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Home My WebLink About3344 ALABAMA CIR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 PLUMBING PERMIT Job Address: 3344 ALABAMA CI Suite No Vicinity: ParcelNunm6er: 139581N • � � "'c`"�'*::?.`�'°" ,-a,-,,.,c_°' . I , . Applicant: TANNER,JEFF?t%.`?�-'; -' ', ,<� Address: 893 OAK ST ":; % "� " 'l , ' , � � ' _ - � �. ' Phone:� �949-235-4856 COSTA MESA�,;CA ,�" . Zip: 92627 , . '.i � _ -. - - __' - ' � . . Owner: URMSON, ROBERT�L JR Address 3344ALABAMA'EIR� t:. Contractoe: Address: Phone: COSTA MESA, CA Zip: 92626 RJ TANNER CONSTRUCTION �893 OAK ST � , COSTAMESA,�CA . � - Phone: 949-235-4856 � � Zip: 92627 License: 744104 � Status: ISSUED Applied: 05/17/2005 Issued: OS/17/2005 ISSUED BY: SCOPE OF PERMIT .� 312 SF ADDITION TO EXPAND EXISTING MASTER BEDROOM AND�BATHROOM & ADD NEW WALK-IN , ,_-� � �CLOSE7 ON 2ND FLOOR. ALSO, MINOR REMODEL ON 1ST AND 2ND FLOORS. � -� ' 1 BATHTUB, 1 GAS OUTLET (t-4), 1 SHOWER, 4 PRIVATE SPA, 1 WASH BASIN SET, 1 WATER ' ',• �•$ „` CLOSET, 1 WATER PIPING � .' - '� - �- � � � - � 'REF: BOS-00311 AND ZA-04-71 - � � - . ' " . . i '. , . . ` FEE SUMMARY � , �. . � �� AMT (�TY . AMT ISSUE FEE $23.50 Laundry Tub / Washer �� -,$0.00 Backflow irrigation � $0.00� 0 Landscape Irrigaiion $0.00 Backflow Preventer . � -� $0.00�, 0 ' P-Trap . - „ $0.00 Bathtub � . $9.80 : �,� 1 1_,-: - ;� Pres'suie Regulator ... $O.DO � Clarifer System :� ,, $0.00 � � 0' ��. � • �" Process Piping (per 10 ft)._ �$0.00 Connect (Ice,Soda,etc) : $O.W , , 0 ��. �� . Receptors -' $Oi00„ Dental Units � � . , ` $0.00 � � 0 ' �' `°: Septic Tank � �' ' �' � $0.00 Dishwasher . �_ $0.00- � 0 � -Sewer Cap for Demo �� $O.OQ Drain, Floor .. .$0.00 _ �. 0 � ;�.: , Sewer ConnecL . � � - $0.00 Drain, Rainwater � � $0:00 �'� 0 ". ' Sewer Private Line - $0.00 Drain, Roof $0.00 . �: 0 -. . �� Shower $9.80 Drinking Fountain $0.00'� ``0. � '' Sink, bar " - - . ��$0.00 Expansion Tank $0.00 �..0� -' , Sink, commercial - 50.00, Gas Earthquake Valve $0.00 0 � ��_ Sink, Floor � � - � $0.00 Gas (1-4 outlets) $6.15 1 �- � Sink, kitchen ,$0.00 Gas (Over 4 ouUets) $0.00 0 Sink, service/mop . :$0.00 Gas Repipe $0.00 0 Spa (private) ' � $30.25 QTY 0 0 0 p :_ 0 0 0 � 0 0 0. .1 0 0 0 0 0 1 i . SumpPump, Swimming Pool . Trap Pnmer . . . � Urinal ' � � Vacuum Brkr Bkflow(1-0) - -. Vacuum$rk� BkFlow(5±) . . � Wash Basin"= � ' Wash Basin Set � - . Waste and Vent System . Water Closet (Toilet) Water�Heater / vent Water Piping Qnst or Rep.) . - Water Re-pipe ' Water Service Water Softener OTHER VIOLATION AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $9.80 $0.00 $9.80 $0.00 $9.80 $0.00 $0.00 $0.00 $0.00 50.00 QTY 0 0 0 0 0 0 0 1 0 1 0 1 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements undei California statutes and related regulations. (Ord. No. 9248, § 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 authorized under this permit to be considered legal, such work must compfy with all applicable codes, and all requlred inspectlona and final approval must be obtained. Failure to obtain inspections and tinal approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 F�..:S:�' �'� ] WORKERS'COMPENSAnON DECLARAnON: '� " � � ' 1 hereby ettirm under penalty of perjury one of the tollowing declerations: . . � � ' � . ❑ I have antl will maintain a certificate of consent ro self-Insure for workers' compensation, as provided br 6y section 3700 0l the Labor Code, lor Ihe pertortnence of the work tor whiCh �his permit is issued. � I hava entl will maintain workers' compensetion' urance, as required by Sec�ion 3700 ot �he Labor Cotle, for the perfortnance of Iha work tor which thi5 permit is issuetl. Myworkers' mpensationlnsura�carrier n policynumbe�are: '/ Carrier � �fr Policy Number: ��Y �70� (This section nee�not 6e completed � the pe is valued at one hundred dollars ($100) or less.) ' � ❑ I certify that iri the peAortnance of the work for which this permit is issued, I shall noYemploy eny person in any manner so es to 6ecome subject to the workers' compensalion laws of Cali e ia, agre that if � ewma subject to the wod� ' compensation provisions oi Section 3700 of � e Labor Code, 1 shall torth ' comply with Ihe58 provi ' s. /� � Applicant Signature: Dete: WARNING: FAILURE TO $EC RE WORK 5' MPE ATION OVEPAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES9 D CIVIL FlNES UP TOONE HUNDRED THOUSANDOOLLAFE($100,000),INAD ITIO OTF�COSTOFCOMPENSATION,DAM4GESASPROVIpEDFORINSECTION3)O60FTHELABORfADE,fISTEREST,ANDATTORNEY'SFEES. LICENSED CONTRACTOHS DECLARATION: I here6y aHirm Ihat I em license under provisions of Chapter 9(commencing with Seciion 7000) ot Division 3 of the Busines and Prof ss ns Code, and my license is in full force and ettect. Lic. N (� Cless u � Contrector's SigneWre: Date: CONSTRUC710N LENDING AGENCY: ❑ I hereby aHirm that there is e consiruction lending agency for Ihe performance of ihe work for which this permit is issued. (Sec. 3097, Civil Cotle). Lenders Name: Lentler's AtlGress: SiqnaNre: OWNER-BUILDER DECLARATIONS: Date: I hereby affirm ihat untler penalty of perjury Ihat I am E%EMPT FHOM THE CONTRACTORS LICENSE LAW for Ihe FollOwing fea5on (Sec. 7031.5, Business end Protession5 Code: Any ciry or counry which requires e permit to constmct, alter, improve, tlemolis�, or repair any strucWre, pnor m its issuance, also requires Ihe epplicant for such permit b tile a si9ned statement that he or she is licensetl pursuant to ihe provisions of ihe Contradors Licensa Lew (C�apter 9(commencing with Section 7000) ot Division 3 of the Business and Protessions Code) or thet ha or sha is exempt therefrom and Ihe besis for Ihe alleged exemption. Any violation of Sadion 7031.5 by any applicent for e pertnit sublects the applicant to e civil penalty ot not more than five hundred dollars ($500).): ❑ I, as owner ot the property, or my employees with wages es their sola compensation, WILL DO THE WORK, antl Ihe structure is noi in�ended or oHered tor sele (Sec. 7044, Business and Protessions Code: 7he Contractors License Law tloes not apply to an owner of properry who huilds or imDroves Ihereon, entl who does such work himself or herself or Ihrough his or her own employees, providetl ihat such improvements are not intentletl or oHeretl for sale. Ii, however, ihe buiiding or improvement Is sold within one year of completion, ihe owneo-builder will have the burtlen oi proving that he or she diA not builtl or improve for purpose of sale.). � ❑ I, as owner of the property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS ro consimct the project (Sec. 7044, Business and Professions Coda: The conirac�ors License Law tloes not apply to en owner of propeny who builds or improves thereon, entl who comrecis for such project with a contractor(s) license pursuant to the Coniractois License Laws.). ❑ I am exempt under sec. Business and Professions Code tor this reason: Siqnatura: Date: Owner ID ventied by tlriver's license. Yes ❑ No Driver's License No. Venfication of Ownership by (rype oi daument, i.e. - property taz bill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CEFTIFICATION: Expires: ❑ I hereDy certify thet no excavetion five (5) or more teet in tlep�h into which a person is required to descend, will be made in connection with work eu�honzetl by ihis permit, and that no building siructure, scaHolding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Ttle 8, California Atlministrative Coda). ❑ As owner-huilder, I will not employ anyone to tlo work which would require e permit from the Division ol Indusirial Sa(ety, as noted above, unless such person hes e permit ta do such work from Ihe tlivision. Signature: Date: Division of Industrial Satety Permit Number: CER7IFICATE OF COMPLJANCE ANO AUTHORIZATON OF ENTRY: I cenity under penal�y of perjury ihat I have reatl ihis application and state t�at the intortnation given is correct. I agree to comply with all state laws end city ordinances relating to builtling consiruction, and authorize representatives of the City ot Costa Mesa to enter upon ihe above-described property fo� inspec�ion purposes. I agree not to occupy or allow occupancy of any building authorized by this pertnit until finel ins0ec�ion. cooe �. • 1616 1266 200 Fized System Final Fire Prevention Pool Spa Final Final Re-Rooi � 201 Final Block/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition ➢�SE. . � i � . . COpE� INSPECTIONTYPE � 206 Final Mechanical 20B Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval � 222 Final Site 250 Final Building�Occupency PAI€ LNIID9Lfl ' 11 �2q-n5 � (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa•mesa.g�LDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 3344 ALABAMA CI Suite: Vicinity: MASTER BEDROOM/BATHROOM Primary Occ: R-3 Dwellings/ Cong Res <10 Type of Construction: V-N Parcel Number 13958111 Zoning Status: ISSUED Applied: 02/23/2005 Issued: OS/17/2005 Applicant TANNER, JEFF .�- '- -'"�;':5...-- - Address: . - . � -�- -.. " .- �� ISSUED BY: "= �' - � • Pfione: 949,-235-4856 _ � r !. � . _ � � Zip: ' . Owner URMSON; ROBERT L JR ' Address � 3344 ALABAMA CIR - ' - . -� _ . , - - � . . ' , � ,, :. �"�' � � Phone: 714-513, 7014 �- � � u' � , r`� �COSTA MESA, CA "- Zip: 92626 -�� ' r ' :.�', , ;sti;�,: ' �,��t �� ' �'—� ' . . _ . Contractor RJ TANNER CONSTRUCTION � - Address: 893 OAK ST� -� � , � ,' - Phone: 949-235-4856 , - � ��` �' � . � - - COSTA�MESA,CA . ` . �`�P Zip: ' 92627 .. . License:, 744104 � , - . , �'�.�', ' � �:. t Arch : DMC ARCHITECTURE Eng: YAGHI, CHUCK ' �; �t�, Address: 3700 CAMPUS DR � � . . � � - Address: 112 E. CHAPMAN AVE � � � � ;`� _% �� .. NEVJPORT BEACH, CA Phone: 949-261-2324 ORANGE; CA Phone:� 7,14-997-9120 1 SUITE 102 � SUITE D -� �- � � � Zip: 92660 �� License: 92866. License:� - . - . - SCOPEC 312 SF ADDITION TO EXPAND EXISTIIVG MASTER BEDROOM AND BA MINOR REMODEL ON 1ST AND 2ND FLOORS. � � C/„�4-I 1 .r. . .. 'MIT �. M-& ADD NEW WALK-IN CLOSET ON 2ND FLOOR. ALSO; , + I _ i � ' . . i . , �.� � " ' , �. - FEE SUMMARY P.lan Check: .$326.85 Permitt `• ��$502.85 ' .. �"SMIP.Res:,', ' $3.50 SMIP Com`. ' $0:00 . Other.' $0.00 ' Inspection: . . $0.00 ` ' �%� � ,� _ _ .�'• ,� Totaf .. $833.20 ' . , -f SETBACKS ` �'� �; � �� , �� MAINSTRUCTURE Front.�49=0_ � ��' �Rear 45-0 � `��- � . ACCESSORY Front 0-0 � - Rear 0-0 PARKING Existinq: a Re uired: 0 CalcValuation: ." S35,ots.so Claim Valuation:. $o.00 ;� � JING & ZONING : � _ `_ " '. ,Left 0-0 �, �� Right 11-0-'. � � Left 0= 0- � Right -. 0- 0 Proposed: -0� � 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, 1241-92) EXPIRATION: This permit shall automatically expire and become void ff 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 authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inepeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of lhis permit. FOR INSPECT�ONS CALL: (714) 7545626 / zaae-as �voo� \� WORKERS' COMPENSATION DECLARATION: � ' ' � � I hereby aHirm untler penalry of perjury one of the following declarations: , ' ' . . � ❑ I have and will meintain a certificate of consen� �o self-Insure for workers' compensatlon, as provided for by section 3700 ot the Labor Code, for the pertortnence ot tha work for whiCh this permi� is issued. ' ' . � I have and will maintain workers' compensaiion insurence, as required by section 3700�of the Labor Code, for ihe peAortnance of the work for which ihis partnit is issuetl; My workers' compensation I�urence c er and policy number are: -7� . Cartier:� ESfiN��a f �M i� P.Nicy.Numti4r: � .7 `r / / 0� ' . (T r�ection need nof be comp/efed il fAe permif is valued et ane huntlred tlollers ($100) or /essJ ❑ I certity that in �he performanca of fhe work for which I�is pertnit is issued, I shall not employ eny persori in eny manner so es to become subject to the workers' " compensation laws of C tpr e� end agree that if I should bacome subject to ihe workers' compensationprovisions of Saction 3700 of the Wbor Code, I shell forthwith cr o� with these pro 'efis7 /� ..