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Home My WebLink About2878 ALANZO LN - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.coste-m85a.Ca.us 77 FAIR DRNE, GOSTA MtSA, GA 9Z6'26 Job Address: ZH7H ALANZO LN Suite No Viciniry: Parcel Number: 14156329 Applicant: NUNN, JEFF Address: 1815 KINGLET CT COSTA MESA, CA Owner: BRANCA, FREDERICK A Address: 2878 ALANZO LN COSTA MESA, CA Contractor: NUNN CONSTRUCTION Address: 1815 KINGLET CT COSTA MESA, CA MECHANICAL PERMIT Phone: (714)556-3750 Zip: 92626 Phone: Zip: 92626-4203 Phone: (714)556-3750 Zip: 92626 License: 481751 ISSUED BY: Status: ISSUED Applied: 02/24/2004 Issued: 02/24/2004 SCOPE OF PERMIT REF: B04-000177. EXPAND EXISTING BEDROOMS AND REMODEL MASTER BATH. MECHANICAL TO INCLUDE: 1 VENT FAN/SINGLE DUCT. ISSUE FEE Inst FAU <700 k BTU Inst FAU >100 k BTU Repair/Alt Cooling/Heat Inst / Rep. Recess Wall Htr Refrig Sys <100 k BTU Refrig Sys >100 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 Air Handlers > 10000cfm Floor Furnace Floor or Suspend Heater $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.25 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 FEESUMMARY Repair / Alt Absorbtion Unit Repair / Alt Retrigeration Unit �Ventillation System Evaporative Cooler Commercial I ncinerator Domestic Incinerator Compressors / Absorption SVstems Upto3hp/100kBTU 3To15hp/500kBTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 1,750 BTU Boilers Upto3hp 3Tot5hp 15to30hp 30 to 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Plan Check Fee Reinspection Fee TOTAL CALCULATED FEES 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 $0.00 $0.00 530.75 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § t, 72-21-92) EXPIRATION: This permit shall automatically expire and become void if work Is not commenced within 1 BO days, or it work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inapeetiona and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2a4G48(N00) WORKERS' COMPENSATION DECLARATION: I hereby attirm under penalty of perjury one of the tollowing tlaclarations: ❑ ave end will maintain a ceniticete ot consent to self-Insure for workers' compensation, as provided tor by sectlon 3700 of the Labor Code, for ihe pedormance oi the wark tor which Ihis pertnit Is issued. 1 have and will maintain workers' compensation insurance, es required by section 3700 of Ihe Labor Coda, for the peAormance of ihe work for which Ihis permit is issued. My workers' compensation Insurance carrler a policy num6er are: Carner. �i(' � Policy Number. (This section n e� f e m'ete il the permit is alued af one hundred dollars ($f 00) or Iess.J ❑ I certify that in the pedormance of the work for which this pertnit is issue4 I shall not employ any pereon in any manner so as to become subject to Ihe workers' compensation law of California, and agree �hat if I ould hecome subject to Ihe workers' compensation provisions of Sacti 3700 of t e Labor tle, I shall toRhwith comply with these p vis �\ Applicant Signature: Date: � V WARNING FAILURE TO SE RE RK ' COMPENS ION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL NALTIES A D CIVIL FINES UP TO IXJE HUNDRED THOIISANDDOLL4RE(E100. . AD I TOTHE TOFCAMPENSATION,DAMAGESASPROVIDEDFORINSECTION3]O60FTHE RCADE,IMEREST,ANDATTORNEV'SFEES. LICENSED CONTRACTORS DECLARATION: I hereby aflirtn ihat I am li setl under provisiong of pter 9(commancing with Section 7000) of Division 3 of the Business and Prof ssions Code, entl my license is in full force entl effect. Lia # Class p Contractofs SlgnaWre: Date: CONS7RUCTION LENDIN G . . ❑ I hareby aHirtn ihat there is a consiruction lending agency for the pedormance of Ihe work for which ihis pertnit is issuetl. (Sec. 3097, Civil Cotle). Lender's Name: Lender's Adtlress: Signature: Date: OWNER•BUILDER DECLARA710NS: I hereby attirtn that under penalry ot perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (SecJ031.5, Business and Pmteuions Cotle: Any ciry or county which requires a