) �p„t signed an application for a building permit for the
proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction:
Name _
Address
Phone (
City
Contractor's Lic. No..
4. I plan to provide portions of the work, but I have hired the following person to coordinate,
supervise and provide the major work:
Name
Address
Phone (
City
Contractor's Lic. No. _
5. I will provide some of the work but I have contracted (hired) the following persons to pro-
vide [he work indicated:
Name Address Phone Type of Work
I hereby affirm that I have received a copy of the information set forth in Section 19830 of the State
of California Health and Safety Code and hav completed the above information to the best of my per-
sonal knowledge, in complian with this St aw. �_ '` ��
Signed: Date:
Name: FF � A'd W_<'t 1'f--1
(Printed or Typed)
C.D.L. # or S.S. # �� � C.� L
754-5273
I042i6
l—
, �
PHOJECT PODflESS: z 6O r L��ER JZ`
OWNEfl'S NAME: GREELEY ALAN
aooxEss:?60 FLO{•�tER ST
COSTA MESA,CA 92627
u"iT: GAR74G
' ABCH/ENGINEEP: a C NON'B ERG nec.xo.:C 1 S 5 3 6
AODNESS: 1 z 7 4 2 ND S'i' UNIT: B
N.�. CA 92663
� PEflMITTEE:ALAN GkEELEY ( 719 ) 645-9658
aoosess: 260 rLOWER ST
COSTA MESA CA 92627
LICENSEO CONTflACTUB �ECLAXATION: I hereDy affirm ihat I am licensed untler Drovisions o� Chap�er 9(commencing wi�h Sec�ion
�000) ul Orvlsion 9 oi thc Business and Pmfessions Cotle, antl my license is in tull lorce and effeci.
CITY LIC.: STRTE LIC.: CLASS:
I Daie: Sgna�ure:
I WONREHS' COMPENSATION OECIABATION: I hereby aifirm �hat I have a ce�ificate o� consent �o selbinsure or a cetlilicate oi Workers'
�, ComDensalion Insurance, or a cetlifietl copy Ihereo� (Section 3800. Lah. C�.
� POLICY NO.: EXP. �ATE:
COMPANY:
❑ Certiliee copy is hereby fumishetl. ❑ Cenifietl coDY is filed wi�A Ihe city Building �ivision.
�ate: Npplicant
E%EMVrIONFflOMWOPREBS'COMPENSIITIONOECt4BATI0N: Qhi55edionnetNno�be pl� Giftheper'tistronehundreU�3700)arless�.
I ceN�y Ihal in Ihe petlormance o� the work for which Ihis permit is issued, I s�all e yfoy any perso 'n y manner so as to become
subleq lo Ihe Workers' CamDensalion Laws of Califomia.
Daie'. � 1 � Signa�ure:
I r i n no�m e �om sub'etl �o Ihe Workers' Com ensa�ion mvisions o� the Labor
NOTICE: I�, al�er making Nis deC a al o, yoU 5 e e � � 0
CoOe. you musi �ort�wiih comply with such provisions or Ihis permit shall be Oeemetl revoke0.
CONSiflUCTION LENUING AGENCY: I hereby aflirm Ihai �here is a conslmction lenaing agency lor �he pedormante ol Ihe work tor
which Ihis permit is issuea (Sec�ion 3097. Ci¢ C�.
LENDEfl:
ROUNE55:
OWNEP BUIL�Efl DECLl�BpTION: I hereby aftirm Iha� I am ezempi Imm the Conlracbrs' S�a�e License Law for t�e lollowing reason
(Section 7031.5 Business and Pmfessional Code. Nny ci�y of counry which requires a permit to consimct. alter, impwve, eemolisn, or
reDair any slmcWre, prior lo ils issuance. also requires ihe applicant lor such permii �o lile a 5igne0 statemen� Iha� h¢/s�e is licensed
pursuanl Ia �he pmmsions af ��e ConVacmrs' S1aie License Law (Chapter 9(commencing wiih Section 7000) af Division 3 oi the Business
and Pmlessfans Catle� or Ihai �e/she is exempt Ihere�mm and ihe basis tor Ihe allegeA exemp�ion. Nny violabon o� $ection 7031.5 Gy
any applicant lor a permi� sublects ��e applicani ro a civil penalry ol noi more �han five �unAred tlollars ($500�.
I, as owner of �he praperty or my employee5 with wages as �heir sole compensalion, will do the wark, and Ihe
I❑ simcWre is nol intenaed or oileretl �or sale (Section 7044, Business anA Pwfessional Code: The Contracmrs' Slaie License Law
aoes not apD�Y lo an owner ol a proDerty who builtls or impmve5 �hereon. an0 wha Ooes such work himsel�/hersel� or �hmugh
his ar her own employees, pmvide0 that such impmvemen�s are nol inten0e4 or oilereA for sale. I�, �owever �he huiltling or
impmvemenl is so10 within one year o� completion, Ihe owner will have the burUen of pmving he/she Oitl no� buila or impmve
br �he purpose ol sale�.