� `-. � 1/ Applii2nt.Sig`neture: �1C��/ �,i / /t�c oecc:� / /1Gr S— WARNING FAILURE TO SECURE W9AKE66 0pM N�COVERAGE IS UNUWFUL AND SHPll SUBIECT AN EMP�OYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE MUNDRED T/10USAND DOLLARE (E100,000). IN ADDITIOIGTO�FIE COST OF COMPENSATION, DPA4IGES AS PROVIDED FOR IN SECTION 3IW OF TME LABOR CODE, IMEREST, ANO ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aNirm that I em licensed under rovi,si9ns of Chepter 9(commencing with Section 7000) ot Division 3 of lhe.Busine�an� rpfessions Coda, antl my licensa Is in full �Y� /� � force and eXect. LIc,-N7 Ge9s�a� � CblflFaC� t� S�s_SignaWrB:�- _�� v, �a'je.7� /� f CONSTRUCTION LENDING AGENCV: �. ❑ I hereby attirm that there is a consVuction lentling agency for the pedormance of ihe work for which ihis permit is issued. (Sec. 3097, Civil Cotle). Lendefs Name: Signature: _ OWNER-BUILDER DECLARATIONS: Lender's Address: Date: I hereby aHirm that under penalty of perjury thel I am E%EMPT FROM TME CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business antl Professlons Cotle: Any ciry or county which requires e permit to construct, alter, improve, demolish, or repair any stmcWre, pnor to its issuance, also requires Ihe epplicant for such permit to tile a signed statement Ihat he or she Is licensed pursuant to the pmvisions of the Gontractors License Lew (Chepter 9(wmmencing with Sedion 7000) of Divisian 3 ot t�e Business and Professions Code) or Ihat he or she is e:empt therafrom antl the hasis for ihe alleged exemption. Any violalion of Section 7031.5 by any applicent to� a pertnit subjects the applicent to a civil penalry of not more than five hundretl tlollars ($500).): ❑ I, as owner of Ihe propeny, or my employees with weges es Iheir sole compensation, WILL DO THE WORK, and Ihe siructure is not intendetl or oflered for sele (Sec. 7044, eusiness and Professions Code: The Coniractors License Law does not apply to en owner of property who 6uilds or improves Ihereon, end who does such work himself or herseN or through his ar her own employees, provided ihat such imp�ovements are not intentletl or oHeretl tor sale. If, however, the building or improvement is soltl within ona year of completion, iha owner-builder will have ihe burden of proving that he or she did not build or improve for purpose of sale.). � ❑ I, as owner of the proOenY. am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sac. 7044, Business and Professions Cotle: The comrectors License Lew does not apply to an owner of propeny who builds or Impmvas Iheraon, end who comrects for such project wiih a conirectoqs) license pursuant to ihe Coniractors License Lews.). ❑ I em exempt under sec. Business and Professions Coda tor this reason: SiqnaWre: Date: Owner ID verified by tlrivers license. Yes ❑ No Drivers License No. Expires: Venfication of Ownership 6y (type oi tlaumen , i.e. � property taa bill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certity that no excavation five (5) or more �eet in depth into which a person is required to descend, will be made in connection with work euthonzed by this permit, and ihat no building structure, scaHolding, talsework, or demolition or dismantling ihereof, will 6e more than thirry-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle 8, Calitomia Atlministralive Code). ❑ As owner-builder, I will not employ anyone to do work which would require e pertnil from the Division of Indusirial Safety, es noted above, unless such parson has e permi� �o tlo such work irom ihe division. Signature: Date: Division of Industrial Sefety Permit Number: CERTIFICATE OF COMPLIANCE AND AUTHOHIZATION OF ENTRV: I cenity under penalty of perjury that I have read �his application and state Ihet the information given is correct. I agree to comply with all state lews and ciry ordinances relating to building construction, and authonze representatives ol Ihe Ciry of Costa Mesa to enter upon the above-described properry for inspection puryoses. I agree no� �o occupy or allow occupancy ot any building authorizetl by this permit until final inspedion. COOE �'' INSPECTIONTYPE """ ' ' "' QAIE ' 1�9L5 1616 Fizetl System Final Fire Prevention ' 1266 Pool Spe Final 200 Final Re-Root � 201 Final Block/Rataining Wall 202 Final Factory Fire Place 203 Finel Sign 204 Final Demolition ' �� INSPECTIONTYPE / 206 FinalMechanical � ��_ 20B 210 212 220 Final Plumbing Final Elec�ncal Final Fire Prevention Final Planning Approval 222 Final Site 250 Final Building/Occupflncy tL�� It� (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa��TRICAL PERMIT n FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suite No Vicinity: Parcel Nunmber: 3344 ALABAMA CI 13958111 ApplicanC TANNER, JEFF .;y-'r';=£� ; -': Address: 893 OAK ST ; �� '_ � � _ � _ . ..�� _ � _ �.f�'ji:�-y�`� ,. �Phone: 949-235-4856 COSTA:MESA,=CA`� �� . . Zip 'r� . 92627 , _ , ,•� _' . . - . . � . . � . . � _f - . - � �_ - . � , � ; � - .. . , Owner. „; URMSON, ROBERT:L:JR�:;`— � . _,: Address; 3344ALABAMA�CIR}��l �� ' ' � � Phone: , COSTA MESA; CA Zip: 92626 Contractor: Address: RJ TANNER CONSTRUCTION 893 OAK ST " , � � � COSTA MESA, CA Phone: 949-235-4856 Zip: 92627 License: 744104 � ISSUED BY: Status: ISSUED Applied: OS/17/2005 Issued: OS/17/2005 % � � SCOPE OF PERMIT �� 312 SF ADDITION TO EXPAND EXISTING MASTER BEDROOM AND BATHROOM & ADD NEW WALK-IN ` CLOSET ON 2ND FLOOR. ALSO, MINOR REMODEL ON 1ST AND 2ND FLOORS. - 12 LIGHT FIXTURES, 5 OUTLETS, 8 SWITCHES, 1 MOTOR TO 10 HB ' . ' REF: B05-00311 AND ZA-04-71 ' � �. ,. . , _ � � - ' � � � � � �Quantity ISSUE FEE � ` ;� :, $23.50 ' Temp service test ' $0.00 � Res. a/c package �• � $0.00 New Res (7-2 units)„ � � � $0.00 0 New Res (3+units) 50.00 0 Pool / Spa '�, , � � $0.00 0 Lighting Fixts �. $7330.. i �= �12r,., � ' ReceptOutlets�.'_._ .� : $5:50�=`� � 5` �. Switches ' i- ' $8.80 �8 Non Res Appl x �' � � $0.00 �� ' -0`� �" � , ResAppl - . $0.00��.>_ ��0'�-, - Service to 200a % ;� "$0.00 �;-�:: � 0 � ` - ; Service�to1000a �i- �,$0.00�. r0-., � Service over 1000a � �� ;$0.00 '� . ��; 0�� • ,' ' � . Motors to 1hp ��$0:00; , 0, , , Motors to 10hp $'12.30� ` _�' 1 - • Motors to 50hp $0.00 - 0 . Motors to 100hp $0.00 �' • 0 Motors over 100hp $0.00 0 Communication drops $0.00 0 FEE SUMMARY � Quantity,�,: � � Temp Disl Syslem / Lighting $0.00. 0��- � Busway /100 ft ' $0.00 0 �' � � . Standing Section $0.00 ..-�0'; . . . � �MiscElectrical Equipment $0.00 �0� , Transformers up, to 1 kva/kw §0.00 �.�• 0 ' . ::...........up to 10 kva/kw . $0.00 `, 0 - .........:.: ....up to 50 kva/kw • � $0 00 0 . � ' - - `�:..:.......c....up to 100 kvalkw � $0.00 . 0 ,- � , t .....>�.....�.over100kva/kw_ , � �$0.00:, j�0. ., �" � Low Voltage Equipment-;� r�$0.00', ��0 i, i � - � � Low Volt Winng System /'Ckt� . � $0.00- � '0 ; ' _ � � Misc: Conduit � - . . $0:00�. 0� '- , - MisaConductor - $0.00 ��,0� . Cirws ( gen or ride) ' - $0.00 � . 0 " �Cimus�(mech ride or ligh(s) .50.00 � 0 Christmas Tree Stand $0.00 0 • Fireworks Stand $0.00 0 Other Electriral Fee " $0.00 - Investigation Fee $0.00 , r 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, 1241-92) 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 authorized under ihis permit to be considered legal, such work must comply with all applirable codes, and all required Inspectiona and flnal approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 � zaas�ae (s�oo� WORKERS'COMPENSAPON DECLARAnON: � ' ' � ' � I hereby affirm under penalty of perjury ona of the tollowing declerations: '•� �:. �� ,. � '. ' ❑ I heve entl will maintain a ceniticate oi consent ro seli-Insure for workers' compensation, as provitled for by section 3700 of Ihe Labor Coae, for the peAormance of Ihe work For which this permit is issuetl. � � I have antl will maintain workers' compe�nsurance, as required by section 3700 of the labor Catle, For the pedortnance of tha work tor which Ihis pertnit is IssueA. � My workers' compensation Insurence car' r d policy number ere: '� Carcier: ��--i—ei �- Policy Number. I ��D � (This section need nof be completed Athe pe it is valuetl at one hundred dollers ($100) or less.) ' ❑ I certiy ihat in the perfoi compansation laws of C comply with Ihese provi� ApplicantSigneWre: � WARNING FAILURE TO SECURE LICENSED CONTRACTORS DECLARATION: i chis permit is issued, I�shall not employ any person in any manner so es to become suDlect to Ihe workers' >h become subject to Ihe workers' compensation provisions oi Section 3700 of ihe Labor Cotle, I shell forthw' Dete: pVERAGEISUNLAWFULANDSHALL5UBIECTANEMPLOYERTOCRIMINALPENALTIE$ DGVILFWES OIXJEMUNDRED CAMPENSATION,DAMnGESASPROVIDEDFORINSECTION3]O60FTHELABORCADE,�I EREST,ANDATTORNEV'SFEES. I hereDy attirm that I em licensetl u tl pr vision of Chapter 9(commencing with Section 7000) at Division 3 ot the Business tl Pmte sion ode, end my license is in full force and eflect. Lic. a v Class x ' � ContractoYs SignaWre: Date: CONSTRUCTION LENDING AGENCV: ❑ I hereby efFirm Ihat Ne�e is a construction lending agency for the pedormance oi the work for which Ihis permit is issued. (Sac. 3097, Civil Code). Lentler's Nama: Lenders Address: SignaNre: OWNER-BUILDER DECLARATIONS: Date: I hereby eHirm that under penalty of perjury ihat I em EXEMPT FROM TME CONTRACTORS LICENSE LAW for Ihe tollowing reason (Sec. 7031.5, Business end Prafessions Code: Any ciry or counry which requires a permit to constmct, alter, improve, tlemolish, or repair any strucNre, prior to its issuance, also requires the epplicant for such permit to File a signetl statement that he or she is licensetl pursuant to the provisions of the Coniractors License Lew (Chapter 9(commencing with Section 7000) of Division 3 of ihe Business and Professions Code) or thet he or she is ezempt t�erefrom and the basis for Ihe alleged exemption. Any violation of Section 7031.5 by eny epplicant for a permit suDjects the epplicant to a civil penalry of not more than fiva hundred dollars ($500).): ❑ I, es owner oi ihe proparty, or my amployees with wages as iheir sole compensetion, WILL DO THE WORK, and the structure is not Intentled or oHered for sale (Sec. 7044, Business antl Professions Code: The Coniractors License Law does not apply to an owner ot property who builds or improves Iheraon, and who does such work himself or herself or ihrough his or her own employees, provided that such improvements are not intended or oHeretl for sale. If, however, ihe building or improvement is sold within one year oi comple�ion, the owner-builder wiil heve ihe burden of proving ihat ha or she ditl not build or improve tor purpase of sele.). - ❑ I, as owner oi ihe properry, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTAACTORS to construct ihe project (Sec. 7044, Business and Professions Cotle: The comractors License Law does not apply to an ownar of propeny who builds or Improves thereon, and who contracts tor such projea wlth a conirector(s) license pursuant to ihe Coniractors License Laws.). ❑ I am e:empt under sec. Business antl Professions Cotle for this reeson: Signa�ure: Da�e: Owner ID verified by driver s license. Yes ❑ No Driver's License No. Expires: Venfication of Ownership by (rype of d m nt, i.e. - properry tax bill or tleetl): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certify Iha� no exwvation five (5) or more fee� in depth into w�ich a person is requiretl to descend, will be made in connectlon with work euthonzed by t�is permit, and Ihat no building siructure, scaHoltling, talsework, or tlemolition or dismantling Ihereof, will be more ihan thirry-six (36) feat high. (Chep. 32, Grp 2, Art 2, Sec. 341, Ttle B, Califomia Atlministrative Cotle). ❑ As owner-builder, I will not employ anyone to tlo work which woultl require e permit from tha Division of Industrial SeFery, es noted ebove, unless such person has e pertnit Io da such work irom Ihe division. Signawre: Date: Division of Intlustnal Satery Permit Number: CERTIFICAiE OF COMPLJANCE AND AUTHORIZA710N OP ENTAY: I cehify under penalty of perjury that I have reatl this application end state ihat Ihe inFortnation given is correct. I agree to comply with all state laws and ciry ortlinances relating to 6uiltling construclion, end au�horize representatives of ihe Ciry oi Cos�a Mesa to enter upon ihe ebove-describetl propetly for inspection puryoses. I agree not to occupy or allow occupancy ot any building amhorized by Ihis permit uMil final inspection. COOE �. 1616 1266 INSPECTIONTYPE .. .' ..• , -. � . P�IE.' ° . INTITIALS Fixetl System Final Fire Prevention � Pool Spa Final 200 Final Re-Roof 201 Finai BIocWRetaining Wall 202 Final Factory Fire Place ' 203 Final Sign 204 Finel Demolition � ' QQOf�( INSPECTIONTYPE �� - 206 Final Mechanical 208 Final Plumbing 210 � Final Elecirical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Sita 250 Final Building�Occupency ��I�Ii1111F.IFj � ��2�Z--Bs� � (714) 754-5273 • Faz (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, GA 92626 Job Address: Suite No Vicinity: Parcel Number: Applicant: Address: Owner: Address: Zr ' MECHANICAL PERMIT 3344 ALABAMA CI ' _ 13958111 :rt'-' • � .` ,.Jy�i';�� . ,. . TANNER, JEFF,`� ; - ' , ' 8930AKST��%" � ;� '��' . , - . � �' '� `�\ _- '�. - � Phone: � 949-235-4856 �COSTAMESA,�CA � � � -''R;"" =' Zip'� -' 92627,� � . ' - , . . . :�,-- ;i1f- URMSON; ROBEftT�L JR 3344 ALABAMA CIR" , ` � Phone: COSTA MESA, CA Zip: 92626 -Contractor: RJTANNERCONSTRUCTION` . Address: �893 OAK ST ` � - � . � - ' � - Phone: 949-235-4856 COSTA MESA, CA . Zip: 92627 � . License:744104 Status: ISSUED Applied: OS/17/2005 Issued: OS/17/2005 � ., ISSUED BY: �� \V�. ` � i�� . � �- ` ., / SCOPE OF PERMIT . 312 SF ADDITION�TO EXPAND EXISTING MASTER BEDROOM AND BATHROOM & ADD NEW WALK-IN CLOSET ON 2ND FLOOR. ALSO; MINOR�REMODEL ON�ISPAND 2ND FLOORS. , � 1 REPAIR/ALT COOLI'NG/HEATING, 1 FACTORY FIREPLACE (UC #MH,15519), 1 VENT � � - ,FAN/SINGLE DUCT , � - � � REF: BOS-00311 AND ZA-04-71 - � PEE SUMMARY� " Quantiry ISSUEFEE -� 523.50 Repair/AltAbsorbtionUnit Inst FAU <700 k BTU � , $0.00 0 Repair / Alt Refrigeretion Unit Inst FAU'>100'�k BTU �� ' , $0.00 0 -; Ventillation System . � �.�,; Repair / Alt �Cooling/Heat � . $1370 1 � � � Evaporative Cooler � -. " Inst / Rep. Recess Wall Htr , $0.00 0 . Commercial Incinerator '' Refrig Sys <�OO.k BTU - , $0.00 0 .��-. Domestic Incinerator ,�� RetrigSys>100kBTU�-' �� $0.00-'0��a- � � Compressors/AbsorptionSvstems � Gas Piping � �'S0.00 � 0� ., ' ' Up to 3 hp / 100 k BTU , Faclory Fireplace' ,$10.65� .� 1�, � , 3'70 15 hp / 500 k BTU .� Hood w/Mech Exhaust'- �� , ,=,$0.00��'0; �; ' 15 To 30.hp / 1,000-k BTU ', - VAV �Box � � �-. $0.00 0 � • - 30 To 50 hp / 1,Z50 k BTU � , Vent Fan / Single Duct - -�$7.25 ��1 _ � ' OJer 50 hp! Over 1,750 BTU � Appliance � � $0.00 ; �0.