permit b consimct, elter, improve, demolish, or repair any simcture, prior to its issuance, also requlres the applicant for such permit b tile e signetl statement that he or she Is licenspd pursuent to the provisions of ihe Contrectors License Lew (Chepter 9(commendng with Section 7000) ot Divislon 3 of Ihe Business and Professions Code) or thet he or she is exempt therefrom and Ihe basis tor the alle9etl e:emption. Any violation of Section 7031.5 by eny applicant tor a permit subjects the applicant to a civil penalty of not more Ihan five hundred dollers ($500).): ❑ I, as owner of Ihe propeny, or my employees with weges as their sole compensation, WILL DO THE WORK, and the stmcWre Is not intentled or oHeretl for sale (Sec. 7044, Business and Professions Code: The Coniractors License Law does not apply to an owner of properry who builds or improves Ihareon, and who does such work himseli or herselt or ihrough his or her own employees, provided that such improvemenis are not intentled or oHered for sale. If, however, the building or impmvement is soltl within one year of completion, ihe owner-builder will heve ihe burden of proving ihat he or she did not builtl or improve tor purpose of sale.). ' ❑ I, as owner oi iha properry, am E%CLUSIV�LY CON7RACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, eusiness antl Professions Cotle: Tha comractors Llcense Lew does not apply to an owner of propeny who builds or Improves ihereon, antl who contracts for such project with a contrector(s) license pursuant to ihe Comractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID veritied by drivers license. ❑ Yes ❑ No Drivers License No. Expires: Ventication of Ownership by (type oi document, i.e. - properry tax �ill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CpqTIFICATION: ❑ I here6y certify ihat no excavation fiva (5) or more feet in depih into which e person Is requiretl to descend, will 6e made in connection with work euthorized by ihis pertnit, and ihat no building simcWre, scafl0lding, Falsework, or demolition or tlismamling ihereof, will be more than Ihitly-si: (36) fee� high. (Chap. 32, Grp 2. Art 2, Sec. 341, Title 8, Celifomia Adminisira�ive Cotle). ❑ As owner-Duilder, I will not employ anyone to do work which would require e parmit trom the Division of Industriel Sefety, es notetl above, unlass such persan has e pertnit to do such work fmm ihe division. SignaWre: Date: Divisian of Industrial Sefery Permit Number: CERTIFICATE OP COMPLIANCE AND AIfTHORIZA7lON OF ENTRY: I certify under penelry of perjury that I have read ihis epplication and state that ihe information given is corred. I agree to comply with ell state laws antl ciry ortlinances relating m huilding construc�ion, and euthorize representatives of �he Clty oF Costa Mese to enter upon the above-described properry for inspection purposes. 1 agree not to occupy or allow occupancy ot any building au�horized by this permi� until finel inspection. COUE I. 7616 1266 200 207 202 203 Fire Prevention Pool Spe Final Final Re-Roof Final BIocWRetaining Wall Final Factory Fire Plate Finel Sign 204 Finel Demolition �rz�i�r,emr.��y COUE 1 INSPECTION TYPE /s— PAIE 206 Finel Mechanical 7�-Li ��— 20B 270 212 220 222 250 Finel Plumbing Final Electrical Final Fire Prevention Final Planning Approval Final Site Final BuildincyOccupancy (714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DiiIVE, COSTA MESA, CA 92626 Job Address: 2878 ALANZO LN Suite No Vicinity: Parcel Nunmber: 14156329 Applicant: NUNN, JEFF Address: 1815 KINGLET CT COSTA MESA, CA Owner: BRANCA, FREDERICK A Address 2878 ALANZO LN COSTA MESA, CA Contractor: NUNN CONSTRUCTION Address: 1815 KINGLET CT Arch / Eng : Address: ISSUE FEE BackFlow irrigation BackFlow Preventer Bathtub Clarifier System Connect (Ice,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank COSTA MESA, CA PLUMBING PERMIT Phone: (714) 5563750 Zip: 92626 Phane: Zip: 92626-4203 Phone: (714) 556-3750 Zip: 92626 License: 481751 Phone: