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Home My WebLink About359 HAMILTON ST - Building Permits(7/4) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 359 HAMILTON ST Suite: A Vicinity: ROOF Parcel Number: 41918124 App�icant: ALBERTSON, MIKE Address: 351 N NEWPORT BL - - , SUITE 462 " � NEWPORT BEACH, CA Owner. OSTCING; JACQUELINE C TR Address 1327 TAMARACK AVE " - � CARLSBAD, CA� � Contractor: QUALIFIED ROOFING Address: 351 N�NEWPORT BL i � SUITE462 . NEWPORT BEACH, CA Zip: 92663 Arch : Address: . � ��- . � Phone: , � �- Zoning: Phone: (714) 850-4166 Zip: 92663 Phone: Zip: 92008-3422 �� Phone:- (714)850-4166 � License:` 517602 � !J Eng: � � Address: Status: ISSUED Applied: 02/03I2003 Issued: 02/03/2003 ISSUED BY: C �� Phone: Zip: � � License: , License: - -, .� ,_. SCOPE OF P.ERMIT_. _ - � TEAR OFF EXISTING ROOF. REPCACE WITH CLASS A, 30 YEAR COMPOSITION SHINGLES. 1,100 S.F. FOR UNIT A FEE SUMMARY Plan Check: $0.00 Calc Valuation: S2,io0.00 Permit: . $83.25 - —' � ,- -- ', _� Claim Valuation: Sz,ioo.00 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $83.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY � Front 0- 0 PARKING Existinq: 0 NOTES: PLANNING & ZONING Rear 0- 0 Left 0- 0 Right 0- 0 Rear 0- 0 left 0- 0 Right 0- 0 Required: 0 Proposed: 0 . NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regula[ions. (Ord. No. 92-20, § 1, 12-21-92) 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 period of 180 days. INSPECTIONS: In order for the work authorizad under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inapections and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (774) 7545626 2d4&G6(W00) WORKERS'COMPENSAnON DECLARAnON: , ' I hereby aHirtn under penelry ol perjury one oi the tollowing tleclaretions: ' ' � � I have and will meintain e certificete oi consent to sel6lnsure for workers' compensation, as pwvided for by section 3700 of the Labor Cotle, for the pertormance oi ihe work for whic� Ihis pertnit is issuetl. ., � � I have and will maintain workars' compansation insurance, as raquiretl by section 3700 ot the Labor Cotle, for the performance of the work lor which this permit is Issued. My workers' compe0satlon Insurence wrtler entl policy number are: . � Certier: (This section need not be com0�eted velue0 et one hundred dollars ($100) or Iess.J Policy Number. 0" I certity thet in the pertormanca of Ihe work for which this pertnit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation lews oi Celifomia, an0 egrae t�et If I should become subject to Iha workers' wmpensetion provisions ol Section 3700 oi the Laboi Code, I shall lorihwith comply wl�h ihesa provisions. �� ( Applicent Signeture: �'�'J //Ul �-X.�-Za-x- �_ Dete: Z' 3— Q 3 WARNING: FAIWRE TO SECUiiE WOHKERS' COMPENSAiION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPI.OVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THWSAND DOLLARE (5100,OW�, IN ADDRIIXJ TO THE COST OF COMPENSATION, DPMAGES PS PROVIOED WR IN SECTION 3]Ofi OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aNirm thai I am licensed under provisions of Chapter 9(commencing with Section 7000) of Oivision 3 of the Business and Pmfessions Code, entl my license is in full force end eflecl Lic. p ,r7 �%(7 U Z. Class tt�'.3 � Contractors Signa W re: l�-.?��.