I. as owner of lhe pmDe�y. am eeclusively coniracting with licensetl conirac�ors to consiNct the prolect (Secti n 7W4, Business
� antl Pm�essions COAe: The ContraCiors' State License Law aoes not apply to an ownerof D�aOehY � builtls impmves ther2on
antl who coniracls lor such pmlec�s wilh a contrac�oqs)license pursuan�ta the Con[raclor5' Slate Licen aw�. I am aware
Ihal pwol o� iheir Worker's Campensa�ian insurance 5hould be Omvitletl to me.
� I am exempl untler SecUon�. B 8 P. C.
lor Ih�is reas^on: _
�a�e: • _ _ � � Owner
I do hereby ceni�y thal I am aware ol and untlers�an0 Ne requiremems o� Calilomia Healih and Saleiy CoOe Sections 25505, 25533, and
25534 antl thal I or any INure bwl0mg occupan� willlwill nol (circle one) nee0lo comply with sai0 s�a�e cotles and �he repuiremen�s for a
permii lor con5lmciion or motlibcation hom �he Air �uahry Managemen� OiSirici. ReSitlenliai cons�mction apDlicalions are exempi tmm
�hese pwvisans.
Da�e. FpplicanP.
I �ere�y cer�ity I�a� I �ave read �his apPhcaiion and state Ihat ��e above in�armation is correc�. I agree c mply with all ciry and counry
ortlinances antl s�atelaws relalinglo building conslruction and hereby authorizere senla�ives o��his city� teruponihe above�men�ione0
pmperiy lor inspec�ion pu/rp�oses. /'
�ale: ' ' �/"{/ , v SignaWre: `+
�river's L¢ense ar Sacia� Securiiy
t6n1-46 Whi�e—Builtling�, Green—Cotle Enforcemen�-, Canary—Applicam; Pink—Revenue; Goldanrotl—Assessor
CITY OF COS'TA ME5A — BUILDING PERN,I7'
PERNIT NO; B 061368 PLAN CHECR NO; U487�-92 L
PERM NO; B Uo1�68
GOVT; N SUPP; N
CONSTRUCTION TYPE; PERMIT TYPE; STR PUkPOSE; NEW
JOB DESCRIPTION ; 3605F NEW 2 CAR GARAGE SQ FT; 360
CLAIM VALUE; 5,500,00 CALC—VALUE: 6,696.00 GR6UF OCC; M-1 /
COMMENTS; RE; B61367 ON PC# 682-935
***+�+�**�*�r����*�r*�r*x��,�****�******�xx�**��r*****��c��*�r�*�**�*��**x�*�*�r*-�x��*�**�*
Z O N T N G R E Q U I k E M E N T S
s E T B A c x s HOLD FOR SPECIAL REQUIREMENTS
------------ MAIN BUILD'!NG ---------- --------- ACCESSORY BUZLDING --------
FRNT; FT IN REAk; FT IN FRNT; FT IN kEAR; FT Thi
LEFT; FT IN RGHT; FT SN LEFI'; FT IN RGHT; FT IN
PAkKING REQ• PkOV; PARCEL: 11721403 ZNE; R1 kEF NO; DR-9124
PLANNING N01'ES> PROPOSED 2 CAR GARAGE SNTERIOk DIM, 20F'T, BY 20FT,
i
iE 3E �!E iF 1f �IE iE iE fE iE iE if it �lE X� if % 1E iE �!f iE if -lE iE iE iE ih iF it iE iF ik 1E iE-1F 3E iC� iE iE-%� %ib # 3(� lE iE 3F if iE iF iF i4 iP iE 3'r iE iF if iE jE �1k if i! 3l-!F!E iE iF it iE )f- iF 1f i(� # N� #E iF dE
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 4
'LUNING AF�PROVED BY :�� I� i DATE: .3 �� �
BUILUING APPkOVED BY ; _ DATE; �
APPLICATION ISSUED BY; �(,� .—������'� �� DATE: c� � .