Zip: License: ISSUED BY: Status: ISSUED Applied: 02/24/2004 Issued: 02/24/2004 SCOPE OF PERMIT REF: B04-000177. EXPAND EXISTING BEDROOMS AND REMODEL MASTER BATH. PL;UMBING TO INCLUDE: t SHOWER, 2 WASH BASINS, 1 TOILET. AMT $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 QTY FEE SUMMARY AMT Laundry Tub / Washer $0.00 Landscape Irrigation $0.00 P-Trap $0.00 Pressure Regulator $0.00 Process Piping (per 10 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 Shower $9.80 Sink, bar $0.00 Sink, commercial $0.00 QTY 0 0 0 0 0 0 0 0 0 0 7 0 0 SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr BkFlow(1-4) Vacuum Brkr BkFlow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $19.60 so.00 $0.00 $9.80 $0.00 $0.00 $0.00 QTY 0 0 0 0 0 0 2 0 0 t 0 0 0 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, 1247-92) EXPIRATION: This permit shall automatically expire and become void if work Is not commenced within 180 days, or if work is suspended or abandoned tor 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 requlred Inspeclions and final approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 zatsae �aroo� WORKERS' COMPENSATION DECLARATION: � I hereby aflirm under penalty of perlury one of the tollowing declarations: �I have and will maintain e certificate of consent to selbinsure tor workers' compensation, es provided tor by section 3700 of iha Labor Code, tor the pertormence ot the wark for which I�is pertnit is issuetl. I have and will maintain workers' compensali�n insurance, as requiretl by section 3700 of ihe Labor Code, for the peAortnance of Ihe work for which Ihis pertnit is issued. My workers' compensation Insurance carrier entl policy number are: Carrier: Policy Number: (This section need not 6e complefed il the permit is velued af one huntlred dollars ($700) or less.) . ❑ I certify ihet in lhe pedormance of ihe work ior which this permit is issued, I shall not employ any person in any manner so as 6 become subject to tha workers' compensetion laws of Calitornla, end agrea that If ould become subject to the workers' compansation provisions ot Sectio 3700 ot th Labor C tle, I shall forthwith compty wit� these pro isio �� r` Applicent Signature: � Date: �� WARNING: FAILURE TO SEW E W R MPENgA IQY CAVERAGE IS UNL4WFUL ANO SHALL SU&IECT AN EMPLOYER TO CPIMINAL PENALTIES AND CIVIL FIN S UP TOIXJE HUNDRED THOUSANDDOLLARE(5100.000�. �ITI �� DTHE�p OFCOMPENSAiION,DAM4GESASPPOVIDEDFORWSECTION3]OfiOFTHEIABORCAOE,IMEREST,ANDATTOFNEY'SFEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm ihat I am licensed under provisiong of Chapter 9(commencing with Sec�ion 7000) ot Division 3 of ihe Business and Professions Code, and my license is in full force end eHect. Lic. q Class N Contractors Signature: Date: rJ 7 f! %\ , CONSTRUCTION LENDING AGENCV: ❑ I here6y affirm that there is a construction Lenders Name: SignaNre: OWNER-BUILDER DECLARATIONS: agency for the performance oi l�e work tor which this permit is issued. (Sec. 3097, Civil Code). Lander's Address: _ . _ __ Date: I hereby attirtn that under penelry of perjury that I em EXEMPT FfiOM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, eusiness and Professlons Cotle: Any ciry or counry which requires a permit to construc4 alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such pertnit to file e siqnetl stetement thet he or she Is licens�d pursuant to the provislons of the Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of ihe Business and Professions Code) or ihet he or she is e:empt Iherefrom and the basis tor the elleged exemption. Any violation of Section 7031.5 by any epplicant tor e permit sub�ects the applicent to a civil penalty of not more ihan five hundretl tlollars ($500).): ❑ I, as owner of ihe properry, or my employaes with wages as their sole compensation, WILL DO THE WORK, antl Ihe s�ructure is not in�entletl or oHered tor sale (Sec. 7044, Business and Professions Code: Tha Contractors License Law does not apply to an owner of