�`'r�- Date: 2� 3— n" � LONSTRUCTON LENDING AGENCV: ❑ I hereby eflirm that Nere is a conswction lending agency tor Ihe peAortnance of ihe work for which this pertnit is issued. (Sec. 3097, Civil Code). Lendels Name: Lenders Adtlress: Signatura: Date: OWNER-BUILDER DECLARATIONS: I hereby ettirtn Ihal untler penelry of perjury that I em E%EMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business entl Pmfeulons Cotle: My ciry or wunry which requires e pertnit to consirucL alter, improve, tlemolish, or re0air any shucture, prior to its issuance, elso requires tha epplicant lor suc� pertnit to file a signed statement that he or she Is IlcenseC pursuent to ihe pmvisions of the Contractors License Law (Chapter 9(commenGng with Section 7000) ot Dlvision 3 of t�e Business and Professions Coda) or thet he or she is exempt iheretrom antl the basis for the allegetl exemption. Any violetion of Section 7031.5 hy any epplicant for e pertnit subjecis ihe epPlicent to a civil penalry oi noi more than tiva hundred dollars ($500) J: ❑ I, as owner ot tha properry, or my employees with wages es iheir sole compensation, WILL DO THE WORK, end ihe structure is not intended or otteretl lor sele (Sec. 7044, Business and Professions Code: Tha Contractors License Law dces not apply to an owner of property who builds or improves thereon, end who does such work himself or herseli or through his or her own employees, provided that such improvements are not iniended or offered lor sale. It, however, the building or improvement is sold within one year of completion, the owner-builder will have the 6urden ot proving that he or she ditl not builtl or improve tor purpose ol sele.). ' ❑ I, as owner of the property, am E%CLUSIVELY CONTRACTING WITM LICENSED CONTRACTORS to construct the projecl (Sec. 7044, Busine55 end Professions Code: The contrectors License Lew tloes not apply m an owner ol pmperty who builds or improves thereon, antl w�o coniracts tor such projeci with e contrector(s) license pursuant to the Contractors License Lews.). ❑ I am ezem0� under seC. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivefs licensa. ❑ Yes ❑ No Dnvefs License No. Verification ol Ownership by (type oi tlocument, i.e. - property tax bill or deed): Expires: DIVISION OF INDUS7RIAL SAFETV PERMIT CER7IFICA710N: ❑ I hereby certify ihat no ezcavetion five (5) or more feet in depth into which a person is required to descend, wiil be made in connection with work euihonzed by ihis permil, antl that no building sirucNre, scaMolding, falsework, or demolition or dismantiing ihereof, will be more than thirty-siv (36) feet high. (Chep. 3.2, Grp 2, Art 2, Sec. 341, Title B, Califomia Administrative Code). ❑ As owner-builder, I will not employ anyone to da work which would require e permit from the Divisian of Industnel Safety, as notetl ebove, unless such person hes e pertnit to do such work irom the tlivision. Signature: Date: Division of Indu52rial Safey Pertnit Number: CERTIFICA7E OF COMVLIANCE AND AUTHORIZA710N OF ENTRV: I certity under penalry ot perjury that I have read this epplication entl stete ihet the intortnetion given is correcL I agree to comply with ell state laws antl ciry ordinances relating to building consWction, and authonza represantatives of ihe Ciry of Cos�e Mesa to enter upon the abwe-tlescribed property for inspection purposes. I agree not to occupy or allow occupancy ot any building authonzed by ihis permit until final inspection. � � �Si�ye Ot Legal Owner(s) �..