• ��_ � "- Boilers ,' -r j Fire Dampers � ,' ��; ��$0.00 � �,0. ; ` � � i - Up to 3 hp ` t � . - . " Smoke Dampers �'�. `- -$0:00 "0 �� 3 To 15 hp % . ' ' Inst or Relocate Appl Vent '$0.00, 0 15 to 30 hp �� - � Air Handlers < 10000cfm $0.00. �"0 � 30 to 50 hp .. " Air Handlers > t0000cfm $0.00 �0 Over 50 hp . Floor Fumace $0.00 0 �Olher Mechanical Fee Floor or Suspend Heater $0.00 0 - Investigation Fee % . Quantity $0.00 0 $0.00 �0 � - � ," $0:00 ' 0 ." $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00' 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (ord. No. sz-ze, § 1, 12-21-sz) 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 au[horized under this permit to be considered �egal, such work must comply with all applicable codes, and all required Inspeetione and finel epproval must be obtained. Failure to obtain inspections and final approval will result in the expiralion of this permit. FOR INSPECTIONS CALL: (714) 7545626 � r 2418i818�00) WOHKERS' COMPENSA710N DECLARATION: � " ' I hereby attirm under penelty of perjury ona of the tollowing declarations:+ ,- -� ��. �� ❑ I have and will maintain a certitiwte of consem to sel4lnsure for workers' compensetion, as provided for by section 3700 ot the Labor Cotle, for the pedortnenca of the work for which lhis pertnil is issued. - - � � , �I have and will maintain workers' compensation insurence, as required by section 3700 of the Labor Cotle, for Ihe peAortnance of the work tor which Ihis pertnit is issued. My workers' compansation Insurance wrner a d policy ber are: ��v Carrier: A T� _ Policy Number: � / (This sectian need n e complefed il fhe perm f is velued at one huntlretl tlollars ($100) or /ess.J ❑ I ceni�y that in Ihe pedormance of Ihe work for which this permit is issued, I shall not employ any person in any menner so as to hecome subject to tha workers' compansetlon lews of Calitomi�tl agr e thei Ii I should 6ecoma sub' -to Ihe workers' compensatlon provisions of Section 3700 of the Labor Code, I shall fonhwith comply with ihese pravisions / Applicant Signature: Date: � � � � WARNING: FAILURE TO SECURE WORKERS' Q�MP I VERAGE IS UNLAWFUL AND SHALL SUBJECi AN EMPLOYER TO CRIMINAL PENALTIES f D CIVIL FINES UP TOONE HUNDRED THOUSANDDOILARE($100,000),INADDITIOf�fOiHE OFCAMPENSNTION,DAMAGESASPROVI�EOFORINSECTION31060PTHElABORCODE,IFlrEREST,ANDATTORNEVSFEES. LICENSED CONTRACTORS DECIARATION: I hereby aHirtn that I am licensed u r pr vision oi Chapter 9(commencing with Section 7000) ot Division 3 of ihe Business d Professipns Cotla, end my license is in full torca end eHect. Lic. M �U Class N / Coniracror's Signature: Dete: CONS7RUCTION LENDING AGENCV: � � ❑ 1 hereby eHirm that ihere is a consirudion lending agency for the pedormance of the work for which this pertnit is issued. (Sea 3097, Civil Code). Lendefs Name: Signature: _ OWNER-BUILDER DECLARATIONS: Lender'S Address: Date: I hereby aHirm ihat under penalty of perjury thel I em EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the followinq reason (Sec. 7031.5, Business antl Professions Code: Any city or county which requires a permit to constmct, alter, improve, demolish, or repair any strucWre, prior to its issuance, also requires Ihe applicant for such permit to file a signed stetament ihat he or she is licensed pursuent to the provisions of ihe Comractors License Law (Chepter 9(commencing with Sectlon 7000) of Division 3 of the Business and Professions Code) or that he or she is eaempt ihereirom and the basis lor the elleged exemption. Any violation of Section 7031.5 by eny applicant for e permit subjects ihe epplicent to a civil penalry of not more than five hundretl tlollars ($500).): ❑ I, as owner of iha properry, or my employees with wages es Iheir sole compensation, WILL DO THE WORK, and the structure is not intanded or oMeretl tor sale (Sec. 7044, Business and Professions Code: The Contractors License Law tloes not apply to an owner of property who builds or improves thereon, end who tloes such work himsetl or herselt or ihrough his or her own employees, provided iha� such improvemenis are not intended or offered tor sale. H, however, the builtling or improvement Is sold within one year of completion, ihe owner-builder will have ihe burden oi proving lhat he or she did not build or improve for purpose of sale.). ' ❑ I, as ownar ol the pwperty, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct the proled (Sec. 7044, Business antl Professions Code: 7he coNrectors License Law tloes not apply to an owner of propeny w�o builds or improves thereon, entl who contrects for suc� project with a contractor(s) license pursuam to the Contractors License Lews.). ❑ I am exempt under sea Business end Professions Code tor this reason: Signature: Date: Owner ID verified by drivar's license. Ves ❑ No Driver's License No. Expires: Veritication of Ownership Dy (type of document, i.e. - property taz bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify Ihat no excavation Five (5) or more fee� in depth into w�ich e person is required to descend, will be matle in connection with work euthonzed by ihis pertnit, and that no building strudure, scaHolding, falsework, or demolition or tlismantling Ihereof, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Tlle 8, Celifomia Adminisirative Cotle). ❑ As ownar-builder, I will not employ anyone to do work which would require e pertnit from ihe Division ol Indusirial Safery, es noted ebove, unless such person has e permit to do such work from �he division. Signature: Date: Oivision ot Industrial Sefety Permit Number: ICEHTPICATE OF COMPLIANCE AND AUTFfORIZA710N OF ENTRY: I certify under penalry of perjury that 1 have reaG this application antl state that the information given is I correcL 1 agree to comply with all siate laws end ciry ordinances relating to building consWciion, and authonze representatives of ihe Ciry of Costa Mesa to enter upon t�e ebove-described property tor inspection puryoses. I agree not to occupy or ellow occupancy ot any building authorized by Ihis permit uMil finel inspection. CODE �' INSPECTIONTYPE " " " `- 1616 Fixed System Final Pire Prevenlion 1266 Pool Spe Final 200 Final Re-Rooi 201 Finel BIocWRetaining W all 202 . Final Fac�ory Fire Plzce 203 Final Sign 204 Final Demolition COpE � ' INSPEC710N TYPE ' ' ' 206 Final Mechanical 20B Finel Plumbing 210 � Final Elecirical 212 220 222 250 Finel Fire Prevention Final Planning Approval Final Site Final Building/Occupancy � �fl 11-�-3-a� � October 7, 2004 CITY OF COSTA MESA P O. BO% 1200 • 77 FAIR DRIVE • CALIFORNIA 92628-1200 DEVELOPAIENT SERVICES DEPARTMENT Robert and Debbie Urmson 3344 Alabama Circle Costa Mesa, CA 92626 RE: MINOR DESIGN REVIEW ZA-04-71 3344 ALABAMA CIRCLE, COSTA MESA Dear Mr. and Mrs. Urmson: The minor design review for the above-referenced property has been completed. The application has been approved, based on the following project description and findings: PROJECT DESCRIPTION The applicant requests a minor design review for a second floor expansion to a two-story, single-family residence. The proposal consists of a 321 sq.ft. expansion to the master bedroom suite, which is located on the north (left) side of the second floor area. A minor design review is required for a two-story addition that results in a second- story floor area that exceeds 50% of the first-story floor area and that does not comply with all residential design guidelines. The review is to ensure proper design consideration and compatibility with surrounding properties. The proposed construction conforms to all residential development standards and the intent of the design guidelines. Since the addition is to the north (left) side of the existing second floor area, the elevation most affected is the north (left) side, facing the neighboring residence. The overall second floor area will be approximately 83% of the first floor area (1,119 sq.ft./1,355 sq.ft.l, however, the addition will provide a 5 ft. offset from the first floor, and the overall two-story structure will incorporate multiple building planes and variable rooflines for visual relief and an interesting building mass. Privacy impacts are not anticipated because glass blocks are proposed for the only (bathroom) windows on the north elevation. Building Div�sion (��4) 754-5273 • Code Enlorcemen� (714) 754-5623 • Planning Division (i 14) 754-5245 PAX(71a)754-0856 • TD�Q14)7545234 • wwv�.ci.costa-mesa.ca.us ZA-04-71 October 7, 2004 Page 2 FINDINGS 1. The information presented substantially complies with Section 13-291e) and 13-291g1(14) of the Costa Mesa Municipal Code in that: a. The proposed development and use is compatible and harmonious with uses on-site as well as those on the surrounding properties. The project meets or exceeds all residential development standards and the intent of the design guidelines. b. The project is consistent with the General Plan. c. The planning application is for a project-specific case and does not establish a precedent for future development. d. The information presented substantially complies with Costa Mesa Municipal Code Section 13-291g1114) in tnat the project complies with the City of Costa mesa Zoning Code and meets the purpose and intent of the Residential Design Guidelines, which are intended to promote design excellence in new residential construction, with consideration being given to compatibility with the established residential community. This minor design review includes site planning, preservation of overall open space, landscaping, appearance, mass and scale of structures, location of windows, varied roof forms and roof plane breaks, and any other applicable design features. 2. The project has been reviewed for compliance with the California Environmental Quality Act (CEQAI, the CEQA Guidelines, and the City environmental procedures, and has been found to be exempt from CEQA. 3. The project is exempt from Chapter XII, Article 3 Transportation System Management, of Title 13 of the Costa Mesa Municipal Code. CONDITIONS OF APPROVAL Ping. 1. The illegal patio cover on the south (right) side shall be removed. No structures are allowed within 10 ft. of the south (right) side setback. 2. All new and existing construction shall be architecturally compatible with regard to building materials, style, colors, etc. Plans submitted for plan check shall indicate how this will be accomplished. 3. The conditions of approval and ordinance or code provisions of minor design review ZA-04-71 shall be blueprinted on the face of the site plan. 4. The applicant shall contact the Planning Division to arrange for a Planning inspection of the site prior to the release of occupancyJutilities. This inspection is to confirm that the conditions of approval and code requirements have been satisfied. 5. Grading, materials delivery, equipment operation, and other construction-related activity shall be limited to between the hours of 7 a.m. and 8 p.m., Monday through Friday, and 8 a.m. to 6 p.m. Saturday. Construction is prohibited on Sundays and federal ZA-04-71 October 7, 2004 Page 3 holidays. Exceptions may be made for activities that will not generate noise audible from off-site, such as painting and other quiet interior work. CODE REQUIREMENTS The following list of federal, state and local laws applicable to the project has been compiled by staff for the applicant's reference. Any reference to "City" pertains to the City of Costa Mesa. Ping. 1. Approval of the zoning action is valid for one (1) year and will expire at the end of that period unless building permits are obtained and construction commences, or the applicant applies for and is granted an extension of time. A written request for an extension of time must be received by Planning staff prior to the expiration of the zoning action. 2. All contractors and subcontractors must have valid business licenses to do business in the City of Costa Mesa. Final inspections will not be granted until all such licenses have been obtained. 3. Streei address shall be displayed on the fascia adjacent to the main entrance or front door in a manner visible from the public street. Numerals shall be a minimum 6" in height with not less than Yz" stroke and shall contrast sharply with the background. Bldg. 4. Comply with the requirements of the California Code of Regulations, Title 24, also known as the California Building Standards Code, as amended by the City of Costa Mesa. Fire 5. Provide approved smoke detectors to be installed in accordance with the 2000 California Building Code. Eng 6. A site access permit and deposit of S650 for street sweeping will be req�ired by the Engineering Division prior to the start of any on- or off-site work. SPECIAL DISTRICT REQUIREMENTS The requirements of the following special districts are hereby forwarded to the applicant: Sani. 1. Applicant shall pay all current Sanitary District sewer connection charges. Upon receipt of this letter, your project has been approved. The decision will become final at 5 p.m. on October 14, 2004, unless appealed by an affected party (including filing of the necessary application and payment of the appropriate fee) or by a member of the Planning Commission or City Council. ZA-04-71 October 7, 2004 Page 4 If you have any questions regarding this letter, please feel free to contact the project planner, Wendy Shih, at (714) 754-5136, between 1 p.m. and 5 p.m. Sincerely, � �v � PERRY . VALANTINE Zoning Administrator cc: Engineering Fire Protection Analyst Water District Building Division Loren Della Marna 3700 Campus Dr., Ste. 102 Newport Beach, CA 92660 DEPUTY 1 SERVICE INC. 25121 DE SALLE ST, LAGUNA HILLS, CA 92653 1- 800 - DEPUTY 1- 1- 800 - 337 - 8891 SPECIAL INSPECTION REPORT Building Pertnft No. ��'7 —�� l � Job. No. Job Indent'rficatlon /Address �-�l y'VL SdnG (Z£ 5. , DEP7: OF BLDG. & SAFETY CITY OF CoS,�-�.sA COUNTY OF oe�e � -z-�s General Contractor / Address {� S T14-ni,tS,kX- cc�NS� ' Sub - Contractor / Address Structural Engineer/Address ✓H'��-t °/ Arch. REINFORCED CONCRETE MASONRY HI-TENSILE BOLTING CHEMICAL ANCHORS ( PRESTRESSED CONCRETE WELDING GYPSUM CONCREfE OTHER ATTORNEY'S FEES - If any action at law or in equity is brought to erNorce or interupt the tertns of this Contract, the prevailing party shall be entitled to reasonable attomey's fees, costs and necessary disbursemer�s in addition to any other relief to which such pary maybe eMitled. SPECIAL INSPECTION REPORT Inspeetor's Name: `�' ►'��'' y �—" � �"� Inspector's Signature: I.D. No. �-� ►3•� �"`� has n filed and it states that ihe above work to the be provisions of the Unifortn Building Code and meetc approved plans and speCffiCeti Respectfully I Approved by: By: Vrojset SuperirdandeM 1 complies with the DEPUTY 1 INSPECTION SERVICE 25121 DE SALLE ST, LAGUNA HILLS, CA 92653 1- 800 - DEPUTY 1� 1- 800 - 337 - 8891 Building Pertnit No!