properry who builds or improves Ihereon, and who tices such work himself or herself or ihrough his or her own employees, provided that such improvements are not intended or oHered for sale. tl, howevei, ihe building or improvement is soltl within one year ot completion, ihe owngrvbuilder will heve ihe burtlen of provi�g that he or she did not build or improve for purpose of saleJ. ' ❑ I, as owner ot the property, am E%CLUSIV�LV CONTRACTING WITH LICENSED CONTHACTORS to construct ihe projec� (Sec. 7044, Business and Pmfessions Cotla: The comracbrs Licanse Law does nOt eppty to an owner of property who builtls or Improves ihereon, and who contracts br such prolect wlth e conirador(s) licensa pursuant to the Contractors License Laws.). ❑ I am exempt under sec. SignaWre: Owner ID verifietl by driver's licensa. ❑ Yes ❑ No Business and Professions Code for this reason: Verification of Ownership by (Iype ot tlocument, i.e. � property tex bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CER7IFICA710N: Dnver'S Litense No. Dete: Expires: ❑ I hereby certify ihat no axcavation five (5) or more feet in tlepih in�o which a person is required to descend, will be mede in connection wi�h work authonzed 6y ihis permit, and that no building sWdure, scaH0ltling, talsework, or demolition or dismantling tharaof, will be more ihan ihirry-six (36) feet high. (Chap. 32, Gry 2, Atl 2, Sec. 341, Ttle B, Califomia Adminis�rative Cotle). ❑ As owner-builtler, I will not employ enyone to do work which would require a permit irom the Division of Intlustrial Satety, as noted above, unless such person has e permit to do such work From �he division. SignaWre: Date: Division ot Industrial Satery Permit Number: CERTIFICATE OF COMPLIANCE AND AUTHORIZpTON OF ENTRY: I certity under penalry ol perjury that I have read this application and state that ihe information given is wrrect I agree to comply with all stete lews anq ciry ordinances relating to building constmction, and authorize representatives of ihe Ciry of Costa Mesa to enter upon the above-described property for inspection purposes. I egree not to occupy or allow occupency of eny buildinq euthorized by this permit un�il tinal inspection. 1616 1266 200 201 202 203 204 FixecP6ystem Final f ire Prevention Pool Spe Final Finel Re-Rooi Final Block/Retaining Wall Final Factory Fire Place Final Sign Final Demolition PAIE wrrtin�s eooe� iNsvecnoxTrae 206 Final Mechanical 208 Final Plumbing 210 Finel Electrical 212 Finel Fire Preventlon 220 Final Planning Approval 222 250 Final Site Final Building/Occupancy P9ff It� -2 ,o `� �e�cL (714) 754-5273 • Fau (714) 754•4856 • www.Ci.Costa-mOSe.Ca.US 77 FAIF DFIVE, GOS I A MtSA, GA 9Lti2ti ELECTRICAL PERMIT Job Address: Suite No Vicinity: Parcel Nunmber. Applicant: Address: Owner: Address 2878 ALANZO LN 14156329 NUNN,JEFF 1815 KINGLET CT COSTA MESA, CA BRANCA, FREDERICK A 2878 ALANZO LN COSTA MESA, CA Contractor: NUNN CONSTRUCTION Address: 1815 KINGLET CT ISSUE FEE Temp service test Res. a/c package New Res (1-2 unils) New Res (3+unils) Pool / Spa Lighting Fixts Recept OuUets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over t000a Motors to 1 hp Motors to 10hp Motors to SOhp Motors to 100hp Motors over 100hp Communication drops Sub panel to 200a COSTA MESA, CA Phone: (714) 5563750 Zip: 92626 Phone: Zip: 92626-4203 Phone: (714)556-3750 Zip: 92626 License: 481751 ISSUED BY: Status: ISSUED Applied: 02/24/2004 Issued: 02/24/2004 SCOPE OF PERMIT REF: 804-000177. EXPAND EXISTING BEDROOMS AND REMODEL MASTER BATH. ELECTRICAL TO INCLUDE: 10 LIGHT FIXTURES, 15 OUTLETS, 8 SWITCHES, 1 RES APPLIANCE (VENT FAN) $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $11.00 $16.50 $8.80 $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 0 10 15 8 0 t 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 kva/kw ................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 Conductor Circus ( gen or ride) Circus (mech nde or lights) Christmas Tree Stand Fireworks Stand Other Electrical Fee Investigation Fee Plan Check 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 0 $0.00 $0.00 $0.