�ln)� Z - 3 — And/Or Authorized Applicant COOE I. INSPECTIONTYPE 1616 Fixetl System Final Fire Prevention 1266 200 201 202 203 204 Pool Spa Finel Final Re-Rool Flnal Block/Retaining Wall Final Faciory Fira Place Final Sign Final Demolition " ' QgL INTITIRLS Z' ��3 � COOE� INSVECTIONTYPE � 206 Final Mechanicel 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 � ' 250 Final Site Final Building/Occupenty (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT JobAddress: 359 HAMILTON ST Suite: B Vicinity: ROOF Parcel Number: 41918124 Applicant: ALBERTSON, MIKE Address: 351 N NEWPORT BL , SUIT� 462 � - NEWPORT BEACH, CA Owner. OSTLING; JACQUELINE C TR Address 1321 TAMARACK AVE � Zaning: Phone: (714)850-4166 2ip: 92663 ISSUED BY: � " _ � � " � - Phone: ' � - � . . . _ - .i: _ , = CARLSBAD, CA" " ' � Zip: 92008-3422 ' - � Convacror. QUALIFIED ROOFING Address: 351 N NEVJPORT BL . � SUITE 482 NEWPORTBEACH,CA Zip: 92663 � License: 517602 Phone: (714) 850-4166 Arch : Address: " � � � Phone: Eng: Address: Status: ISSUED Applied: 02/03/2003 Issued: 02/03/2003 Phane: Zip: - - License: � License: ,- . SCOBE OF PERMIT TEAR OFF EXISTING ROOF. REPLACE WITH CLASS A, 30 YEAR COMPOSITION SHINGLES. �1,100 S.F. FOR UNIT B FEE SUMMARY Plan Check: $0.00 Calc Valuation: S2,ioo.00 Permit: , $8325 - - _ ' ' Claim Valuation: $z,ioo.00 SMIP Res: $Q.50 SMIP Com: $0.00 Other: $Q.00 Inspection: $0.00 Total: $83.75 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY �Front 0-0 PARKING Existina; 0 NOTES: Rear 0- 0 Rear 0- 0 Required: 0 PLANNING & ZONING Lek 0- 0 Lefl 0- 0 Proposed: 0 Right 0- 0 Right 0- 0 NOTICE: The work authorizetl by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) 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 penod of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 754-5626 244fi-46(8�00) WORKERS'COMPENSAnON DECLARAnON: � � • �� I hereby aflirm under Oenalry of perjury ona ot t�e following declarations: - � - ❑ I have and will meintein e cetlificate of consent to selt-Insure tor workers' compensation, es pmvidetl for by section 3700 of the Le6or Code, for ihe peAortnence otthe wotk tor which Ihi! permii is I55ued. . ❑ I have and will maintain workere' compensa6on insurance, as requiretl by section 3700 oi the Labor CoOe, for ihe performance oi the work lor which this pertnit is issuetl. My workers' wmpensation Insurance carriar and policy number are: ' - � Cartier. Policy Number: (This ion need no( be completed 11 fhe permit is velued et one huntlretl tlW/ars ($100) or /ess.) . I certity Ihat in tha pertormance of the work for which Ihis pertnit is issuetl, I shall not employ any peroon in any manner so as to 6ecoma subject to Ihe workers' compensetion lews oi Califomie, entl egree �3TRl s�o�dtiacome subject to Ihe workers' wmpensation provisions of Section 3700 of the Lebor Gode, 1 shall torthwith wmply with ihese pro•vi-gi�} �/� �� AppliwntSigneture: "VI/Cr- I;--x-�/—"�Z Date: Z' -?i �� 3 WARNING: FAILURE TO SECUFE WORKERS' COMPENSATIIXJ COVERAGE IS UNLAWFUL AND SHALL SUBIECi AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE MUNDRED THOUSAND DOLLARE (5100.0OO�.IN ADDITION TO THE COST OF COMPENSATION, DAMAC+ES AS PROVIOED FOR IN SECTION 31O60F THE LABOR COOE, INTEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby eftirtn ihat I em licensed under provisions of Chapter 9(commencing with Sectlon 7000) of Division 3 of the Business end Professions Coda, entl my license is in full torce end eHecL Lic. x �%�- class a G-.� `/ Contractor's SigneWre: Date: Z � �i �v � CONSTRUCTION LENDING AGENCV: ❑ I hereby ettirm that there is a consiruction lending agency tor the peAortnance of the work for which Ihis pertnit is issued. (Sec. 3097, Civil Code). Lentlefs Name: Lentlefs Address: Signature: Data: OWNER•BUILDER DECLARATIONS: I hereby aHirtn that under penfllry of perjury Ihat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions CoOe: Any ciry or wunry which requires e permii to consirucL alter, improve, demolish, or reDair any siructure, prior ro its issuance, elso requires the applicant for such