—D `—' �_�� Job Indentification / Address Vl.�' General Contractor / Address � Sub - Contractor / Address Structurai Engineer / Address Nr't �_��-as �� INSPECTION REPORT Job. No. _ u Arch. DEPT. OF BLDG. & SAFETY CITY OF �5i�- �2�'�- COUNTY OF ate � � Z'� �� G2. Gr,i+ REINFORCED CONCREfE MASONRY HI-TENSILE BOLTING CHEMICAL ANCHORS � PRESTRESSED CONCREfE WELDING GYPSUM CONCRETE OTHER � DATEOFMISPEC�ION DESCRIP770N OF WORK INSPECTED � g-29 —�33 T F� ; / � 6 � / O� y�% ; �' — b J K 5 � a� : GT. �"-@— �,., � �, GT " � /4� L.� �r �iHt -- IrC3T crco w S wc b� �SL � r�ttn, vf, a , — l�(.� tfi 5{32�t Si9*,� r/fcK- cc�e�rf� HOURS SAMPLES DATE Reg. OT Time In Time Out Grout Mortar Concrete B�OCk Density �_ Prisms All inspections based on a minimum of 4 hours 8 over 4 hours - 6 hours minimum. Any inapeetion erzlending past tho noon hour wlll be bllled es 8 hour minimum. In edditfon, any inspeetion entend'mg pest en B hour pa riod, or Saturday inspeeGon will ba bilbd at time entl a haH. ATTORNEY'S FEES - If any action at law or in equiry is brought to enforce or interupt the tertns of this Con[ract, the prevaiiing party shall be entitled to reasonable attomey'S fees, costs and necessary disbursements in addition to any other relief to which such party maybe eMiUed. SPECIAL INSPECTION REPORT Inspeetor's Name: �y ��2 Inspeetor's Signature: i.p. No. <<tiST� -�9 has been filed and it states that the above work to the best of h' her knowledge complies with the provisions of the Unifortn Building Code and meets approved plans and specrfications. espectfully SuCirpitt€d� Approved by: B • �� Projeet Superi�KendeM Lerry Certer (714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DFIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 3544 ALABAMA CI Suite: Vicinity: REARYARD � Parcel Number: 13958111 npp�icant: OLNERIRA, DAVID Address: 631 S WALNUT ST LA HABRA, CA Owner: URMSON, ROBERT L JR Address 3344 ALABAMA CIR Zoning: Phone: 562-690-2272 Zip: 90631 Phone: COSTA MESA, CA Zip: 92626 Contractor: OLIVEIRA POOL PLASTERING INC Address: 631 S WALNUT ST LA HABRA, CA Zip: ' 90631 Arch : Address: Phone: 562-690-2272 license: 425762 Eng: Address: Phone: ISSUED BY: Status: ISSUED Applied: 03/15/2001 Issued: 03/15/2001 Phone: Zip: License: License: SCOPE OF PERMIT CONSTRUCTION OF A 29' X 16' GUNITE POOL & SPA FOR A SINGLE FAMILY RESIDENCE. Plan Check: �$236.`.1_1� Permit: $363.25• SMIP Res: $2.30 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $601.66 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING existinq: 0 NOTES: Rear 0- 0 Rear 0- 0 Re uired: 0 FEE SUMMARY PLANNING & ZONING LeR 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation Right Right $23,000.00 , $23,000.00 �, � ��, �" � � �. . � , o-o �� 0- 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) . _ EXPIRATION: This permit shall automatically expire and become void if work is not commenced with\ 80 days, or it work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained. Failure to oblain inspections and final approval will result in Ihe expiration.of this permit. FOR INSPECTIONS CALL: (714) 7545626 2446d8(&00) WORKERS'COMPENSAnON DECLARA�ON: � . I �ereby aRirm under penalry oi perjury one o� the tollowing declarations: : ❑ I have antl wiil maintain a certificate of consent to self-Insure tor workers' compensation, as provided for by section 3700 of the La6or Cotle, for the peAormanc�e of the work for which this permil is issuetl. I have and ❑ I ceRity ihat in the { compensation laws comply with these { Applic gnet� : _ W NING. FAI E TO SE( LLARE (5100. orkers' comp0nsetion insurance, as required hy section 3700 of ihe Labor Cotle, for ihe pertortnance of ihe work for which Ihis pertni� is issued. on Insurence carrler and poiicy number ere: /�y� p�,� ,�._.�y!� / Policy Num6er �V v( i( l 'J L� v efed il the permit is ed a�f ne hundred dollare ($f00J or less.) • rmance oi e wa� �or � fiis permit is issued, I shall not employ any person in any manner so as to become subject to the workers' ' omie, an 6gree th t' s ul come su6�ec the w s' crompensecion pmvislons ot Section 3700 oi Ihe Labor Coda, I shall fotlhwith 0 5. oa�a: `�—CS--O� WOR COMPENS TION CAV GE IS UNL4WFUL AND SHALL SUBJECT AN EMPLOVEP TO CRIMINAL PENALTIES AND CIVIL FlNES UP TO IXJE HUN�RED INADOITIONTOTHE PENSATIpJ,DAMAGESASPROViDEDFORIN$ECTION3]O60FTHELABORCOpE,INTEREST,ANDATTORNEVSFEES. LICENSED CONTRACTORS DECLARATION: ana eeect. K�a s 7000) of Di ion 3 o(Ihe Business antl � � Date: � CONSTRUCTION LENDING AGENCY: / ❑ I hereby aHirm ihat there is a construction lending agency for ihe pedormance of the work tor which this permit is issued. (Sec. 3W7, Civil Code). Lender's Name: Lender's Atldress: SigneNre: OWNER-BUILDER DECLARATIONS: Date: license is in full I hereby eHirm ihat under penalry of perlury Chet I em E%EMPT FHOM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Professions Code: Any city or county which requires a p��mit to constmct, aiter, improve, tlemolish, or repair any stmcture, prior m its issuance, also requires t�e applicant for such pertnit b tile e signed stetement that he or she Is IiGensed pursuant to the provisions of the Coniractors License Lew (Chapter 9(commencing with Section 7000) of Division 3 oi the Business and Professions Code) or that he or she is exempt therefrom and t�e basis for the allegetl exemption. Any violation of Section 7031.5 by any appliwnt for a permit sublecis the applicant to a civil penelry of nol more than five hundred dollers ($500).): ❑ I, as owner of Ihe property, or my employees wi�h wages as their sole compensation, WILL DO 7HE WORK, and ihe siructure Is not intentled or oHeretl for sale (Sec. 7044, Business and Professions Cotle: The Contractors License Ww does not apply to an owner of property who builds or impmves thereon, and who dces such work himself or herself or through his or her own employees, provided ihat such improvemenis ara not intentled or oHered for sale. tl, however, Ihe building or improvement is sold within ona year of completion, Ihe owner-builder will have the burden of proving ihat he or she did not build or improve for purpose of sale.). ❑ I, es owner oi the property, am E%CLUSIVELV CONTRACTiNG WITH LICENSED CONTRAC70RS to constmct the project (SecJ044, Business and Professions Cotle: The contrectors License Law does no� apply to an owner oi propeny who builds or improves thereon, and who contracts tor such project with a contractor(s) license pursuant to ihe Contractors License Laws.). ❑ I em exempt untler sec. Business antl Protessions Code for this reason: SignaWre: Date: Owner ID verified by dnvers license. ❑ Ves ❑ No Driver's License No. Verification ot Ownership by (rype oi tlocume�t, i.e. - properry tax bill or deed): DIVISION OF INDUSTRIAL SAFETV PERM�T CER7IFICATION: Expires: ❑ 1 hereby certiy ihat no excavation tive (5) or more feet in depth into which a pereon is required to descend, will be made in connection with work authorized by ihis permit, and Ihat no building siructure, scaflolding, falsework, or demolition or dismantling thereoi, will ba more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Ar12, Sec. 34i, Title B, Caiitornia Administretive Code). ❑ As owner-builtler, I will not employ anyone ro do work which would require a permit from the Division of Industrial Safety, as notetl a6ove, unless such person has e permit to do such work imm the tlivisian. Signamre: Date: Division ot Industnal Safery Permit Number: CERTIFICATE OF COMPLIANCE AND AU7HORIZAT V: I cetlity under penalty of perjury that I have read this application and state ihat �he intormation given is correct. I egree �o comply with ell st w an ' ordinan s relating to building constmction, and euthorize representatives ot ihe City of Cos�a Mesa to enter upon Ihe above-described property for insp ion pu s agree to occupy or ellow occupancy oi any building authorized by this permit until final inspection. CODE �. INSPECTIONTYPE � 1616 Fixetl Sys�em Final Fire Pi 1266 200 201 202 203 Pool Spa Final Final Re-Foof Final BIocWRetaining Wall Final Factory Fire Place Final Sign 204 Final Demolition �� =/s�—a f ate CQ�E 1 INSPECTION TYGE 206 Final Mechanical 208 Finei Plumbing 210 Final Electncal 272 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Finel Building/Occupancy �ZSL�CIlilI.7F1 (714) 754-5273 • FaX (714) 754-4856 • www.Ci.CoSfa-meSa.Ce.US 77 FAIF DFNE, GOSTA MESA, cA 92626 BUILDING PERMIT Job Address: $$44 ALABAMA CI Suite: Vicinity: REAR YARD Parce� Number: 13958111 Applicant: OLIVERIRA, DAVID Address: 631 S WALNUT ST LA HABR4, CA Owner: URMSON, ROBERT L JR Address 3344 ALABAMA CIR Zoning: Phone: 562-690-2272 Zip: 90631 Phone: COSTA MESA, CA Zip: 92626 Contrector: OLIVERIRA POOL PLASTERING INC Address: 631 S WALNUT ST LA HABR4, CA Zip: ' 90631 Arch : Address: Phone: 562-690-2272 License: 425762 Eng: Address: ISSUED BY: Status: ISSUED Applied: 03/15/2001 Issued: 03/15/2007 Phone: Phone: Zip: License: License: SCOPE OF PERMIT CONSTRUCTION OF A 29' X 16' GUNITE POOL 8 SPA FOR A SINGLE FAMILY RESIDENCE. Plan Check: $0.00 Permit: $3 3 25 SMIP Res: $2.30' SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $365.55 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0-0 PARKING Existinq: o NOTES: FEE SUMMARY PLANNING & ZONING Rear 0- 0 Left 0- 0 Rear 0- 0 Left 0- 0 Required: 0 Proposed: 0 Calc Valuation: S23,000.00 Claim Valuation: $z3,000.00 � " Right� 0- 0 ' RighC 0-0 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 92-28, § 1, 1241-92) \ ��-',. EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned for a period of 180 days. i INSPEC710NS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all�� raqulred inapectlone and (Inal approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration.of this permit. � FOR INSPECTIONS CALL: (714) 7545626 � �j WORKERS' COMPENSATION DECLARA710N: . I hereby ettirm under penalry of perjury one of ihe toltowing declerations: ' � ❑ I have entl will maintain a cenitiwte of wnsent to self-Insure tor workers' compensafion, as pmvided br by section 3700 oi tha Labor Cotle, for ihe pedormanCe of Ihe work tor whic t�is permit is issuetl. ��Lhave end wi aintain workere' compensation Insurance, as requiretl by section 3700 ot ihe Lebor Code, For ihe pertortnance ot ihe work for which this pertnit is issued. Myworkers' •a pens tionlnsuranc ca�rn% �ndpolicynumberare: ��0 _Carrier. ��, �(�-� .�PolicyNumber _((his secfion nee�of be comp/efed il fhe permit is velued a! one hundred dollars ($100J or less.) ,�_ __ _-.. ❑ I certiy Ihat in ihe perfo an ihe w rk or which ihis permit is issuetl, I shall not employ any person in any manner so as to beoome subject to the workers' compensation laws of alilorni d a e Ihat it I should bawme subject to t�e workers' compensetion provisions ot Section 330p of the Labor Code, I shall forthwith comply with ihese pr sions. '�4 � /� � _Applicent SigneNre:.. � �—Date: f � V WARNING: FAILURE TO SECUR KERS' T�ON CAVERAGE IS UNLAWFUL PNO SMALL SU&IECT AN EMPLOVER�TO CPIMiNAL PENALTIES AND CIVIL FINES UP TO dJE HUNDRED TTIOUSAND DOILARE (5100,000), IN ADDITION TO THE �T OF COMPENSATION, DAMAGES AS PFOVIDED FOR IN SEGTION 3]Ofi OF TNE LABOR COOE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLAfiATION: I hereby aHirm Ihai l em licen tl under provisic torce and ettect'Lic..N_.��` ConirectofsSig tan ure: ___ CONS7RUC710N LENDING AGENCY: ❑ 1 hereby attirm ihat ihere is a construction I¢�ding agency tor the Lendefs Name: Signature: OWNER-BUILDER DECLARATIONS: 7000) of Division 3 of the _ Class and my license is in tull oedorrdanc9,bf the work for which ihis permit is issued. (Sec. 3097, Civil Code). Lender's Adtlress: Date: I hereby aHirm Ihat untler penalty ot perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business entl Protessions Code: Any ciry or counry which requires a permit �o consiruct, alter, improve, demolish, or repair any siructure, pnor to its issuance, also requires the applicant for such permit to tile e signetl statement that he or she is licensed pursuant to Ihe pmvisions ot the Comrectors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business antl Profassions Code) or that ha or sPe is exempt iherefrom and the besis for ihe elleged ezemption. Any violation of Section 7031.5 by eny applicant for e permit subjects the applicant to e civil penalry of not more ihan five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensa�ion, WILL DO 7ME WORK, and the s�ructure is not intentle0 or ottered for sale (Sec. 7046, Business entl Professions Coda: The Coniractors License Law does not appiy to an owner of property who builds or improves ihereon, and who does such work himself or herselt or ihrough his or her own employeas, providetl that such improvements are not intended or oHered for snle. If, however, ihe building or improvement is sold withi� oae year ot completion, the owner-huilder wiil have the burden of pcoving that he or she did aot build or improva br purpose of saleJ. ❑ I, as owner of tha properry, em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to constmct the project (SecJ044, Business and Professions Code: The comractors License Ww tloes not apply to an ownar of pmperty who builtls or improves thereon, and who contracts tor such project with a comractor(s) license pursuant b the Coniredors License Laws.). ❑ I am exempt under sec. Business and Professions Code tor this reason: Signature: Date: Owner ID veritied by driver's licensa. ❑ Ves ❑ No Driver's License No. Veritication of Ownership by (type of tlaument, i e. - property taz bill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CER7IFICATION: E:pires: ❑ I hereby certify iha� no excavation five (5) of more feet in depih in�o which a person is required to descend, will be made in connection with work authonzed by ihis pertnit, and thai no building structure, scalloltlinq, falsework, or demoli�ion or dismantling ihereof, will be more than Ihirty-siz (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title B, Californie Administrative Code). ❑ As owner-builtler, I will no� employ anyone �o do work which would require e permit trom tha Division ot Industrial Safety, as noted abwe, unless such person has a permit to do such work from the diNsion. Signature: Date: Division oi Intlustrial Safety Permit Number: CER7IFICATE OF COMPLIANCE ORIZA N.O MRV: I certiy under penalry of perjury that I have read this apDliration and state that the information given is correct. I agree to comply wit I state laws nd � in es.ret�ling to building construction, and authonze representatives of the City of Costa Mesa to enter upon the above-described property inspection purpo es� nW to ocpCpy or ailow occupency of any building authonzed by ihis permif until final ins0ection. \ si�,sWre rn L�rfa� teq, � i. .