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically ezpire 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, end all requlrad inapeetlona and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 2448-48(8/00) WORKERS' COMPENSATION DECLARATION: I hereby aifirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a cenificate of consent b self-Insure for workers' compensation, es provitled tor hy section 3700 of ihe La6or Code, tor the pertortnance of the �ork for which this pertnit is issued. have and wlll maintain workor5' compensati0n insuranCe, 85 required by SeCtion 3700 of ihe Lebor Code, for the performance of the work for whiCh this permit i5 i55ued. My workers' compensation Insurance carrier antl policy numDer are: Carrier Policy Number: (This secfion need nof be comp/efed i! the Oermd Is valued at one hundred dollers ($700) or IessJ ❑ I cenity that in the performance of the work for which this permit is issued, I shall not employ eny person in any manner: compensation la�(s of Calitomla, and ag�aa that if 1 shoultl become subject to the workers' compensation provisions oi S comply with theSA"prov'��'t��. / ' � Applicant SignaNre: WARNING: FAILURE TO THOUSAND DOLLARE (1 LICENSED CONTRACTORS I hereby aifirm that I am li n: force and eHect. Llc. N� Coniractor's Signature: CONSTRUCTION LENC ❑ I hereby aNirm Ihat Lentlers Name: Signeture: �me subject to the workere' of tryE Labor Codg, I shall fotlhwith COVEMGE IS UNIAW FUl rW� SHALL SUBJECT AN EMPLOVER i0 CRIMINAL PENALTIES AND CIVIL FMES UP TO IXJE HUNDRED ° COMPENSATION, DAANGES AS PROVIDED FOR IN SECiION 3]O60F THE LABOR CADE, IMEREST, AND AiTORNEV'S FEES. under provisions of Chapter 9(commencing with Section 7000) of Division 3 of ihe Business end Profession ode, and my licanse is in tull Class a Date: Y: a ction lending agency for the pedormance of ihe work for which this permit is issued. (Sec. 3097, Civil Code). Lender's Atltlress: oate: _ OWNER-BUILDER DECLARA710NS: I hereby aHirm ihat untler penal�y of perjury Ihat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW tor Ihe following reason (Sec. 7031.5, Business and Professions Code: Any ciry or county whic� requires a permit to constmct, alter, improve, demolish, or repair any structure, pnor to iis issuance, also requires the applicant for such permit to tlle e signetl stetement ihat ha or she is liCensed pursuant to the provisions of the Contractors Llcense Law (Chapter 9(commencing with Sectlon 7000) of Division 3 ot ihe Business antl Professions Code) or that he pr she is e:empt theretrom antl the basis tor the ellegad exemption. Any violation ot Section 7031.5 by eny applicent for a permil sublects the applicent to e civil penalry of not more ihen five hundred dollars ($500).): ❑ I, es owner of ihe property, or my employees with wages as iheir sole compensation, WILL DO 7HE WORK, and ihe structura is not intended or oHered for sale (Sec. 7044, Business antl Professions Code: Tha Coniractors License Law doos not apD�Y �o an owner of properry who builds or improves Ihereon, and who does such work himselt oi herself or through his or her own employees, provided ihat such improvements are not intentletl or oHered for sale. If, however, the building or improvement is sold within one year ot completion, �he owner-builder will have the burden ot proving ihat he or she did not build or improve for purpose ot sale.). ' ❑ I, as owner of ihe property, em E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct the project (Sec. 7044, eusiness antl Professions Code: The conirectors Llcense Law tloes not epply to an owner of property who builds or Improves thereon, and who contracts tor such project with a contracror(s) license Dursuant to the Contractors Licgnse LawsJ. ❑ I am exempl under sec. Business and Pro(essions Code for �his reason: Signature: Date: Owner ID verifietl