pertnit to file a signed atatement that he or she is licensetl pursuant to the provisions of the Contrectors License Law (Chapter 9(commencing wiN Sectlon 7000) 01 DiWsion 3 ot Ihe Business antl Professions Code) or that ha or she is azempt therafrom and the basis for the alleged exemption. Any violation of Sectbn 7031.5 Dy eny epplicent tor a permit subjects iha epplicant to e clvil penalry of not more ihan five hundred dollars (3500).): ❑ I, es owner ot the property, or my employees with wages as iheir sole compensation, WILL DO TT1E WORK, antl the siructure is not intendetl or oHered tor sale (Sec. 7044, Business and Protessions Code: The Coniractors License Law dces not apply to an owner of propery who builds or improves Ihereon, and who tloes such work himselt or herself or Ihrough his or her own employaes, provided ihat such improvements are not intendad ar oHeretl for sale. If, however, the builtling oi improvement is soltl within one year ot wmpletion, ihe owner-builder will have ihe burtlen of proving I�aI he or she did not build or improve for purpose of sele.). ' ❑ I, as owner of the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct Ihe projecl (Sec. 7044, Business entl Professions Code: The camractors License Law tloes not eppty to an owner ol propeny who bullds or Improves ihereon, antl who coMrects tor such praject with e contrector(s) license pursuant to the Conirecmrs License Laws.). ❑ I am exempt undar sec. Business and Professions Code for ihis reason: Signatura: Date: Owner ID verified by driver5license. ❑ V85 ❑ No Driver'S LicenSe No. Expires: Veniication oi Ownership by (rype of documant, i.e. � property tax 6ill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cenity Ihat no excavation five (5) or more feet in depth into which a person is required to descend, will be matle in connection with work euthonzetl by ihis pertnit, and that no builCing structure, scaftolding, falsework, or demolition or tlismantling �hereoi, will be more ihan thirry-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Ttle 8, Califomia Adminisirative Code). . ❑ As ownerbuiltler, I will not employ anyone to tlo work w�ich woultl require a pertnit irom the Division of Intlustrial Safery, es noted ebove, unleu such person hes e pertnit to da such work trom ihe division. Signature: Data: Division of Industnal Safery Permit Number: CERTIFlCATE OF COMPLIANCE ANO AIJT}fOR¢A710N OF ENTRY: I certity under penalry of perjury that I have reatl this application and state that the intormation given is correct. I agree ro compty with all state laws and ciry ortlinances relating to builtling construction, antl authonze representatives ot the qry of Coste Mesa to enter upon the above-descnbed property for inspection purposes. I agree not to occupy or allow occupancy of any builtling authorized by Ihis permit until finel inspection. `An - (� �/� Wr Lp9al�) � �/�� i Antl/Or Authonzed Applican CQOE II. INSPECTIONTYPE 7676 Fixed System Final Fire Prevention 7266 200 201 202 203 204 Pool Spa Finel Final Re-Root Final BIocWRetaining Well Final Factory Fire Place Final Sign Final Demoliiion �L IMRIALS Z -lo -o �- CO�E 1 INSPECTION TYPE 206 Final Mechanical 20B Finel Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 � � Final Building/Occupancy ' � �v 7 Data ' P� It�4S � � � PBQIECTRDOBESSi jS9 HAMILTON�ST � � , �ueir: " -• OWNEN'SNRME:.OSTL:ING � � . � . , ^. �... � , { eooeess: 359 1/2 HAMZLTON ST • � . ? , COSTA MESA � � . ` ; ,i; ' � CA , �'( 714 );650-II721 ' ' • IIflCH1ENCINEEfl: ' � , , � • ' BEG.NO.: ' � nooness: • � , ' , . ' ' uxrt: .. ' PER^nTTEE: ALLIED PLMB�. 