�\. plican� � � CODE �.' INSPEC770NTYPE `� PdL' 1616 Fized System Final Fire Prevention � 1266 Pool Spa Final 200 Final Re-Root 201 Final Block/Retaining Wall 202 Final Fectory Fire Place 203 Final Sign 204 Final Demolition COUE 1 INSPECTION TYPE 206 Final Mechanicat 208 Final Plumbing 210 Final Electncal 272 Final Fire Prevention 220 Final Planninq Approval 222 Final Site 250 Final BuildincyOccupancy ��c = / Date � PAI� INTITI1l5 � (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us Job Address: Suite No Vicinity: Parcel Nunmber: ApplicanL Address: Owner: 3344 ALABAMA CI REAR YARD 13958111 OLIVERIRA, DAVID 631 S WALNUT ST . LA HABRA, CA URMSON.ROBERTLJR ELECTRICAL PERMIT Phone: 562-690-2272 Zip: 90631 Address 3344 ALABAMA CIR Phone: COSTA MESA, CA Zip: 92626 Contractor: - OLIVERIRA POOL PLASTERING INC Address: 631 S WALNUT ST ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlets Switches Non Res Appl � Res Appl Service to 200a Service to t000a Service over 1000a Motors to 1 hp MOlors to 10hp Motors to 50hp Motors to 100hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole LA HABRA, CA Phone: 562-690-2272 Zip: 90631 License: 425762 77 FAIH UMNt, GOS I A MtSA, GA y2626 ISSUED BY: Status: ISSUED Applied: 03/15/2001 Issued: 03/15/2001 SCOPE OF PERMIT ELECTRICAL PERMIT FOR INSTALLATION OF NEW SWIMMING POOL. INSTALL ELECTRICAL FOR NEW POOL, 2 LIGHTS, 1 OUTLET, 1 SWITCH, & i MOTOR UP TO 1 HP. REF: B01-00338 $23.50 $0.00 $0.00 $0.00 $0.00 $49.50 $2.20 $1.10 $1.10 $0.00 $0.00 $0.00 $0.00 $0.00 $4.75 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity 0 0 1 ,, 2 1 1: 0' 0' 0 0 0 1 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY Temp Dist System / Lighting ;Busway/100ft Standing Section Misc Electrical Equipment Transformers up to 1 kvalkw ................up to 10 kva/kw �� ., � .................uP to 50 kva/kw .................up to 100 kva/kw .........:........over 100 kva/kw -' .- Low Voltage Equipment - Low Volt Wiring System / Ckt Misc. Conduit � Misa Conduclor Circus ( 9en or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Stantl Other Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee Quantity $0.00 0 . $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0 00 0 � $0.00 0, " � � $0.00� �.� 0 � � $0.00 �0 � . - $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES E82.15 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by ihis 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 it work is suspended or abandoned for a penod of 180 days. ,� i / 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. ot this permit. ; FOR INSPECTIONS CALL: (714) 7545626 2046-46(&00) WORKERS' COMPENSATION DECLARATION: — I hereby affirm under penalry oi perjury one of tha tollowing declarations: ❑ I have antl will maimain a certificate of consent to self-Insure tor workers' compensation, es provided br by section 3700 of tha Labor Cotle, for the peAormance of Ihe �work tor Which ihis pertnit is issuetl. ❑ I certity ihat in compensation comply with �h FAILUFE T IDOLIARE compensation insurance, as required 6y section 3700 of ihe Labor Code, for ihe peRormance of the work for which ihis permit is issued. ance carrier antl policy number are: � l; _� �� Policy Number: L �� `fh t is valued ef one hundred dollars ($100J or less.) � L-� e ork for which Ihis permit is issuetl, I shall not employ any person in any manner so as to become subject to tha workers' and gree that it I should become sublect to Ihe workere' compensation provisions of Section 3700 oi the Labor Code, I shall forthwith � Date: � � / . � � ' �.S' MPENSATION CAVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOVER TO CflIMINAL PENALTIES AND CIVIL FINES UP TOIXJE HUNDRED O THE CQST Oi CAMPENSATIqJ, DAMAGES AS PROVIDED FOR IN $ECTION 3]O60F THE LABOR CODE, If�trEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereb attirm that I am license under ni of ha ter 9 commencin wit� Section 7000 of Division 3�of the Busines d Pmfes ' AS e, and my license is in full force and eHact: Lic. N� '�Z ��0 n� ( 9 ' vr-- Class k �� Gon�r�ctor's Slg`eture:� � c Date: r'% .. ��-� �. � CONSTRUCTION LENDING A�.`ENCY: '� \ ❑ I hereby aHirm ihat there is a consiruction lending agency for the pertormance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lentler's Address: Signature: OWNER•BUILDER DECLARATIONS: Date: I hereby aHirm Ihat under penalry ot perjury Iha� I am EXEMPT FROM TME CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Professions Code: Any ciry or counry which requires a permit lo consWct, alter, improve, demolish, or repair any stmcWre, prior to its issuance, also requires Ne applicant tor such permit to file a signad statement that he or she is licensetl pursuent to the provlsions ot the Contractors License Law (Chapter 9(commencing with Section 7000) of Divislon 3 of iha Business and Professions Code) or that he or she is enempt iherefrom and the basis for ihe elleged exemption. Any violation of Section 7031.5 by any applicant for e permit subjects the epplicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner oi Ihe property, or my employees with wages as iheir sole compensation, WILL DO THE WORK, antl ihe strucWre is not intended or ofleretl tor sale (Sec. 7044, Business and Professions Code: The Contractors Licensa Law does no� apply to an owner of property who buiids or improves �hereon, and who tloas such work himself or hersalt or through his or her own amployees, provided that such improvemenis ere not in�entled or ottered for sale. If, however, the building or improvemant is sold within ona year ot completioq the owner-builder will have ihe burden of proving that �e or she did not build or improve for purpose of sale.). . ❑ I, as owner oi the Omperry, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to constmct the projeci (Sec. 7044, Business and Professions Code: The contractors LicenSe Ww does not appy to an owner of property w�o builtls or Improves thereon, antl who conirects lor such pmjact with a coNractor(s) license pursuant to the Comractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID varifiad by tlnver's licensa. ❑ Ves ❑ No Driver s Licensa No. Veritication of Ownership by (type of document, i.e. - propetly tax bill or dead): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Expires: ❑ I hereby certify that no eacavation five (5) o� more feet in depih into which a person is required to descend, will be matle in connection with work authorizad by Ihis permit, and ihat no building stmcture, scattolding, falsework, or demolition or dismantling ihereof, will be more ihan ihirry-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle 8, Calitomia Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require e permit from the Division of Indusirial Safery, as noted above, unless such person hes a permit to tlo such work from ihe division. Signature: Date: Division of Industrial Safery Pe�mit Num6er. CERTFICATE OF COMPUANCE AND AUTHORIZATION.OF ENTRY: I certify under penalty of perjury ihat I have read ihis application and state that the information given is correct. I egree to comply with ell state la nances relating to building constmction, and authonze representatives of the Ciry of Costa Mesa to enter upon the ebove-descnbed property fa inspection urpos s�l agr not to occupy or allow occupancy of any 6uilding authorized by this permil until tinal inspection. CO�E �, MSPECTIONTViE 0��' IMRIFLS 1616 Fixed Sys�em Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Finel BIaWReiaining Wall 202 Final Factory Fire Place 203 Final Sign 204 FinalOemolition COOE 1 INSPECTION TYPE 206 Final Mechanical 208 Final Plumbing 270 Final Electrical 212 220 222 250 Final Fire Prevention Final Planning Approval Final Site Finel Building/Occupancy Datef �I-� ^\ 3` `J 'v � �Da�e"— � �� (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 �obAddress: 3344 ALABAMACI Suite No Vicinity: REAR YARD Parcel Number: 13958111 Applicant: OLIVERIRA, DAVID Address: 637 S WALNUT ST LA HABRA, CA Owner: URMSON, ROBERT L JR Address: 3344 ALABAMA CIR COSTA MESA, CA MECHANICAL PERMIT Phone: 562-690-2272 Zip: 90631 Phone: Zip: 92626 Contractor: , OLIVERIRA POOL PLASTERING INC Address: 631 S WALNUT ST LA HABRA, CA Arch / Eng : Address: Phone: 562-690-2272 Zip: 90631 License: 425762 Phone: Zip: License: ISSUED BY: SCOPE OF PERMIT MECHANICAL PERMIT FOR NEW SWIMMING POOL. INSTALL NEW POOL HEATER & GAS PIPING. � ' � •REF:B01-00336 ISSUE FEE Inst FAU <100 k BTU Inst FAU >100 k BTU Repair / Alt Cooling/Heat , , Inst / Rep. Recess Wall Ht� Refrig Sys <700 k BTU Refrig Sys >700 k BTU Gas Piping Factory Fireplace Hood w/Mech Exhaust VAV Box Vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000cfm AirHandlers> 10000cfm Floor Furnace Floor or Suspend Heater Quantiry $23.50 $0.00 - ,. 0 � $1620 1 $0.00 0 . $0.00� 0:-; $0.00 0 . $0.00 0 $6.15 1 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 FEE SUMMARY Repair / Alt Absorbtion Unit Repair/AltRefrigeration�Unit � Ventillation System � Evaporative Cooler ' Commercial Incinerator-�; ' '�� Domestic Incineratoi. %� � Compressors/Absorption�Systems � Up to 3 hp N 00 k BTU ' � 3To15hp/SOOkBTU � 15 To 30 hp / 1,000 k BTU . 30 To 50 hp / 1,750 k BTU � Over 50 hp / Over 1,750 BTU Boilers Up to 3 hp 3To15hp 15 to 30 hp 30 to 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Plan Check Fee Reinspection Fee TOTAL CALCULATED FEES Status: Applied: Issued: ISSUED 03/15/2001 03/15/2001 Quantity "' $0.00 � 0� $0.00 , ,0 $0.00 , 0 $0.00' 0 l ; i � $0.00 0 ` � $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 $47.85 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis 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 period 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 required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration. of this permit� � FOR INSPECTIONS CALL: (714) 7545626 �� 2446-48 (8/00) WORKERS' COMPENSATON DECLARATION: � I hereby attirtn under penalty of perjury one of the tollowing declarations: � ❑ I have end will maintain a certifiwte ot consent b self-Insure tor workers' compensetion, as provided tor by section 3700 of Ihe Labor Code, for ihe pertormance of the �ork for which Ihis permit is issued. have antl will mainlain workers' compensation insurance, as requiretl by section 3700 of the Labor Cotle, for ihe perfortnance of tha work lor w�ich this permit is issued. My workers' rre�¢r�5/�nn Insura�}ce c antl policy number ere: _ �� /� Carrier. � F� l JI 1 . . "Policy Numbec � j �6 � (This.sectlon n a o e com leted i! the perm� is val d at one hundred dollars ($700) or less.) .�— -- ` ❑ I cenify ihat in the per compensation laws of comply with ihese pro Applicant Signature: _ WARNING FAILURE TO�SECUF THOUSANO DOLLARE ($100,OIX LICENSED CONTRACI I hereby attirm that I am torce and eHecL Lic. # CONreCtors SignaNi� THE ermit is issued, I shell not employ any person in any manner so as to become subject to �he workars' become subject to the workers' compensetion pmvislons ot Section 3700 of the Lebor Code, I shell forthwith "Date: � � �� O � GE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED NSFTION, OAMAGES AS PqOVIDED FOF IN SECTION 37080F THE L4BOF CODE, INTEREST, NN� ATTOFNEV'S FEES. (commencing with Section 7000) of Division 3 of�ihe Business and Profes $ions Code, antl my license is in full — �Cless N�. �� — .