by tlriver's license. ❑ Yes ❑ No Driver's License No. E:pires: Verification of Ownership by (type at tlocument, i.e. - property tex bill or deed): DIVISION OF INDUS7RIAL SAFEN PERMIT CERTIFICA710N: ❑ I hereby certify that no ezcavation five (5) or more feet in tlepth in�o which a person is required to descend, will be made in connection with work authorized by this permit, and that no building swcture, ScaMolding, talsework, or tlemolition or dismantiing thereof, will be more ihan thirty-si: (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, T�le 8, Califomia Adminis�retive Cotle). ❑ As owner-builder, I will not employ anyone to do work which would require a permit irom the Division of Indusirial Sefery, as notetl above, unless such person has e permit to do such work irom the division. Signature: Date: Division ot Indusirial Safery Pertnit Number: CER7IFlCATE OF COMPLJANCE AN� AUTT{ORIZA710N OF ENTRV: I certify under penalty ot perlury that I have read ihis epplication and state Ihat ihe information given is correc�. I agree to wmply with ell state lawg end ciry ortlinances relating to 6uilding construciion, and authonze representatives of the Ciry of Costa Mesa to enter upon tha ebove-describetl property for inspection purposes. I agree not to occupy or allow occupancy of eny building authorized by this pertnit until finel inspection. CODE II, �� 1616 Fised System in I F' Pr 1266 Pool Spe Final 200 Final Re-Root 201 Final Block/Retaining Well 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition g�jE INiITIALS COUE� INSPECTIONTYPE 206 Final Mechanical 200 Final PlumDing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Builtling/Occupancy PSIE ItIIIDeLS (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DFIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 2878 ALANZO LN Suite: Viciniry: Parcel Number: 14156329 Applicant: NUNN,JEFF Address: 1815 KINGLET CT COSTA MESA, CA Owner: BRANCA, FREDERICK A Address 2878ALANZOLN COSTA MESA, CA Contractor: NUNN CONSTRUCTION Address: 1815 KINGLET CT COSTA MESA, CA Zip: 92626 Arch : Address: Phane: Zoning: Phone: (714)556-3750 Zip: 92626 Phone: Zip: 92626-4203 Phone: (714) 5553750 License: 481751 Eng: Address: ISSUED BY: Status: ISSUED Applied: 01/15/2004 Issued: 02/24/2004 Phone: Zip: License: License: SCOPE OF PERMIT ADD 168 SF TO THE SOUTH SIDE OF EXIST. RES. THE INCREASE IS TO THE EXISTING BEDROOMS. Plan Check: $227.01 Permit: $34925 SMIP Res: $2.15 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $578.41 SETBACKS MAIN STRUCTURE Front 21- 3 ACCESSORY Front 0-0 PARKING Existina: 2 NOTES: Rear 26- 7 Rear 0- 0 Re uired: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 7- 6 Right 0- 0 $21,52320 so.00 �_.. ._ _-_ _.__. 'I NOTICE: The work authonzed by this permit shall compty with all applicable handicap access requirements under Califomia 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 this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inapections and final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiretion ot this permit. FOR INSPECTIONS CALL: (714) 7545626 zaaats �sroo� WORKERS'COMPENSAnON DECLApqnON: I hereby aHirm under penalry oi perjury qne of the followinq tleclaretions: ❑ I heve end wili malntain a certificate of consent to selbinsure for workers' compensetion, as provided for by section 3700 of iha Labor Cotla, for ihe pedormance of the rk tor which this permit is issuetl. I have antl will maintain workers' a.mpensation insurence, as required by section 3700 of tha Labor Code, tor the peAortnance of Ihe work for which Ihis pertnit Is issued. My workers' compensation Insurance carrier and policy numher are: Carner: Policy Number: (This section need not be complefed il the permit is valued af one hundred dollars ($100J or less.) ❑ 1 cenify that in the peAormance of the work tor which ihis permit is issued, I shall not employ any person in any manner so es to become s�bject to the workers' compensation la of Calitornia, end agree