6 FITG. ( 714 ) 630-1003 ' �. nouness:. 164fi' SIERRA MADRE CL " PLACENTIA ` CA.92670 � UCENSEO CONTMCTOB DECIAMTION: I �ereby aflirm Ihat I am licensed u'nder provisions ol Chaptar 9(cammencinA with Section � 7000) of Division 3 oithe�Business antl Pmfessions Cotle, an0 my�license is in fullforce antl ettecL , . ' crtruc.:026609 s�pTEuc.:407076 cu�:C-20 �ate: ' j'� \O `�i�� SignaNre: ' - �'�- •�--� . ; i WOPKEBS' COMPENSRTION OEClAM710N: I her¢hyQPo/ _ I Aave a cMificate of consent to seli-insure or a certificaie`ai Workers' ComDensatian Insurance ar z certife0 copy ihereof 1SPc4u ' . LaO. C). , voucrxo::P60d4346A. exr.oaTe: 12/O1/90 cornvaxr: CA INDEM. � ' � CerlifieG copy is hereby IumisheU. � Ceriifietl copy is fileE with ihe ciry Builtling Division. , Oate: 1 =- 1 /7 ^- ^� !J � � APDlicant � ' � �----� . .. i � EXEMPfION FPOM WOBNEBS' COMPEXS�TION OECUMTION: 's s ption need noi be completetl i1 ihe permh is tor one hundre0 (5100) or less�. 1 certiry ihat in the pedormance af the wark for which this 0 � slAsued. I shall not employ any person in any manner so as [0 6etome subject to the Workers' Compensation Laws ai CaliPomia. ' ' t "Date: ' �Signamre: • � NOTICE: Ii, aiter makinp ihis Oeclaiation, you shoWE Decome suCleci ro Ihe Workers' Compensatlon provisions of the Labor Ca�e, you musi fort�wiN compty with such proNsions'or this permit shall be 4eemeA revoked. - CONSTBIICTION LENOINO �GENCY: I Aereby aHirm IAat ihere is a constmction IenOinA apency for ihe Detlormance of ihe work lor i w�ic� ��is permii is issue0 (Section 3097, Civ. C). � lENOEB: - � . . . . . � . " ' 'RODPESS: ' .. . - . "". . .. t , OWNEH BUILOEB OECUMTION: I hereby affirm that I am exemDt from tAe Conirectors' State License Law for ihe IallawinA reason � (Section 7031.5 Business anE Pmhssional'CoEe: My ciry of counry which repuires a permi� to cons�ruct; alter, imD�ove, tlemolish, or repair xny siNcture, pnor to its issuance, also reduires Ihe 3pplicant for such permi4to file a signetl sWtement ttut he/she is liccnud . pursuant ta the D�ovisions af Ihe Contractors' State License Law (Chapter 9(cammencing with Section 7000) ai Division 3 of the Business �. antl Pmfessions Caae) or �ha� he/she is Bx¢mp� �her0�mm and ihe Easis tor Ne alleAed exemption. Any viola�ion o� Section 7031.5 Ey : any apDlicam for a permit suGjecis the a001iwnt to a civil penalty of not mora than fiva hundretl dollars (E500�. � 1, as uwner oi the pmperty or my employees vn[h waAes as t�eir sole compensation, will tlo Ihe work,'-and t�e II �❑ stmcture is not intenUeO ar ollere0/ar sale (Secbon 7074, Business antl Protessional CaOe: �T�e Contractars' State Licenu Law tloes not aDPry ro an owner ot a propeM w�o 6uilas or impmves thereon, anA w�o tloes sucA work himseli/herseli or ihrouph �is or her own employees, pmviJed that such improvements are not intended or offereE for sale. If, however the buil0inp or � impmvement is m10 wiihin one year of campletion, t�e owner will have ihe burEen of Dmving he/s�e tlid noi build oi impmve ' for tAe purpos¢ of sale�. . ' � ' , ' �I, as owner of ihe pmpeIry, am axclusively contracting wit� IicenseA contracmrs to constmct the pmle�� (Section 7044, Business i 0 •an0 PrO�¢ssions Cotle: The CantfaClofs' S�ale License Law does not apDly Io an owner ot pmp¢rry who builOs or improves Ihereon � antl w�a contracis for such D�olects with a coniractor(s) license pursuant to�ihe Coniracrors'�,State License Law� � I am aware , roat Drool oi their Worker's ComOe��ion insurance shoul0 6e D�ovitle0 ro me. ; � ' � I am exemD� unUer Sectian: . B. 8 P. C. � � � � � for tnis reason: � ' - . ' � - . . � - . � - .. . .. . ... CITY.OE` COSTA MESA,-�BU3LDING PGRMIT�� PBRM NO: M'0456Z7 ._ P�ERMIT NO: M. 045677 ,PLAN'CHECK NO: �' N ' GUVT: 'N SUPP;� N� t! . j . � �. .. _CONSTRUCTION TYPE:; 5-N .' • , PERMIT TYPE: .MEC' , � -PURPOSE.