� ..5 CONSTRUCTION LENDHI9'AGENCY: ❑ I hereby aNirm ihat there is a constmction lending agency for ihe peAormance of Ihe work for which ihis permi� is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Atldress: Signature: OWNER-BUILDER DECLARATIONS: Date: I hereby aHirm ihat under penairy ot perjury ihat I am EXEMP7 FROM TME CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, 8usiness antl Professions Code: Any city or county which requires a permit to constmct, alter, improve, demolish, or repair any stmcture, prior to its issuance, also requires ihe epplicant tor such pertnit ro file a signetl statemem that he or she is licensetl pursuam m the provisions o� the Comracrors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Profassions Code) or tha� he or she is exempt ihereirom and ihe basis tor the alleged exemption. Any viola�ion ot Section 7031.5 by any applicant foi e pertnit su6jecis ihe applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of Ihe property, or my employees with wages as iheir sole compensation, WILL DO THE WORK, and ihe siructure is not intended or ofleretl for sale (Sec. 7044, Business and Professions Code: The Conirectors License Law tloes not apply to an owner of propeny who builds or improves thereon, and who tloes such work himseN or herself or through his or her own employees, providetl that such improvemems ere not intentled or offered fo� snle. If, however, ihe building or improvement is sold within one year ot completion, ihe owner-builder will have the burden o( proving Ihat he or she ditl not 6uild or impwve lor purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct the project (Sec. 7044, Business and Professions Cotle: The conirac�ors License Law tloes not apply to an owner of property who builds or improves t�ereon, and who contrects for such project with a contractor(s) license pursuant lo Ihe Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code tor this reason: Signature: Date: Owner ID verifietl by drivafs license. ❑ Yes ❑ No Drivers Licensa No. E:pires: Verification of Ownership by (type oi dxument, i.e. - property taz bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby cenity that no excavation five (5) or more feet in tlepth into which a person is required to descentl, will 6a matle in connection with work authorized by this pertnit, and that no 6uilding sirucfure, scaftolding, talsework, or demoli�ion or dismantling ihereot, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 345, Ttle B, Califomia Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would raquire e permit from the Division ol Intlustrial Sefery, as noted above, unless such pereon has a permit to do such work from ihe division. Signature: Date: Division of Industrial Safery Permit Number. CERTFICATE OF COMPLIANCE AND AUhiORIZATIONAF ENTRY: I certify under penalty of perjury that I have read this application and state ihat ihe information given is correct I agree to comply with all state law ciry o' o relating to building cons�ruc�ion, and authorize representatives ot ihe City of Costa Mesa to enter upon the ebove-described propeRy tor inspecti urpo3e . ee to occupy or allow occupency of eny 6uilding authorized by ihis permit until final inspection. CODE 6 INSPECTIONTYPE 1616 Fixed System Final Fire Prevention 1266 Pool Spa Finat 200 Final Re-Roof 201 Finel Block/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 20d `� Final Demolition __.��"'��0�� Date COOEN INSPECTIONTYPE "` i Q�jt— 1/. 9 / 206 Final Mechanical ��T� 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupency � (7�4) 754-52�3 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 YAIH UNIVt, GV51 A MtJA, GA 82ti2ti Job Address: 3344 ALABAMA CI Suite No Vicinity: REAR YARD Parcel Nunmber: 13958111 Applicant: OLIVERIRA, DAVID Address: 631 S WALNUT ST LA HABRA, CA PLUMBING PERMIT Phone: 562�90-2272 Zip: 90631 owner: URMSON, ROBERT L JR Address 3344 ALABAMA CIR Phone: COSTA MESA, CA Zip: 92626 Contractor: OLIVERIRA POOL PLASTERING INC Address: 631 S WALNUT ST Arch / Eng : Address: LA HABRA, CA Phone: 562-690-2272 Zip: 90631 License: 425762 Phone: Zip: License: ISSUED BY: Status: ISSUED Applied: 03/15/2007 Issued: 03/15/2007 SCOPE OF PERMIT PLUMBING PERMIT FOR INSTALLATION OF NEW SWIMMING POOL. INSTALL 1 P-TR4P & PLUMBING ' FOR NEW SWIMMING POOL 8 SPA. � � " REF:B01-00338 ISSUE FEE Backflow irrigation BackFlow Preventer 8athtub Clarifier System Connect (Ice,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinkinq Fountain Expansion Tank Gas Earthquake Valve Gas (t-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oip Interceptors (Sand Auto ) AMT $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $o.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Qn 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 NOTICE: The work authorized by this permit regulations. (Ord. No. 92-28, § 1, 12-21-92) FEE SUMMARY AMT -�Laundry Tub / Washer , $0.00 � Landscapelrrigation� $0.00 P-Trap $9.80 Pressure Regulator $0.00 Process Piping (per 70 ft) $0.00 Receptors $0.00 _ Septic Tank $0.00 Sewer Cap for Demo $0.00 Sewer Connect $0.00 Sewer Private Line $0.00 ShoWef $0.00 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor $0.00 Sink, kilchen $0.00 Sink, service/mop $0.00 Spa (private) $30.25 Spa (public) $0.00 Qn 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 . ` �, j , '; AMT . , �' Surnp Pump �" , , " $0.00 � Swimming Pool� " " � $6075 Trap Primer . � $0.00 � Urinal $0.00 Vacuum Brkr Bkflow(1-4) $0.00 Vacuum Brkr 8kflow(5+) $0.00 Wash Basin $0.00 Wash Basin Set $0.00 Waste and Vent System $0.00 Water Closet (ToileQ $0.00 Water Heater / vent $0.00 Water Piping (Inst or Rep.) $0.00 Water Re-pipe $0.00 Water Service $0.00 Water Softener $0.00 OTHER $0.00 VIOLATION $0.00 PLAN CHECK $0.00 REINSPECTION $0.00 TOTAL CALCULATED FEES: E124.30 requiremenis under California statutes and QTY 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or it work is suspended or abandoned for a period 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 required inspectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration. of this permit. , FOR INSPECTIONS CALL: (714) 7545626 � ' 2ases (s�oo) � / WORKERS'COMPENSAnON DECLARATION� � � � I hereby eH�rm under penalry of perjury one of ihe toltowing declaretions: ❑ I heve and will maintain e certificate of consent b self-Insure for workers' compensation, es providetl tor by section 3700 of the Lahor Cotle, for Ihe pedormance of the ,_— work for which this permit is issued. My (Th/s'section neetl nof be ❑ I certify that in the p compensation laws __oomply with Ihese p� ApplicantSignaWre: _ of THOUSAND OOLL4RE ($100,000), IN ADOITION LICENSED CONTRACTORS DECLARATION: I hereby aflirtn Ihat.l am licgnsed �p 1,5j� �orce and eHect. Lic. q � L Contractor's Signature: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that ihere is a constmdion Lenders Name: Signature: insurance, as requiretl by section 3700 of the Labor Code, for ihe peAormance of the work for which this pertnit is issuetl. nd policy numbe� are: � oo/� �/_� � �"POIIcyNumber �� O V S��<<� valued et one hundrad dollars ($100) or less.) __ , _ _ _ —. - - - �ertnit is issued, I shell not employ any person in any manner so as to 6ecome subject to the workers' become subject to the workers' compensation provisions of Section 3700 oi the�or Code, I shall forthwith �'Dele:- �1 `-� ^ v � GE IS UNLAWFUL AND SHALL SUflIECT AN EMPLOVER TO CRIMINAL PENALTIES AND CNIL FWES UP TO ONE HUNDFED NSATION, DAMAGES AS PROVIDEO FOR IN SECTION 3]O60F THE LABOii CODE, IN�EPEST, AND AiTORNEY'S FEES. 9(commencing with Section 7000) of Division 3 of ihe'Business and ProfesSjQn ode, and my license is in full Class q 1 G — .S � Date: _ � � � _ f7 / for the peAormance of ihe work for which this permit is issued. (Sec. 3097, Civil Code). LendeYs Adtlress: Date: OWNER-BUILDER DECLARATIONS: I hereby eNirm that under penalry oi perjury Ihat I em EXEMPT FROM 7ME CONTRACTORS LICENSE LAW for iha tollowing reason (Sec. 7031.5, Business end Professions Code: Any ciry or coun�y whic� requires a pertnit to consimct, alter, improve, demolish, or repair any stmcture, prior to its issuance, also requires the applicant tor such permit b file a signetl statement that he or she Is licensed pursuent to ihe provisions oi ihe Gontradors Licensa Law (Chapter 9(commencing with Section 7000) ot Division 3 ot ihe Business and Professions Code) or that he or she is exempt iherefrom and the hesis For ihe alleged ezemption. Any violation of Section 7031.5 by any applicent for a partnit subjects the applicant to a civil penalty of not more than five hundred dollers ($500).): ❑ I, es owner of ihe property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure is not intended or oHered for sale (Sec. 7044, Business and Professions Cotle: The Contractors License Law does not apply �o an owner of property who builds or improves Ihereon, antl who does such work himsetl or herself or ihrough his or her own employees, provided that such impravements are not intended or ottered for sale. If, however, the building or improvement is soltl within one year of completion, ihe owner-builder will have the burden of Droving ihat he or she did not build or improve for purpose of sale.). � I, es owner oi the property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contractors License Lew tloes not apply to an owner oi propetly who builds or improves ihereon, and who coniracts for such project with a coniractor(s) license pursuant to iha Comractors License Laws.). ❑ I am exempt under sec. Business antl Pmfessions Code for this reason: Signature: Date: Ownar ID verified by driver5litens8. ❑ Y85 ❑ No Driver'S Litense No. Expires: Verification of Ownership by (type oi document, i.e. - property tae 6ill or deed): _ DIVISION OF INUUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certity that no excavation five (5) or more feet in tlepth in�o which a person is required �o tlescend, will be made in connection with work euthorized by �his permit, and that no building siructure, scalloltling, falsework, or tlemolition or dismantling thereof, will be more ihan thirty-six (36) leet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Ttle e, Calilornia Administretive Cotle). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Indusirial Safery, as notad a6ove, unless such person has e permit to do such work irom the division. Signamre: Date: Division of Industrial Safery Permit Number: XAZARDOUS MATERIALS AND EMISSIONS CEFTIFICA710N: 1 Will the applicant or present or fuWre building occupant need to file and cetlity a Business Plan for emerqency response to release or threatened release oi a hazardous material? ❑ Ves ❑ No (Sedion 25505 oi ihe Califomia Health and Safery Code requires, with some ezceptions, that a Business Plan be filetl wi�h the Costa Masa Fire Depariment by every business which has at any one time during a reported year a quantity of hazardous ma�erials equal to or greater ihan a weight o1500 pounds, or a volume of 55 gallons, or 200 cubic feet ot compressed gas at standard lemperature and pressure). 2 Does or will ihe a� licant or resent or fuWre buildin occu ant neetl to file a re istra�ion form for acutel �hazardous�materials7 V �� . .... ....................... pp p g p g y ❑ es ❑ No (Section 25533 oi the California Health and Safery Cotle, with some ezceptions, requires registration with Ihe Costa Mesa Fire Department by each 6usiness whlch at any one time has on hend a quantiry of aculely hezardous materials equal to or greater than e weight of 500 pounds, or e volume of 55 gallons, or 200 cubic faet of compressed gas at stantla�tl IempereNre antl pressure). ........................................................................................................................................................................................................................................................................................................................................................................................ 3 Does or will �he applirant or present or future building occupant need to prepare en RMPP (Risk Management antl Prevention Program for acutely hazardous materials)? ❑ Ves ❑ No (Section 25534 of ihe California Health and Safety Code provides tha� �he Costa Mesa Fire Depariment may require ihe preparation, certitication and tiling with �he Fire Depariment of an RMPP by businesses which are requiretl to register acutely hazardous matenals with the Fire Depanment. .................................................................................................................................................................................................................................................................................... ............................................................................................... 4 If an RMPP is presently requiretl, has Section 25534 of the California Healih and Safery Code 6een fully complietl with7 ❑ Yes ❑ No ................................................................................................... .... ... ......................................................................................................_...._........................................................................ 5 Does or will the applicant or present or future bullding occupan� require tor the work which is the subject of Ihis a plication e Permit for such constmction or motlificatlon trom the South Coes� Air Oualiy Management District or irom any other air polWtion con�rol dls�ricl or egency7 � Yes �J No (Section 65850.2 ot ihe Celifornia Govemment Code requires that the requestetl information be fumished on epDlicatlons for non-residential huiiding permits). ........................................................................................................................................................................................................................................................................................................................................................................................ 6 Will any part of the faciliry to he constructed under this permit be within 1000 taet irom tha outer bounAanes ol a school? ❑ ves ❑ No (It'yes", the tacility must meet the requirement of Sections 25534 and 42303 of the Califomia Health antl Safery Code). ............................ ............................... .............__......................................................... ...................... 