tl e1 If I should 6ecome sub�ect m tha workers' compensation provislons ol5ectl n 3700 ot ih Lebor Code, I shall tonhwith comply with ihes rovi '� s. �� Applicant Signature: Date: WARNING FAILURE TO S CUR VO < 5' ppM ENSATION CAVERAGE IS UNLAWFUL ANO $HALL SU6)ECT AN EMPLOYER TO CRIMINAL ENALTIES A CIVIL FINE UP TOONE HUNDflED THOUSANDDOLLARE�$10p, OITI NTO HECASTOFCOMPENSATIQ'J,DAMAGESASPROVIDEDFORINSECTIdJ3]OfiOFTHEL490RCA�E,INTEREST,ANDATTOFNEY'SFEES. LICENSED CONTRACTORS DECLARqTION: I hereby affirm Ihat I am licen tl under provisio force and eNect Lic. # Goniractors SignaNre: CONS7RUC710N LENDING`AGE1 ❑ I hereby aHirm ihat Ihere is a Lender's Neme: Signature: OWNER-BUILDER DECLARATIONS: 9(commencing with Section 7000) of Division 3 ot the Business antl Prof§ssions Cotle+and my license is in full Cless # / 1 i Date: �7 P % '1 lendinq a9ency for the peAormance of the work for which this permit is issuetl. (Sec. 3097, Civil Cotle). Lender's Address: Date: I hereby affirm that under penalty of perlury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor ihe following reason (Sec. 7031.5, Business end Protessions Code: Any ciry or county which requues a permit to consWct, alter, impiove, demWish, or repair any struc2ure, prior to its issuance, also requires the applicant for such permit to file a siqned statemant t�et ha or she Is licensed pursuant to ihe provisions of the Contrectors License Lew (Chapter 9(commencin9 with Section 7000) ot Divislon 3 of Ihe Business antl Protessions Code) o� ihel he or she is exempt therefrom and the basis for the allegetl exemption. Any violation of Section 7037.5 by any applicant tor e pertnit subjects ihe applicant to a civil penalty of not more ihen five hundred dollers ($500).): ❑ I, as owner ot �he propeny, or my pmployees with wages as iheir sole compensetion, WILL DO 7HE WORK, entl the structure Is not intendetl or oHeretl for sale (Sec. 7044, Business antl Professions Code: Tha Contractors License Law does not apply to an owner of property who builtls or improves thereon, antl who does such work himsaN or herself or ihrough his or her own employees, provided �hat such improvements are not Intentled or oHered for sale. If, however, the building or improvement is sold within one year of completion, ihe owner-builtler will hava the burden ot proving ihat he or she did not build or improve for purpose oi sale.). ' ❑ I, as owner of iha property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to conslruct ihe prolect (Sec. 7044, BuSiness and Profe55ion5 Code: The contractors Llcense LeW tloes not epply to an owner of property who builds or improves iheraon, and who coniracts for such project with a contrector(s) license pursuant to ihe ContractorS License Laws.). ❑ I am exempt under sec. SignaWre: Owner ID veniied by tlrivar's license. ❑ Yes ❑ No Business and Professions Code for this reason: Verificatian ot Ownership by (type of tlacument, i.e. - propeny tex blll or daed): DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATION: Driver's Licensa No. Date: Expires: ❑ 1 hereby certi(y Ihat no excava�ion �ive (5) a mo�e �eet in depth into which a person is �equiretl to descend, will be made in connection wilh work authaized by ihis permit, and that no building siructure, scaHolding, lelsework, or demolition or dismantling thereoi, will 6e more than ihirty-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Tde 8, Calitornla Atlministretiva Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Satery, as noted ahove, unless such person has a pertnit to do such work from Ihe divisian. Signature: Date: Oivision of Indusirial Safety Permit Numbec CERTIPICATE OF COMPLIANCE ANO ql/T}{ORIZA710N OF ENTAY: I certity under penatry of perjury ihat I have read this application and state Ihat the information given is correct. I egree to comply with ell stale lews and city ortlinances releting to 6uilding constmc�ion, end euthorize represen�atives of Ihe Ci�y ot Costa Mesa Io en�er upon