• NEW � �� JOD DESC[tIPTION • . INSTALL .RECESSED WALL HEATER . ; SQ FT:- . ' . , � • 'CLAIM VALOE: � � - ' CAI:C-VALUE: . , • GROUP OCC:". R-3 . / ' • � COMMGNTS: � ,� �. � . .' t ` ; , . : , � . ; x�*�r�t**+t�e�r�t�t*�t*ir�t***�ir*�r��rx��rx-*�rx�r�r�r****x��r�r�+r+�-�r*x�r�r��r�r�r**�t�rx�*�-x��+r�t�-*�r��-*��-****r . �. ' Z O N'I•N G' R E Q U I R E M:E N T S � -. � ' S E 'T H A Ci K �S - , � :,� `. ---------=--- MAIN BUILDING ---�.------;- �--------- ACCESSORY.BUILDING -----�--- FRNT: FT TN RFiAlt': E'T IN FRNT: FT IN REAR: FT ' IN`� !� LEFT: . FT ' IN.RGHT; ��FT IN LEFT: ;FT TN RGHT: FT. IN • PARKING REQ: .PRUV: PARCF.L: 41918129 7.NE: ', AEF NO;' ,.. ;- PLANNING NOTES> � • . . .. ' � � _ � .. . _ ... .. `. " ._. . fElfiEiF3kIf�FiF�fiEiElf3EikififMiEiFiflElEfEiEiEiEiF�1E�lfitfEdE�lfikiFiFlE,i6ik�F1E1EiFlkiFiklElflfiEkitkklfltlklEiEiEiElEiFit3EiEiE3FfEiE1E1EjEifiFif�K-�E;1E , 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: BUILDING'APPROVED BY : __ _ DATE: __ ' �j�� ` _ : APPLICA'CTON ISSUL•'D�BY: � wG7Gr�__ _ �, _liftiCG-•� ' �DATE:*�O��O, ` iElflk�lFlFif1E#ifiElFlFiEif3klflElfif�ik%9f�{�E� 1 F�S�flf�-0E1k#iFiEiElE1E iF.ik ikif�itiE�lEk1liE1E�lf1flfifiF�kfE#itfElElEiEiFiEiElEiE3EfEiEiFiElf9EiEiEfFlFiEiE�lEikiEiFiE ikiE�lEikiEikiFiFikiFiEifikfElE�lEiEiEiEfEiE-0EiEiliElF9fif�IFiF�lFiE . LEGALIZATION;N'"' '" F,E E- S U M M'A R.Y' ' `STRUCTURAL"SEGMFNT:N , �� HLDG PMT �PLOMHING'`ELECTRIC MECHANIC �FIRE aMIP/RLiS (�RADTNG PEAMIT - ( : - ' ' �. 9.00 ' i •' 25k ' SMIP/NON-RES , pr.,AN , • . , . , � ISSUE FEF: ' � ' •15.00 ' ' � BUILDING-DIV-> PERMIT� ISSOE.' PLAN-CHECK TOTAL PAID llUE TOTAliS---=> 9.;00 ',f5_00 0.00 24.00 24.00 .00 REVENUE.DIVISSON TOTALS=-> COLLECTEDe � 24.00 OVER/SHOR'T: ' .00 : BLDG PMT PLUMBIA7G ELECTRIC MECHANIG FIRE SMIP/TOT 'GRADING PLAN--CHECK . , .�. . . � . 29 . �� , t ..�f iE iF K!E if if iE iE k iE iE if IF 1k iE 1E * it iE iE 9E aE iE 1E fE aE iE iF IE fE iE iF it iE 1E iE ik k if k 1F iF iF iF iF IE iE iF �F iEiF 3! iE 3E iE iE1E iE it iF iE iE iF if it iE iF 3F 1E 1t iE if 3E iE iE jE 1f 1E " I N D I V I D U A L F& E; ,B R E A K D O W N �TYPE ' Q'T'Y D E S C R I; P T 1' O N � � UNTT: COST: . TOTIeL COST Dare: � � Owner. - � MEC I do �erehy�cartiry that I am aware oi anC undeistantl ihe reQuiremenis of California Health and Safery COCe Sectians 255Q5, 25533, ana . 2553d antl tha� I or any iNure builaing occupant wilVwlll not (circle one) need to compty wi�� saitl s�a�e coAes an0 Ihe requirements �or a permit for constmction or moditication irom Ne Air Oualiry Management DisMct. ResiEeniial constmction applications are exempt Irom t�ese pmvisions. � • f • Oate: � ' qpplicant: � � � I hereUy cehiry that I have read tAis apDlication an0 state Ihat the a6ove information is wrrect. I aA�ee �o camply wit� all ciry' an0 counry oMinances anG state Wvrs rHatinp to builUinO consirupion antl hereDy auf�anze reD��ntatNes al tlus cdy ro enter upon ihe aUove-mentione0 . pmOeM �orinspection purposes. ' ' • ! �atei 1- 11-)�'(ii.) Si9naNre:�i1 ��...r.�-�z-�' , Driver's License or Saciai Security x: � ' �� ' A601-46 Whlle-Builtlinp; Green-COEe ENomemenF.'Canerv-AOOlicent;'Pink-Revenue; GOIEenroC-Assessor � --� 1 INST/RELOQ RECESSED.WALL'HEATER ' , :END OF FEES � . � / � , : � . � , N � e 9,U0 9,00 i ' • � ' oi aoosis�i-ooasiszi r►�r , s4.ao; DATE: O1/1Q/90 TItlE: 11:2.i , •.. ... . . . .. ...:. - . 