3P�1E1EiEffiE3(�lEiEIElflEffiE-ltiE-1E1Fi(�iFiFi(-if�F 7F�F3F! ' iri'i�3fii-3F iF�'i�iF3FiEii-iF�iF8F1t�jElE3EifiEiEifiFiEiE #FiE
1F 9E i! 9E iE �3E 1E iF )E iE iE 3F iE jf K� 1E 3h ib ib jf �E?E iF'lE if if 1E iE iF iE 3t iP iE 1F 3E 1E iF IE iE iE �E �E iF 3F �1�.1�� # iPiE iE iF 1E �k 1E iF iE iF 3E i4 !E iE jE * if iE 1E �EiE 1FiF i(� ji� 1F iFjF iE±E 3f �)F
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;Y
BLDG PM,T PLUMBING ELECTRIC MECHANIC F'IRE SMIP/RES GRADING
PERMIT 90.U0 ,67
SMIP/NON—RE5
PLAN 58.50
ISSUE E'EE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECH
TOTALS----> 90,67 0,00 58.50
REVENiJE DIVISION TOTALS--> COLLECTED:
BLDG PMT' PLUMBZNG ELECTRIC MECHANIC
90.00
TOTAL FAID DUE
149,17 199.17 ,00
90,67 OVEk/SHORT; 00
FIRE S�yIP/T67 GRADING FLAN—CHECR
3E if 1E �% iF-k if IF iE iE 1E iE 1E iF iE iE If iF i(� iE if iE lE if� if If !E iE �lE iE �lE JE iE if iE iE ik 3E 1E ih I(� ik iElE if it iPiadk K iklE 3Eit 3f !E it if fE iF iE �IElElF iF 7ElE ik IE iE iE if 3f iE i(� # ik 3(�fE
I N D I V I D U A L F E E B R E A K D 0 W N
ITYPE
ISFR
QTY D E S C k I P T Z O N UNIT COST
360 RES—GARAGES TYPE Va' �� 18;�0
�ND OF 'FEES
EXPIRED
�iicom lote �R$pectant
a� � �' s�c
TO'I'AL COST
6,696,00
� ,'. U, '��h �5,�"''S7-9ri,7-,i'�3 � a�� i
uN1E: G:;r. 15i9; T?Me: iii:;S
CITY OF COSTA MESA
BUILDING DIVISION
OWNER-BUILDER VERIFICATION
. �
A city or county, which is required to give notice pursuant to Section 19830, shall attach to such
notice, and, as a condition precedent to issuing a building permit, require the completion and require the
return of, an owner-builder verification.
Attention Property Owner:
An 'owner-builder' building permit has been applied for in your name and bearing your signature.
Please complete and return this information in the envelope provided at your earliest opportunity
to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued
until this verification is received.
1. I personally plan to provide the ma�' labor and materials for construction oi the pro-
posed property improvement. CCl'Yes O No
2. I(have/have not) I�p,,� signed an application for a building permit for the
proposed 'NOfk.
3. I have contracted with the following person (firm) to provide the proposed construction:
Name
Address
Phone (
City
Contractor's Lic. No.:
4. I plan to provide portions of the work, but I have hired the following person to coordinate,
supervise and provide the major work:
Name
Address
Phone (
City
Contractor's Lic. No..
5. I will provide some of lhe work but I have contracted (hired) the foltowing persons to pro-
vide the work indicated:
Name Address Phone Type of Work
I hereby attirm that I have received a copy of the information set forth in Section 19630 of the State
of California Health and Safety Code and hav completed the above information [o the best of my per-
sonal knowiedge, in comptian with this St aw. �� (` ��
Signed: Date:
Name: ��'q"� W_t't1'e--1
(Printed or Typed)
C.D.L. # or S.S. # �� '� � �� L
r"
754-5273
Project Address
Project Name
C�'Y IF C S' 'A MESA
CALIFORNIA Y2626 P.O. BOX 1200
FROM THE OFFICE OF THE DIRECTOR OF BUILDIN6 SAFETV
Z- (v 0 � I o w c�-
Ownexs Name Q-��lN �9�'c��cv
Owners Address Z/� F�a�..,-�.r- S�
owners Telephone s Y g g� LR
Permit # 7 9 � �
�
City Use Qily
I /�.�„�J C, �tG �-c � as Owner, Ce�t-�ac.to�Agent (strike out all
except one) do hereby att s�t that e�loynent of any person, or persons, is not
anticigated at the tvne of seeking the above-referenced permit. In the event that
any person, or persons, are er�loyed under the prwisions of this pennit, I shall
itmiediately cause a valid Certificate of Wor]anens Cortq�ensation to be filed with the
Costa Mesa Building Division.
I agree to defend at my aan mst, and to indemnify arx3 hold harmless, the City,
its officers, agents and/or e�loyees, fran arc] against, arry and all liability,
damage, costs, l�ses, claims and expenses, howscever caused, resulting directly
or indirectly fran, or connected with the improve�rent under this permit.
I further state that I have read and fully imdecstand the implications and rr
sponsibilities of the above state�nents, and will crniply with all provisions of the
Contractors State License Iaw found under the Business ard Professions Code,
Division 3, (1�apter 9, of the State of California.
��ct� l�r��� ��l
Print Name
��► -�.� �
Signature
CMF 0777-66
��yvS � ' i� ���
I�te