7 If a partnit Irom the Souih �Coast Air Qualiry Management DisMcl or o�her air pollu�i0n con�rol di5tfict of agency i5 required for �he work which is �he su6ject of lhis application, heve ell of the disclosures prescnbetl by Calitomia Heelth and Safery Code Saction 42303 been mede? ❑ ves ❑ No ........................................................................................................................................................................................................................................................................................ ..................................................................... B Qf'yes", attach cetliticate oi compliance irom the appropriate air pollution conirol oflicer). CER7IFICATE OF COMPLIANCE: I certity that untler penalry of perjury the infortnation given above is correct. I agree to comply with all state laws antl ciry ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHO TIOROF EN7AY: 1 certify under penalry of perjury that I have read ihis application and state Ihat the intormation given is correct I egree Io comply tete laws an iry ortlinances relating �o building consiruction, end authorize representatives of the Ciry of Costa Mesa to enter upon ihe above-described prope or inspe ion puryos . I ree not to occupy or allow occupancy of any 6uilding authorized by this permit umil final inspection. CODE x, INSPECTIONTYPE 1616 Fixed SyStem Final Fire Prevention 726fi Pool Spa Final 200 Final Re-Root 201 Final BIocWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition INT COUEA 206 _ 208 210 � �S� �� Dete � t INSPECTION TYPE Final Mechanical Final Plumbing Final Elecirical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy PAIE � ` uo coioi 1s:54_FAX 714 7,08 1919 _ CDFA/RIFA » COSTA ffiESA fQ 002 / 002 Mar 16 O1 OSa13a O1 �ira Pool Plasiering 56? 590-6362 p.2 _� Cooperahve Red Xmported Fire Ant Project Notificarioa of Intent to Mave Soil froru or withiu Quarantined Areas of Orange, Riv�erside, and Las Angeles Counties R1FA Comp!'�arsce Agx�eement Name of Company Requestipg Apprcva(; �t = % � ��1= , • . ., . J.��: CoatactPersoa �l•�li] SC�..SI ada�::631 s. G�iAd.��lc1-j" cuy�Ll4��i�tBQ-A r.�: G3/ t�n��: _c � Z � 6`�'0 - 227Z Fax: ,t'�-� � `� ' G'o �o'Z- EYcavation Location: % 33 �; .,.. ... .. rt- c. � r2 • Estuaeted Qvaa�ry of Soil (a.g. # C.lxbie Yards)� � .Aaticipated Dase of Movameot: N IIcgenep I.eve1 far Immediate Iaspa i��Movesaaa of So� is Pamitted. 6� ACRES: z �'L�+- � �m�i_ and Rdease: jCucle One] e� x� t,,.. � Hold Mavement U�il Site Checiced - WE WII.Z CALL AS SOON AS POSSI$I.� TO SCHEDLTLE INSpECIION DATE AND I'IME. Daze irapped:!_,___w__� # of2iaps: Trapped by. Ac.zes: Dace Pickad Up: - Coacments: PDR T L....iSo� Mvvemeot is Stri�tly Pcotu�ted for the Follaariag Re¢son(s): Name of iLffA Project Regutamry Qfftcial: Si�attae • TB i5 iilOtC1S 87vtbGTs rl.i2e .�: --3 -zo -o/ farmG.t Nsr.u�7ryy COMPLAINT /NVEST7GATION � City of Costn Mesa, Development Services Department �S �ASE� �o (-a � � a� �/ / ASSICNED TO: LOCATION: � � �� `"� / ❑�: • • • � DATE 7 0`- � D J TIME �� < O RECEIVED BY y� ❑ HOTfJNE COMPLAINANT: COMPLAINANTAQDRESS: � X l lD C.Cx—�'A�• OF COMPLAINT OR OBSERVATION: SUPPORT STAFF ACTION: PROPERTY O WNER: OWNER'S ❑ SEND VIOLATION LEffER � CLOSE CASE ❑ CONTINUE ❑ 1�108�a) LANDSCAPE OTHER THAN � R120NE ❑ ❑ 13-112�d) FLAGS/BANNERS/PENNANTS � ❑ 13-112�h� PORTABLE $IGN$ p ❑ 13168 HOME OCCUPATION � $TANDARD$ p ❑ 13-26 LAND USE p ❑ 1333�c� CONTAINER IN RI ❑ ❑ 1344 OUlOOOR WORK.nORAGE � DISPIAY �Commerdalf ❑ 1353 OUTDOOR WORK. S�ORAGE � DISPL4Y�Indusfriap p ❑ 2O4�aJ BUSINESS LICENSE ❑ ❑ 244�b) C.U.P ❑ ❑ 20.4�c) PERMANEM/iEMPORARY $IGN ❑ 20.4�d) ILIEGALSTORAGE ❑ ❑ 20.4�e) UN-MAINTAINED PARCEL � ❑ 20.4�f) UNSECURED VACANT PROP � ❑ 20.4�g) PAY PHONE _ � ec,r v eN DAYS TO COMPLY: 20.4�h) ABANDONED POOL 20.4�i� HAZARDOUS WASTE 20-4�� LEAFeLOWER 20-b�k) INOP VEHICLE 2(14�I) ILL $TORED VEHICLE / LAWN PARKING 244�m) RV LIVING 244�n� GARAGE LIVING 20.4(0) CONSTRUCTION EQUIP/VEHICLE STORAGE 2(Y4�p� ROOFfOP STORAGE 2Pb�q) ROOFfOP ADDITION 2(>7�a) ABANDONED STRUCTURE 247�b� DEfERIORAiED BUIIDING E%iERIOR OR ROOF 20.7�c) TARPS 247Itlf CANOPIES 247�e� DETERIORAiED PAINT OFFICER'S NAME TICKLE DATE COPY�S� TO: � DISTRIBUTION: PINK-FILE CANARY-TICKLE � ❑ 247�f) GRAFFIiI ❑ ❑ 2(i7�g� EXTERIOR IJGHTING ❑ ❑ 20.7�h) BROKEN WINDOWS ❑ ❑ 2P7�i� WINDOW SCREENS ❑ ❑ 20.7�� DUMPSTERS ❑ ❑ 20-7�k) DEfERIORATED wALLS, ❑ PENCES ❑ O 2Q7�I� PARKINGAREA/WALKS ❑ 20.7�mJ SIGNMAWTENACE � ❑ 247�n� EXCAVATIONS ❑ 267(0� LANDSCAPING IN RI ZONE ❑ 2P7�p� LANDSCAPEIN ❑ PARKWAY ❑ 20-I�q) DRAINAGE ❑ 247�r) RODENT/VERMIN ❑ 20.7�s� OUTDOOR DRYING �� 20.7�1) POOLS 20.7�u) ADDRESS NUMERALS 249�a��1� VACAMPROPGRAFFITI 249�a��2� VACANT PROP LITfER 2O9�b��1) VACAM/BOARDUP 269�b��2) VACAM/FENCING 20.9�b)�3� VACANT/LIGH7ING OTt1ER /$EE ATTACHEO SECTION: Z OFFICER'S EXT � � �'�`�. .. .. COMPLAINT /1WEST/GAT/ON ' � � � City of Costa Mesa, Development Services Department LOCATION: �� •��Q'N w/�'-+C� (iV C COMPLAINANT: P COMPLAINT � �ASE� C01-aiq;a� ASSIGNED TO: TIME /• / S RECEIVED BY �_ ❑ HOiL1NE - / PHONE�N �/ ��/-(�/ / / COMPLAINANTA�RESS: r n � l(� ��^�� PT10N OF COMPLAINT OR OBSERVA SUPPORT STAFF ACTION: PROPERtt OWNER: OWNER'S ADDRESS: ❑ 13108�a) ❑ 131121tl� ❑ 13112(h) ❑ 13168 ❑ 1326 ❑ 1333�c) ❑ 1344 � ❑ 1353 ❑ 20.4�a� ❑ 20.4�b� ❑ 2o-41c) ❑ 264�tl) ❑ 2Pa�e) ❑ �20.4�f) ❑ 2b4�9) ❑ SEND VIOIATION LEffER LANDSCAPEOTHERTHAN � RI ZONE ❑ FLAGS/BANNkRS/PENNAMS � PORTABLESIGNS � HOMEOCCUPATION � STANDARDS � LAND USE p CONTAWERINRI � OUTDOOR WORK,STORAGE � DISPLAY (Commerdaq OUTDOOR WORK, STORAGE � DISPIAYQntluSMal� � BUSINESS LICENSE � C.U.P ❑ PERMANENT/iEMPORARY SIGN ILLEGALSTORAGE � UI�MAIMAINED PARCEL � UNSECURED VACAM PROP � PAY PHONE _ , l�2c�r-�% r^ DAYS TO COMPL7: oi ❑ CLOSE CASE ❑ CON7INUE 2P4�h� ABANDONED POOL 20-4�i� HAZARDOU$ WASTE 2(14�� LEAFBLOWER 2Q4�k� INOP `/EHICLE 2P4�I) ILL STORED VEHICLE / LAWN PARKING 264(m) RV LIVING 20.4�n� GARAGELIVWG 244(0) CONSTRUCTION EQUIP/VEHICIE SiORAGE 20.4�p� ROOFfOP STORAGE 20.4�q) ROOFfOP ADDITION 2P7�a) ABANDONED $TRUCTURE 20.7�b� DETERIORATED BUILDING EXTERIOR OR ROOF 247�c� TARPS 20.7�d) CANOPIES 247(e� DETERIORATED PAINT SS��- OFFICER'S NAME TICKLE DATE COPY(S� TO: � DISTRIBUTION: PINK-FILE CANARY-TICKLE � ❑ ❑ ❑ ❑ ❑ O ❑ ❑ ❑ ❑ 0 ❑ ❑ ❑ ❑ 2(17�f� GRAFFIiI p 20.7�g) E%TERIOR 11GHTING ❑ 247�h� BROKEN WINDOWS ❑ 20.7Ii) WINDOW SCREENS ❑ 267�) DUMPSTERS p 20-7�kJ DEfERIORATED WALLS. ❑ FENCES ❑ 20.7�1� PARKINGAREA/WAlKS 247�m) SIGNMAIMENACE � 2P7�n) EXCAVATIONS 2P7�o) LANDSCAPING IN RI ZONE 247(p� LANDSCAPE IN PARKWAY 267(q� DRAINAGE 247�r) RODENT/VERMIN 267�5) OUTDOOR DRYING � 247�f) POOLS 2P7�u) ADDRESS NUMERALS 20-9�a��1) VACANTPROPGRAFFITI 20.9�a1121 VACANT PROP LITTER 20.9�b��1� VACANI/BOARDUP 20.9�b��2) VACAM/FENCING 249�b��3� VACANi/L1GH71NG OTHER /SEE ATTACHED -01 OFFICER'S fXT 1) APN: Card#: County: Map Page: New Page: Census: Subdiv: Owner: PROPERTYINFORMATION Property: 3344 ALABAMA CIR, COSTA MESA CA 92626-2006 CO28 139-581-11 ORANGE,CA 27-62 858-G3 638.05 6693 SCHIRMER ERIC P Mail: 4441 W COAST HWY Owner Transfer = Date: Property Tax: Tax Year: Tax Rate Area: Exemptions: $975.52 2000 Delinq 15005 HOMEOWNER NEWPORT BEACH CA92663; 92663 Price: Doc#: SALE & FINANCE INFORMATION LAST SALE Recording/Sale Date: 04/0911993 Sale PricelType: $300,000 FULL Document #: 235837 DeedType: GRANT DEED 1 st Mtg AmUType: $240,000 1 st Mtg RUType/Trm: / / 1st Mtg Lender: WESTERN BK 2nd Mtg AmUType: 2nd Mtg RtlType/Trm: Title Company: Seller: New Construction: Other Last Sale Info = PRIOR SALE 05/20/1970 $34,000 FULL 929600512 $30,000 / / CONTINENTAL LAWYERS TITLE CO. KANE JOHN M # Parcels: Type 2: SITE INFORMATION # Res. Units: # Comm Units: # Buildings: 1 Bldg Class: Parking Sqft: County Use: 1 Zoning: Flood Panel: Sewer Type: Water Type: Park Spaces: 2 Garage Cap#: 2 Site Influence: Park Type: GARAGE/CARPORT Amenities: Otherlmpvs: Legal Blk/Bldg: Legal LoUUnit: 43 Legal: N TR 6693 LOT 43 Pend Acres: 0.11 Lot Area: 4,850 Lot Width: 50 Lot Depth: 97 Usable Lot: Use: SFR Total Value: $74,998 Land Value: $16,908 Imprv Value: $58,090 Taxable Val: $67,998 Assd Year: 2000 % Improved: 77% Phone: Owner Vest: / / Type: IMPROVEMENTS Bldg/Liv Area: 2,190 Gross Area: 2,190 Ground Flr: Bsmnt Area: $/SqFt: $136.99 Yrblt/Eff: 1969 # Stories: 2.00 Rooms: 8 Bedrooms: 4 Full/Half Bath: 3 Ttl Baths/Fixt: 3.00 Fireplace: Pool: Porch Type: Patio Type: Construct: Foundation: Ext Wall: Roof Shape: Roof Type: Roof Matl: Floor Type: Floor Cover: HeatType: HEATED Heat Fuel: Air Cond: Quality: Condition: Style: Equipment: Other Rms: �O 1996 Win2Data 2000 Page: 1 of 1 1'� V111VCR ��S �� JOB ADDRESS �jl�l� pla GENERAL CONTRACTOR AP No. LOl INSPECTIONS SOIL GAS WATER ROUGH PLUMBING PROP. SWR. LINE HOUSE CON. SPRINKLING SVSTEM MISCELLANEOUS FOIIGH HEAT UNDERGROUNO ROUGH WIRING TRENCHES F�OOR SYSTEM BOND BEAM � SHEATHING AIR CONOITIONING FORMS � STEEL RE STEEL REINFORCE � FRAME AND FLASHING LATHING - IN OUT PLASTER,BROWN COAT STRUCTURAL, FINAL HEATING, VENT., REFRIG. ANO A.C., F PLUM6ING, FINAL AND GAS TEST � ELECTRIC, FINAL 9111LOING. FINAL TRACT uHi� BUILDI SUBCONTRACTOR D-2 �e.r�30 24 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 for Applicant to Fill in Completely BUIIOING +� ADDRESS ✓� OWNEF Hermes D2V. CiO. ' MAIL Z ADDRESS t W W TEL. a U CITV nta Ana NO. �} - Q ZQ CONSTRUCTION o� LENDEF United States National Bank am �� BRANCH 1 0 Broadwa Ave. J � m J ADORESS J Q ARCHITECT TEL. / -11 U N S N V w¢ ADDRESS 2 E Co st Hw Corona D N aW W Z CONTRACTOR Owner J � m Z J � ADDRESS w w TEL. � = CITV NO. Z � w � STATE CITV (q CL LIC. NO. LIC. NO. _ � SIZE NO.OF BLOGS. OF LOT �.00 X 5O I NOW ON LOT C PA10 t �:r�, APR24-69�M;QOOi318�• 152.25 APPLICATION FOR BUILDING PERMIT EI1� �� OAT RECEIVED DATE ISSU ln �� .. _ Y,� P6RMt; � BUILDING ADDRES: 7 FIRE � � ZONE APPROVED NO. Of / PLAN$ ' VARDS APPROVEO �� DATE USE OF NEY�� A� BUIL�ING � (�N [L VARDS APPROVED� ACCESSOFiY BUIIDING F S12E OF NO. OF Z NEWBLDG. Z].00 S f�00M5 STORIES 2 L.SIDE UFT. FT. a EXTERIOR WALL ROOF COIIl]J❑ O L% COVERING Sf.11CCO COVERING W�� REAR �yFT. FT. J USE OF BUIIDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & a MAIN BLDGS. ACCESS. BLDGS. a Q VAR.# DATE � Residence w/attached garage c.u.a.#�/��-b$ APPROVED -�_ N APPROVED _ / � O z � UI hereby acknowletlge that I have reatl this applica[ion antl state NOLD FOR SPECf L REQUIREML;iT; � that the above information is correct and agree to comply wit� � all laws regulating building conshuction, and I shall not employ F any person in violation ot the workman's compensation laws ot Z the State of California. p2IoU �Q� m b � I hereby certify that 1 am properly licensetl as a contractor untler SQ. FT. o the State ot California Business antl Protessions Code, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, antl ihat such licenses are in full force antl eftect, or 1 THE PURPpSE OF ESTABLISHING A PERMIT FEE ONLY: Q am exempt from the provisions ot the State ot Calitornia Business VALUATION antl Professions Code, ivislon 3, C or�. '^ � PERMIT FEE S VI. �D � Signature of ] � � a9�a.� �° m Permittee $ PLAN CHECK $ �Q • �� E `o Authorized ABent /-rj' a5 LL TOTAL FEE $ c./'i PflOJECiADOR;`35:• 3344 ALABAMA CI OWNEH'S NAME: KANE, JOHN M nooness: 3 3 4 9 ALABAMA C IR COSTA MESA,CA ANCH/ENGINEEH: pU0HE5S: 92626 XEG.NO.: uNir: CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: B Q52061 PLAN CHECK NO; 01686-91 L CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR UNIT: PENMITTEE: JOHN M. KANE ('714 ) 540-0069 aooness: 3394 ALABAMA CI COSTA MESA CA 92626 LICENSEO CONTflFCTOP OECIABATION: I hereby affirm tha� I am IiCenSetl untler pmvisions oi Chap�er 9(tommenting wi�h Seciion 7000� ol oivision 3 oi the Business antl Pmfessions Code, and my license is in lull torce ana eflecl. LITY UC.: STATE LIC.: CLASS: Oale'. Slgnalure- WOPREHS' COMPEN511TION OECUNATION: I hereDy afhrm Ihat I �ave a cenilicate of consenl to seli-insure or a cenificate oi Workers' Compensation Insurance. or a certilied copy Ihereol (Section 3800. La�. C�. vOLICY NO.: EXP. OATE: IOMPANY: � Certified copy is �ereby �umishe4 ❑ Cer�i�ietl capy is fileA wilh ��e city Building �ivision. �ale: p�U��canl: E%EMPTIONFPOMWOP8E85'CUMPENSA710NOECLANRTION: �Thissedionnee4not6ecompleteDiltAepermitisforanehunaretl�3lW�orless). I cehify ihai in I�e pedormance of ��e work �or which this permi� is i55ue4 I shall noi employ any De�son in any manner so as �o become subjecl ta �he Workers' Compensaiion Laws of Calilomia. Oaie: Signalure: NOTICE: II, after making this Eeclaration, you shoul0 become sublect ro tAe Workers Compensation pwvisions oi the Labor Cotle, you musl forthwith [Ompry wiih Suth pmvisions or ��is permit S�all �e deeme0 revoked. CONSTFUCTION LENDING AGENCY: I hereby al�irm �ha� Ihere is a cons�mction lentling agency for the performance o� �he work �ar which Ihis permi� is issued (Sec�ion 3097. Civ. C�. LENOEP: RODflESS: OWNEN BUIL�EB OECIAHATION: I hereby a��irm Iha� I am exemp� imm ihe Contrac�ors' S�ale License Law �or Me following reason (Sec�ion 7031.5 Business antl Pwfessional Code: Any ci�y ol counly which requires a De�mi� �o cons�mct, alter, impmve, demolish, or re0air any Slmciwe. prior to iis issuante. also reQUires �he aDPliCanl lOr SUth p¢rmii �o �ile a Signed 5�a�ement �ha� �e/she is liten5¢tl pursuant to �he Omvisions oi the Comracmrs' State Licenre Law (Chapter 9(commencing wi�h Section 70110) of �ivision 3 oi the Business ana Pmfessions Catle) or that he/she is exempt ineStmm anA Ine Uasis for �ne allegetl exemption llny violation ol Section 7037.5 by any applicantlor a permii sublec�s Ihe applican�ta a civil penal�y of no� more than �ive hundre0 Aolla�s ($500). I. as owner of ihe D�oPeny or my employees with wages as ��eir sole compensation, will tlo the work, antl ihe � simcture is not intenUetl or offere0lor sale (Section 70aa, Business antl Professional Code: The Coniractors' State License Law Ooes no� apDly to an owner oi a pmDerty who builtls or improves ihereon, an0 who tloes such work himsell/herself or thmugh his or �er awn employees. proviaed IAa� sucA improvemenis are noi imended or oifered lor sale. If, Aowever the builUing or � impmvemen� is soltl within one year o� comple�ion. Ihe owner will have �he 6urden of proving he/she ditl not huild or impmve tor the purpose of sale). I. as owner ol the pmpetly. am excWsively comrac�ing wilh licensee conVactors m conslmn Ihe pmle�� (Sec�ion 7044, Business ❑ antl Pmiessions Coae: The Contrac�ors' S�ate License Law tloes not apPly to an awner o� pmpeM who �utlds or impmves t�ereon and who coniracts lor such pmlec�s wit� a conVac�oqs� license pursuan� lo �he Contractors' S[aie L¢ense Law�. I am aware Ihal pmol of their WOBer's Compensation insurance 5�ou10 be provide0 �o me. � I am exempt un0er Secliun. $P%Q Q Q B. 8 P. C. �or teis reason: ALL WORK BY OWNE Dale: _,.