1 • -r' .. POO. SPA . CONSTRUCTION AND PLANNING � "� _ •' � � ` -� � � . � Date Inspector ' " Date �Inspecto� APPROVALS Permit #' ' . - . APPROVALS Permit # . 1. Temporary Electrical Service or Pole�� ,� � - ... � 52. Pool & Equipment Location - '. �, ^ �2_,SoII�Pjpe�Undrgmd.. •- ' -�,..., � � 53. SteelReinforcement ' �-�F3?Electrical CondUit�l9tility-Undrgrnd: � , - 54. 'Forms � ' � • � a1r .- . .. �4yElectrical Cond''uiYUndrgmd. ""� `, 55. Electrical Bonding c�5. Steel �Reinforcement� � � � 56. Rough Plumbing & Pressure Test .v < ,,.� �.' 6�EtectriFal UFER;Grnd. 57. APPROVALTOCOVER-GUNITE � ;-. 7rFooti�gs 4� � �`� , 58. Electrical Conduit-Undrgrnd. ^�� _, BC�Foundation � . � ' 59.�Gas Pipe, O Undrgrnd., Test �='�% - r � 9: Water Pipe�Undrgi�d. - �, � ' 60. Backwash Lines, P�Trap, O Undrgrnd. " . 10. Structural Floor System ' ` i 61. APPROVAL TO DECK� . - it. Pr6jierty Sewer Line:& HouseiConnection 62. Backwash & Receptor-Final . . . , 12. Sewer Cap c, c� '"- ' � 63. Heater & Vent-Final 73. R4of Drains „ �'' . . 64. Plumbing System � Final' � - - 14. Rough Plumbing v' 65.. Electrical-Final _ ' . 15. Rough Electrical-Condult 66. Solar System:final ' 16. flough ElectriclNiring � 67. Fencing & Access Approval � � 17. Rough Wiring Sign -� - � 68. APP_ROVED FOR PLASTERING .' . � 19. Rough Electrical-T Bar Ceiling ' � 69. POOL/SPA SY.STEMS FINAL � 19: Rough Heating & Air Coridiiioning'�" - � ' � - � � �„�FIRE D,EPT. REQUIREMENT � � N ,. r.+� ti c �-' � a: ,;. r, 20`.�'Roagh Factony Fira�`place �=r��,', x;� .'X S,:� ��f x APPROVAL�S_t�=.�Perinit# fi� - 21^Ducts, in Structu�eT�: ' ' " �� # - ��* * _-70. Undergrour�d Hydro �' 22.�Ducts, Ventilating,i. , `�� * � j =;a ;� _�77, product-.�iping OGas O�OiI , 23rGarPipe-Rourgh & rest •„�� x `� = - _�:X Y� �7z, Undergro�nd Flusti• � �� 24�Roof Fr�ming �y; ^" ��F: �" ,- y �;� 73-Undergrnd. Storage•Tank,O Gas y� Oil 25. Roof SFieathing � `� ' ` �+� - r_ � �= r �7qnOverhead Hydro,r,., .a, 26.-T-Bar Ceiling (Stru£turall &"Monocoat x , : - - '; � 75=�Dry Chemical _, n ' 27.��Frame and Flashing. ��^: � - �x �� 76. Dry Stan�ipe ='� a' � --' F..-. .-� ., r !- :'. 'il "J 4 �: ' g .`-'. -. .. J. .y _ " ,� ,... �28. Lathing�& Siding �-j�" r , � a 77= FIXED SYSTEMiFINAL'. �_ �- � 29. Iniulatio� r = �• '� � � '" �� 76�FIRE PREV. FIN2CL ' = � `� ,, - /_ _ ^30. Dr'y�wal�Nailing ;� �_ , �� c., � �-%'ti r - 'NEALTH-,DEPT,. R�EQUIREMENT J31. Plaster Brown Coatk S xr_-� > �i�" �'79JFINAL INSPECTIDN • " �32 �Electrical Power Meie`r'�Final 1 :� `' I ' '; � 80�.,�FOOD CERTIPICATE ISSU•ED,., i j ' I l.. ^ .J �: �: e - .. i-. ' 11:��. �' ' ' " ' �33_Firral Electric x. �:, y x i i,,Y. ; Notes: - �+� `_ �� - tr .n - ' - ti34��Fin`al Heating& Ai7�CQnditioning• � )�� /�� ' �r'� /"�" '� � �= �' �� ^ - s�' Q 4 l j' � T�f!" =ir/,�i i' I--? ' �-• �„^ G. . �' 35=�Pinal Gas Pipe-Tesfi� ;,.J � � �. ' � z � � _ -i�o » - - .i.. x'36 HoBtl or=CanoPY % � � �� ._ ': �' ' /,;•: >. - nc x , �. L r� - x' I/ x� � o x;. ;., '� :� � ... ,� - .. �. �. ^ �� _ • :•� • %.>.�... :. _ -_37'Firia! Factory Fireplacex, =+ �� '� � ,a � - ';: - �� i �38. Firr�l Plumbing y ,,.,, ' : �' ;. � , i�,�R =`;�� ' -. r r '^ � - � . . , r. .`. - L .4 L. . v �. o _. �. :' 1 - . '� 39. Water Service�Finaly_ � . e�.,� j � �� a � � •-. t'40. Gas Service-Final �• � d�� ^' `O ` �:! ; ; �'x � =`_ �� . Cl :.. � ;_r, iyc :K F- • � : i: 'C, "41 . Solar pomestirFinal" �� , �' ',: r ,- � c d ,�; - . _ � 42VBackflow Preyenter%" � +� ^ � �* �� '" = � " �' - i: •� -- f., �. ,: f-; x a. [' =: G < - ' - c e: _ _ r ,: a. .,, r . �� 43. Backflow Ir�igation; � ' :� ,: : i #, ;� � - � :a44. Landscape I�ripation Systerti::!!`.,,� x t: , G l7 v�� ?