`'1 ^ � � �� Owner � ' I tlo here�y certify Ihat I am aware of an0 untlerstana the requlramenis oi Illar la Healih and Safery e Sectlo s 25505, 25533, ane 25534 antl�hai I orany WNre builtling occupani wlll/wlll na� (circle one) eetl to .omply wlth SaIA 6�a� codes and ie requiremen�s lora permit for cons�mtlion or modification imm t�e Air Oualiry Managemen. cl Residenlial cons�mcli ' tions are exempi �rom I�ese pmvislons. Date: Applican�: I hereby cetlify Ihat I �ave reatl Ihis apphwuan and slaie ihat �he a6ove iniormaiion is carrecL I agree ta comply with all ci�y antl coun�y ordinanw5and51a�elaw5relalinglobuiltlingcon5lmclionanaherebyaNhorrzereDreSenlaiivesof�hisci�y�oen�eru onlheabove�men�ionetl pmperry �ar inspectio'n ,p'ur_poses. Da1e: �—�9� Signa�ure'. _ oriver's �icense or Sociai Securiry a: tba1�46 wnpe—Building:Green—GotleEniorcemem: PERM NO; B 05206 GOVT: N SUPF: N PURPOSE; ALT JOB DESCRIPTION : 2S9 SQ FT "TRELLIS" TYPE PATTO COVER S(� FT: 259 CLAIM VALUE; CALC—VALUE: 3,574.20 GROUP OCC: R-3 /M-1 COMMENTS: SMOKE DETECTOR(S) RE�UIRED IN HOME. �r***x*�r**�*******x**�t�t�r*�***�* **�c��*+t*�*�t**��t*�t**�*x�t*��r*�r**�r***�t****��*+t�t*** Z O N I N GS ERTEBQAUCjKRSE M E N T S ------------ MAZN BQILDING ---------- --------- ACCESSORY BUILDZNG --------- FRNT: 77 FT IN REAR: 13 FT IN FRNT; FT IN REAR: FT IN LEF'P; S FT IN RGHT; 13 FT 4 IN LEFT; FT IN RGHT; FT IN PARKING REQ • PROV: PARCEL: 13958111 ZNE: R1 REF NO; PLANNING N�51'ES> PROPOSED 259 SQ.FT, PATIO COVER ATTACHED TO S.F. ALONG > THE REAR. MAX. REAR COVERAGE ALLOWED IS 260 S� FT. �******�+�**��c*x*��*��+��r�r�**��r�*��***��**�r*��*�r**�x�***��*** i�**��******+�***� 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 :�G� DATE: —� � BUZLDING APPROVED BY : DATE: ^'�/�� APPLICATION ISSUED BY; DATE• �� iEiEaflFiFiEiFiF�lEiEiEifififiElEiEiE1f1E3FiE iEiFiEiFiEiFiEififaE iEiE lPiEiEiFiElE�FiEifif�FiE3F�FiEiEiEiFk�1F1E�kiF�E1E3EiE1E3F1E1EifiEiEjfiflEikiFaE3E�EjEi iFiEiFiE�kiEiEiElEifiElFlf�EiP-1FiE�EaElEikiElEjE�EiFiFlEiFiEif�lFiE LEGALIZATION:N F E E S U M A R Y STRUCTURAL SEGMENT;Y BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMZP/RES GRADING PERMIT 63,00 .50 SMIP/NON—RES PLAN 40,95 ISSUE FEE BUZLDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 63.50 0.00 90.95 104.45 109,45 .00 REVENUE DIVZSION TOTALS--> COLLECTED: 104,45 OVER/SHORT; ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING FLAN—CIiECK 63,00 ,SO 90.95 jF �E 1E-)f 1E k iF �E if iE if 1E �f �f j! �E rt�ElE IE iF iFif IE if aE �k 1E if iF iE iE iE if if IE ±E 3f �E i!� ff IE±E �E�E 1E i! if af if �If iF M� iE �E if �F �E iE #f �lE jE iE �1! iF iE 1f iE ik ib it 1F?E if IE iE jf �f !E I N D I V Z D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T.I O N UNIT COST TOTAL COST SFR 259 RES— T�COVER—POST 5 TRELLIS 13.80 3,574,20 � p END OF FEES l Q� ��`� � � �► MAY 1 41991 � ,.-• �,��`� � OF COSTA MESA L� i CONSTRUCTION AND PLANNING ' P�' �' SP'�' APPROVALS Permit # Date Inspector qppROVALS Permit # Date inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location , . 2. Soil Pipe-Undrgmd. 53. Steel Reinforcement � � 3. Electrical Conduit Utility�Undrgrnd. 54. Forms 4. Electrical Conduit�Undrgmd. 55. Etectrical Bonding ' � 5.:Steel Reinforcement 56. Rough Plumbing & Pressure Test-- ��6. •Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE � 7. �Footings . 58. Electrical Conduit-Undrgrnd, ti S. Foundation � 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. 8ackwash Lines, P�Trap, O Und �grnd. . 10. Structural Floor System 61. APPROVAL TO DECK .� ` � 11. Property Sewer Line & House Connection 62. Backwash & Receptor�Final � 12. Sewer Cap . 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing � 65. Electrical-Final - �- 15. Rough Electrical�Conduit 66. Solar SYstem-Final _._ 16. Rough Electric Wiriny 67. Fencing & Access Approval � � 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory F.ireplace � �� APPROVALS . Permit # - r 21.' Ducts, in Structure, � � .. � - ' ` � - � � � _ 70. Underground Hydro 22. Ducts, Ventilating `, -71. Product Piping O Gas O'Oil 23.,Gas Pipe�Rough & Test ' , , 7Q, Underground Flush . . - , 24. Roof Framing ' . � - �73.' Undergrnd. Storage T�nk �O Gas ❑ Oil � 25. Roof Sheathing ,, , ' � ' � 74=0verhead Hydro " � - 26. T-Bar Ceiling (Str.uctu�al) &�Monocoat - • 75: Dry Chemical � - • _ 27:, Frame and Flashing '. . . � , 76. Dry Standpipe ' , ' � - � 28. Lathing.& Siding •� *- . �� • i � y 77, FIXED SYSTEM FINAL' = 29. Insulation _ . -� � ' �. " 78:,�FIRE PREV. FINAL • � � _ 30. Drywall�Nailing ��• �' i^!r _ HEALTH�DEPT. REQUIREMENT ' 31. Plaster Brown Coat, . ,., j' �' � 79.' FINAL INSPECTION ,' , 32. Electrical Power Mete�-Final � �� ' 80. FOOD CERTIFICATE ISSUED i� 33.�Final Electric � ' i I _ (, � Notes: - ` 34. Final Heating;& Air.Conditionipg , _ - � . . . - � � 35.�Final Gas Pipe-Test" _ ' - � +' " ' _ ' ` I 36. Hood or-Canopy, '� • -. j . � � 37. Final Factory Fireplace. � . � �-� ' i 38. Final Plumbing , • � .;v � - . - � 39. Water Service-FinaP � { • ' " � ' 40.`Gas Service-Final , r . ' 't. �� . 41. Solar pomestic-Final - - � � 42. Backflow Preventer � � I (� r - , � 43. Backflow Irrigation •� ' ' - , 44. Landscape Irripation System -� _ � � • .: 45..Sound Atterivation � ' ' � - � ' -46. Handicap Regulations � � . � - .' 47. FINALSTRUCTURE&BUILDING � i df .`� . -� i. - 48. FINAL PLANNING "�.-: � � 49. Electric Release to Edison � • � � 'j , jr - 50. Gas Release to Southern California Gas Co � ` ; � � - �� - . - 51. CERTIFICATEOF�OCCUPANCY , , . - � , , No. Date , � ---� _�__- ,� . _ . , _-_ .. _ n ' -,�aitaY zzN4'7 — y,. ' ''"y'7 ;:�`�;t d . ' X.y,�� -,�-y/�' 7��b�'1 �'`'�` .r�o �^'f- r,��J=� , �rl e�'<� �'"�. ° "-,(e -+i� --� �.. _-. _ �- �r ��. -�-ai �v THIS City � . �i -��i� l J /., j /.NE'W__F�N`lo.- j� f' �/�, / ,; � /. J r�� - �°I h�•�. r,�,�. - �n s�.�}. pL6C �1.'�i K 33'�'1 #� S�n��- MBER MUST ACCOMPANY NSPECTION REQUESTS !F i Y 1V iP �D f Costa Mesa Building Dep BY „__� DATE j� ��{ 1 TNESE PLAr S MUST BE ON J05 AT ALL TIMES 'JO CHANGE� TH[ ISSUANCE P�ans nNo s�Ec P[RMIT� FOR, OR IiIE PROVISIONS nutHOHi1v To v CODE SHALI. Rc' \ i r'HICH I l AUThiO'r THE ISSUAN: SP'��Ci'r!Cki'IONS F F^i.i'ft Ii: F[A!Z i s;.;p Pi_ans ,nni Sl:,� r..�.'G CP[t;hl . . ..�- �_tL':i ' CF I GRANTING OP A PEF�AIT OR AFPNO' :ATIONS SHALL NOT BE CONSTRUF.� i ! APPROVAL OF, ANY VIGLATION OF C THIS CODE. NO P[FMI7 PqESUMING i AT[ OR CANCEL TNE PROVISIONS 0 ID E%CEPT M SO FAR AS THE WORK C -515LAWFU�. O� A PERNIT OAS[D UPON PLAN �41r �'OT PFiEVEN'f 7HE BUILDIIG '� �-NOUII�ING 7 H[ CORRFC?ION OF E r.H SFc'CIFICA?IOhS OR FF.OM FREVE NS REfNG CFRRIFD OM 1HEflEUNDER IS P7D[ OR GP AN'f OTHcR :%AGWAA 'z��„1.4' L OF BE 4 Y OF GIVE T4IIS Ut�E p\w��r L'�ti� e R�c11� GRU-E ,�.Ct. �,u;,� (.oi `��o%�t%�� A►PPROVED CITY OF O�STA MESA � PtANNINO DBT. ; , U{IECf TO 61D6. DDL �. � i �,�� t 8'r .... DATE_��.I .1p11 Of MANNINO � �r0 �Fti s�j • f I" _ �� .�a ,�,,�,, . 1 1 � . ALA6Atf11t� GIRc1.E , CORRECTIONS SHALI. IiVIyG DEPkRi':i_:.i A�.�AsKA . ,� ��' IIJ�� 1 �..�s p n�P1P'• (� � , d �'� �'�Z e_, : � �a �- ScfttE �8�='1�.��U� ��I�V,��°��s��V�e� �NiOKE D�T�CT�� R�C�UiRED CALL 754-5626 or ?5R-5627 � � A I :-rt r � �G � V� O � N � W d �� E s' �D .b � �� 4/� � � t� �� X � � fi o' r � �� =P�� -- � �� `��- � City of Ccsta rUiesa 6uild;ng �eat. � �� 9Y '' DATE �' _ 7 9 � THESE P�p.��; ��gT 5E O;d �C�� q; ALL 71tAt� 6��K� %"�0 CHAtdGES W�THQ�T PRfOR A"rPRpt,:c.L pF UFPT. 7�1° nFnis�nrvof.sat�i��frravr!ti�; or a r-tr,r,�n on �,Pr-..;cv.�+. oF f F.�f>MRC}c,Ofd. Uh Ala HFPROtiA:.'�OFt �Ny' CCNSTRL'ED 70 GE q 1—C S:JNSOf-?NISCGDEPJOr-'+�1�"��.7;O.NOFANYOF \�h'1�FfiYLT� V4LIL'TLXONC:i;v�^�L (Hf�FROUIS)ONS�i�G7Vf �� __ �a, , 4FiICFilih t "' CGP::JSOFkFAS'iH- OF'IHIS U'.�.�Onl?C�;:,.�,.��i,� lWORNORUSE ,� ' ��M7�77;E fEc �i,I,Ck C: R 1'rR;�!i 9ASEp L'�OPI PIA,N; AND SfPCIr!C.,f�ONS SHA.'_L 11G; t�q_V9N�f TH[ gUILD:>IG HEFFi1f7iRqF_pUINi1vG iHr�^OhRt�,7(CN � c �FfIC14L SAID F�A.43 t.,10 -[CIFI��P.TIL�;'8 OR (•F_RR �'."�101NG O?ER{T r.�.fp A,_, FHO�A P: ��RS iPJ �,.� b.TICN CF THI� r i �:: G'A.f?HIED UN T!,' E/EM7R1G . . JJ_ O;1 OF� 'tRc�;nipEFi W;IEAI _ _'. . . GJJY O7?c "i O�.;i4A^:�[ OF � O � f s o- P 0 ►s� .� . � � •� ' i 7 � "� `� `�r��— � P-�C � � �"^ � � a ` 'i y of Costa �qesa BuilGir,g De�Y. 'BY _ Th'c'SE F � — �pTE G MS MUS7 OP!„ ,: �—_79--- h0 C'r1AN �' N/, fHpi TH= �ssu^r �_ �T FRIO.`-� APr FOir;4L' pE� 'rvrAfCE �,u i oaiTo on �' tiN A��o� i o� Ja !��Mi/ ai �;queu icUee n r s o or-, COD4O�ALrB� �a^'U:r�,�ANCc��Ei:!ff�P�[�U,.tI�FA�;;y pf �0 a NififC. 1J, nuR;ZE3 i5 lFdq'; �: N SG F^.i?�Ag�"CViSh�NS CF 7H $ TiiF, icq� � � � 1H= 1y0f7.✓, OR UcE �At�r_ -,, 5PFCIF�C�:';G. �. N F_^ FRGµ iH��.�p.�s SHaLt i��r �;� �ii pl�ce'p AND S:.�D f-� ^ 3 qnd � SPQ[�'FICA(7�,FS Q�'fF �(�LCo V't.9.i0F,1N EU:OI��OP- � hE�,�ON iN VlC1.ATI..fJ �F17F N` i �� /HFH_r.(�r��.�.� ,.. T�HE: CI1Y. 5 COC � Ca.'�F'e'0 6;J � Oh� PREVP�u7WC ��• r.;:�, . �--__`_ . . -:,� .,..,.aC� py� '.. — _� 0' S 0 a! 0 F V O � N r � � s �, A � � o � �� q � R� A s � � o� � � .p'r./-' f-�/1 � /`_,_� ��ry c;�.� �1 „ �'!� — � �sta Mesa C.6 -� � BUIIC'/! . - n9 DeAt. , N� 4 HqqP�ANS r✓,�� OqTE ThE 'e GES WI ilf� Bf 0/y JO^ AT _�� f>L.r�f:;r UANCE pR U� ni0q APp q� �� MES AKE ��'naur�',sWEcir-� ��aNnNc RO OF M P�i�;[ pR•i:��, p A; IOry•� OF q P �FP r�w rHOFr��'i`�NS p!N APpqOV �1ALL NO7 E�Ml1� p�. T I f��E Si F � t E3 ' V�OCA7/ p c ��EL�OFpANY�I j0 QNS7 fLran^OLAL ��,. �� ! i �;,FiRf(i L�A(10 �R�4Fl� E�R��Pi TC�i;O� ��i'�q 'C�, h ry�ORi7pS S tqt PT �A� SQ FTyF PPp£S(U,•(R't; O" Of '�Q. �iNE k FUi. A� AS 7ryE' N,'�ORK �� F/�S f Ur��r'iu Lq��_ r �lfi ;'/ iT��, ��,��R rCC IJCir"�h;t T &AS- RUSE �'Uli::!7.`:V.. A.ND REpWRlAV;RFV.^NT tn UFO (�V. ''��`iutJE^�A710;Y£1;`r�F'��TON¢��RF�%TIO'ty��C�UF�CNO .. C:71. �„- i111S COn� rARp�r_��nf I'pUh� �FEi7�pkSU/ R �'� r�V�� 7y�R�?EUIV7E�tn;TI,VG . ;,r � -� �r' . C � � C CITY OF COSTA MESA REQUEST FOR OCCUPANCY TP,ACT N0. -�i C / � DATE � —��—�Q LOT N0. /-{�� ADDRESS '� � y-y— �� Ci,� � ��y/ . The developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. The undersigned, by executing this agreement, acknowledges that (he-she-they) (was or were) advised that this tract has not been given final inspection nor has it been accepted by the City of Costa T'lesa as having complied with the conditions of approval which were imposed by the city at the time the final tract map was approved. The city assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond. The undersigned agrees to indemnify and hold the city harmless from any claim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncompleted condition. e NOTE� SHOW AND DIMENSION PROPOSED PATlO COVER AND YARD AREAS I � � '� STREET PLOT PLAN 0 N 0 � H N t7 Z 0 � � m 1- N X W SEE DETAILS ON REVERSE SIDE ROOF SNEATHING ��,_ OVERHANG _X_RAFTERS AT_ O.C. _X_ BEAM T- STRAP EA. SIDE FOR POST- BEAM CONNECTION. m Q J N U 2 J O U J DROP pATlO � w LL Z FLOOR 2" O � � a vai a SLOPE TO DRAIN � � W a � a z � w � � N 4 a _� K " O � � N Z X � �� o w o Z Q _ � � Z O � 'r W > O m a .o.':.��o..:.'�.'a`::..:o�.�.p:.::o .'. �. �'�p . . . . . . . . . . .. . ',Q� �. . ' "Q �"26 GA. G. I. FIASHING N � 1 W000 FLOOR _��__ J CONSTRUCTION . PIERS 12�� SOJ� W SIDE ELEVATION CONSTRUCTION DETAILS 0 a ¢ � z LL 2Q1txi.ROOF cETai�s CONT. LEDGER I � CONT. LEDGER CONNECTION SO�ID BLOCK �I/2�� DIA. X 5�� LAG SCR. AT 32�� O.C. DETAIL I CR 8 CL ��TECO�� GRIPS OR JOIST HANGER RAFT R 3/g° DIA. X 5�� LAG SCR. ar �y" o.c. DETAIL 2 �OitiS.OR LIGHT WEIGHT ROOFS ONLY CONNECTION DETAILS X FACIA-MIN.REO. RAFTER APPROVED METP.L HANGER DETAIL 3 D�pPr�nrr s�cEs n��rir�rrr BUILDITIG SAPE,�'Y DIVISION OWNER � ADDRESS� - CONTRACTOR: ADDRESS: RAFTERS CARPORT, PORCH OR PATIO NOT SUPPORTING CEILING SIZF. SPACING SPAN 2"x4" 12"O.C. 9'-6" 16" 8'-0" 24" 6'-6" 32" 6'-0" 48" 5'-0" 2"x6" 12" 16'-6" 16" 14'-6" 24" 12''-0" 32" 10'-6" 48�� 8�_p�� 2"x8" 24" 15'-6" 32" 13'-6" 48" 11'-6" 4"x6" 24" 17'-0" 32" 15'-0" 36" 14'-0" 4"x8" 24" 21'-0" 32" 19'-0" 36" 18'-0" 48" 16'-0" 4"xL0" 32" 22'-0" 3u" 21'-0" 48�� ?��_a�� 72" 17'-0" PATIO COVER TYP. PLANS DATE:_ PHONE � _ LIC. NO. PHONE� RAFTERS LIGHT WEIGHT ROOF COVER OF LATH, FIBL'RGI.ASS, ALUM. SIZE SPACING SPAN 2"x4" 16"O.C. 9'-6" 24„ 8�_0�� 32" 6'-6" 48" 5'-6" 2"x6" 16'" 16'-6" 24" 14'-6" 32" 12'-0" 48" 10'-0" 2"x8" 24" 19'-0" 32" 15'-6" 48" 13'-6" HEADERS LIGHT WEIGHT ROOF ONLY SIZE POST SPACING 4x4 6'-0" 4x6 9'-0" 4x8 12'-0" 4x10 15'-0" CARPORT, PORCH OR PATIO SIZE POST SPACING 4x4 5'-0" 4x6 8'-0" 4x8 10'-0" 4x10 12'-6" APPROVED FOR BUILDINC PERMIT By Da[e CENERAL NOTES• 1. These plans must be kept on the job a[ all time during construction. 2.` All framing to be Douglas Fir N= � . grade minimum. 3. Raftets may not at[ach [o facia ex- cept for 10�sroofs as shown on details; 2QiWroofs must use a continuous ledger attached as shown on details �IlE�df2. 4. Light weight roofs may attach to facia for 14' span max., spans over 14' must use a continuous ledger as shown in detail I13. ��