- � r� _� ^ x� r: _. � ri r a r : 9 x� .S <' <. s i: ' �' c: .} S - .'l # r� i F+ ... �K , -y _. � ,F <. �n.'.. 1. �45jSound :Attenuation. �-,�.. .. t ` -, ,�-;�; r. - L^� c� � -•C K � "i46.••Handicap Regulations r' � `' _ '• ` � ' =� = - -� � � , c x ^ /ih � (• .� .i: ...47.`FINAL STRUCTURE & BV�LDING '� � ' "� T ' "' ' - '' ' � x F � � 'f�(s � ! ,,- X• - - '^ `48�FINAL PLANNING • - * �`� � '�}' t �' =' =' k - � s: .r a: � : o :v � rt a49:'Ele`�c_tric Release toTEdison , ; � �.,;��: � _ �: ,�-. ;� ' � .^ _ .: ... ... �'50SGas5Release to $ourhern Californ�a Gas Co � � f, � A - . � i� k . � - 51. CERTIFICATE OFOCCUPANCY x' ' '- . �• � T� '� +• " - No. Date • OWNER� ��r�v�� DATB",j_5-59 JOB ADDRESS .,._ ., .. . � , _ .__ _ BUILllIYG PERNIIT NO. 9�"�� AP. No7.1 -2 0-1 LOT TRACT 9 FIRE ZUNE DESCRIPTION OF WORK INSPECTIONS L�jy DATE I GROUP TYPE T cgroundSoily-7-�'¢'U.G. Water/�,Lli Z-�I I P@RMII , c�round Gas .Ui 7-4-5'� SUBCONTrznCTOR DAT�— Test ✓ Form 210-3M-4-59 �' � 9�33 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 31] COSTA MESA,GALIFORNIA fOR APPL/CANT TO F/LL /N COMPLETE[Y TYPE OR PRINT � eui � � ADDRE55 COSTq MESA. CALIFORNIA OWNER ^� s� �j�� MAIL ' ii � /1,� � i Q� � i � .%%li,.. IEGAL ILOT OESCRIPTION NO. A.P. NO. �� SIZE �� _/ // / OF LOT h USE OF EXISTING BLDG. SETBRCK LINE FROM CENTER OF STFEET L� � L REAR YAF ILEFT �J ' I RIGHT fV DESCRIpTION OF WORK I IIALTERATION I IIADOITD -' / 7 % I NO. OF BLDGS. NE�' REF! .. I 6UILDING n SIZE p�� EXTERIOR WALL NO. OF ROOMS ROOF I HEHE9Y ttN0 �eua¢ THAT I HqV pNO ST T THAT THE A90VE IS CONI PLY WI TY ORO�NTNCES AND BUILOIN RUCTION. � �� itG�i�� wr JUN 5 1959 FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING foR officF vsE oHcr I RECEIPI' NO. I �ERMIT NO. C �-J' j y� BY I pATE(RECEIVED—�I. pA�s BSUED . I G � �/' 'P �� NG iS COSTA MESA. CALIFORNIA FIRE � ZONE APPROVED BY ZONE �� APPROVED BY VARDS REqUIRED �CENTEF LINE FRONT R. SIDE L.SIOE REAR �S ZONING NO. OF USE OF NEW PLqNS I BUILDING � AGREE TO COM- THE AMOUNT SHOWN UNDER VqLUATION IS FON THE WS REGULFTING PUFPOSE OF ESTABLISHING q PERMIT FEE ONLY. �� VALUATION PERMIT FEE $ �� I$ I� �� PLAN CHEGK S � 7� TOTAL FEE $ �� — O�VNEA T1ii�AS_rEUG�.NE _ � DATE /,�� -- JOB ADDftESS �jc� Hamllton - BUILDING PERMIT NO. c��3�---_- GENEAAL CONTRACTOR n....,e„ xi..; i a..« VALUE S I. nnn D INSPECTIONS T' 1-gT011nd S. DATE � GROUP TYPE ZONE � I SUBCONTRACTOR I� RMITS ISSU 9M r .�.. ��,t:� �� COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. 80X 317 COSTA MESA. CALIFORNIA fOR AP [/CANT TO f/Ll /N COMPCETELY PE OR PRINT BUIL' IN r �i� no�Ress � ^i.L Z/ L�IL GOSTA MESA, CALIFORNIA CONTRACTOR ADDRE55 LEGAL I OESCPIPTION A.P. NO. SIZE �f (1F 1 11T �.�� TEL. NO. _ (�� ~/ / � I NO. OF BLOGS. I SETBFCK L�NE FROM - ! ' "� CENTER OF $TREET � / REAR YAI / SIDE YARD I LEFT ��/J I RIGHT� DESCRIPTION OF WORK 'Ge?� bX 3o b ROOMS �R WALLC� IROOF JG <J COVER BUILOING ANDy//�{p/ RK TO F H�r,i � jw.. //el G w ., I HEPEBY ACK W OGE THAT 1 HAVE READ THIS APPLICATION AND STAT T HE RBOVE IS CORRECT AGREE TO COM- PLY WITH Y OROINANCES AND STA L WS REGULATING BUILDING NST u T� SIGNATU 0�� A�� ' AUTHORIZED �EE RECEi�ED ; �,✓JUN 5 »�J5 FINANCE DEPT. ciTv nF COSTA MESA APPLICATION FOR PERMIT BUILDING foR officF usF orocy I RELEIPT NO. I C��MIp I b--� -J I �—� BUILDING �� //� AODRESS GX COSTA MESA. CALIFORNIA FIRE ZONE T�e (T'rn�i� APPftOVED BY OATE ZONING ZONE ��( �p pN5 � I BUILU�NG�� /(' J � LINE STJ �Fr. R.! THE AMOfINT SHOWN UNDEF VqLURTION IS FOR THE PURPO6E OF ESTABLISHING A PEFMIT FEE ONLY. VALUATION � PERMIT FEE $ �a% — $ T (/ 0 `� � PLAN CHECK $ � / TOTAL FEE $ �� —