Ihe above-described property for inspection purpo�ses. I agree not to occupy or allow occupancy ot any building authorized by this permit until final inspection. COUE 1, 1616 1266 200 Fixed by tem mal Fire Rr \ Pool Spa Final Final Re-Roof 201 Final Block/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final �emolition COUE I INSPECTION TYPE 206 208 210 272 220 Final Mechanical Final Plumbing Final Elecirical Final Fire Prevention Final Planning Approval 222 Final Site 250 Final Builtling/Occupancy �� 'a'9 COSTA MESA BUILDING•SAFETY DEPARTMENT P. O. BOX 9f7 C09TA MEBA. CALIPORNIA For Applicanf to Fill In Compleiely TYPE OR PRINT BUILDING _ _ _ _ COSTA MESA. GALIFORNIA ■ MAIL � SIZE � 86l9ACK LIN6 PROM none 1 � �I * TEL. NO. TEL. NO. OP BLD08. DESCRIPTION OF WORK BUILDING 81ZE 1. EXTERIOR WALL NO. OF ��II ROOM6 '7 StUCCOXROOF iqpnr3 i COVERINC : AND WORK TO BE PE �le familv res ttached garage Lot 6ti� 1Y�act�L��f�, P1an 3-CR SEP 11196f' FINANCE DEPT. ��= CITY OF COSTA MESA� APPLICATION FOR PERMIT BUILDING For Offiee Use Only R6CHIP� NO. PHRb1IT NO. BY COSTA ME6A. CALIFORNIA FIRE ZONE APPROVED G ZONING zoHe%') / I NO. OF� I use or e ' ( PIAN9 BUILDINO LBGAL _ . _.�-� • i . .� . �t �aelmn uNe er.� �J � — FRONT �� d — F. SIDE / � 26 �v �t9 Garage Area EVES 5 F I XEREBV ACKNOWLEDOE TXAT 1 HAVE qCAD TXi9 A�PLIGTION THE AMOUM 6XOWN UNDHR VALUAf10N IB POR THE ANO BTATE THAT THE ABOVE IB CORRECT AND AGRH6 TO GOM• pURP08E OP EBTABLI6HIN0 • PERMIT FEC ONLY. PLY WITH ALL CITY ORDINANCEB AND 9TATE LAW9 R86ULATNO eUunlNc CONernucilON. VALUATION 6IGNATURE OF L. �'ERMIT FEE $ ��— PERMITfE jY �/�� s 16,084�0� PLAN CHEGK $ �v � AUTHORIZED AGE :��tiVG� r'1. nn �OIL and TEST ' ENOINEEFiS Ih . OAANOE COUNTN COACNELLA VALLEY BAN BEi1NANOINO 1 fi7 W. ORANGETHOf�E � PLACEMIA, CA 92670 79-607 CAUMRV CLUB, XS 1894 COMMERCENTER WEST, � SUI7E 305 (714J 524-9130 86dv1UDA DUNES, CA 92201 SAN BFANAROINO, CA 92408 �[619J345-8869 [710)381-3528 REPORT OF COMPRESSION TESTS FILENUMBER: $S4Z19( DATE: �-Z�2$�9O ❑CONCRETE �oe: Steve Gallina - Gardiner/Bryant O MORTPR aooaess: 287$ Alonzo Lane, Costa Mesa, CA O GP.OUT cueNr: Steve GAllina �XGUNITE ARCHITECT: AC1dIR5 - ❑ LIGHTWEIGHT ENGINEER: C�NCRETE caNraacroa: Unique Reflections CONCRETE SUPPLIER LOCATION IN STRUCTUFE: �,Qdl� SLUMP, in inches CONCRE7E7EMPERATURE AIR TEMPERATURE: UNIT WEIGHT: CEMENT: AIR CONTENT: ADMIXTURE: MI% NO. FINE AGGREGATE: TIMEIN MIXER.MINUTES: COARSE AGGREGATE: WATER A�OED, GALLONS iIME FABFiICATED: FABRICATEDBY: Gd.111Rd TRUCKNO: TICKETNO: LABORA70FiV NO: 1810 h�ARK: S2t 319 DATE MA�E: 12�11�9 � DATE RECEIVEO: 1Z�12�90 � DATE TESTEO: 1 z� Z S� 9 O DIAMETER, INCHES: 6. 1 � AREA 5�. INCHES: 29 , S1 MAXIMUM LOAO, LBS: 114 � � � � COMPRESSNE STR.. PSI: 3, 8 6 0 nGc icSTEp. npVS: 1� REO'D P51 A7 28 OAYS: 2� O O O UNIT WT/CU FT (PLASTIC�'. OISTRIBUTION: (3) Steve Gallina SOIL and TESTING ENGINEERS INC. FEVIEWED Bv� / -1 1 W • O/00 PflOJECT AOOflESS: L P.� � �,�.Lh�N � Q I.� V OWNEfl'SNNME: �.��n1NL''R L1X:t%1�) i`i nooREss: �;�YAiJT, �UaAN V �RYAN'P, SUSAN V 2878 ALAiV�O I,N PHCHIENGMEEH: COSTA %1L,�..i1i� C�: aoosess: � � 6 .'. 6 qEG.NO.: UNIT: uxrt: PEflMITTEE: �./N1(��yL�1:. �iF.F`1.�.:CLI�NJ �7�Q�%7�"a803 ADOFESS: �3C)�tE ;EA POIN'i DR DANA POINF CA 926?9 LICENSEO CONTflFCTOP OECLABATION: I �ereby afiirm Ihai I am licensetl untler Diovisions o� Chapler 9(commencing wilh Section 7000) of �ivision 3 0l ihe Business antl Protessions Code. antl my license is in full inrce aM eHect. ciTr uc.: � 5 y y-�p� sraTe uc.: L � � 3 0� cu�ss: �_ c 3 � Da�e: _{.��' T!� �CZ SignaNre'. _ . — . WOPNEBS' COMPENSRTION UECLAflATION: I hereby a��irm Ihai I have a tertiiitate o� cOnsenl �o Selbinsure or a tehi�it e 01 WOrkers' Compensation Insurance, or a ceridietl coDY �hereo� (Seaian 3800. Lab. C�. %POUCYN�.: 1O(jFjO(j5 E%P.OATE: OSIO1 ��: COMPRNV: jjA�Pr. � Cenifietl copy is hereby Wmishetl. ❑ Cenitietl coDY is file0ny+i�h the ciry Building �i ision. . Dale: ��.Q+��Q ApplicanL V � , / EXEMPiIONFBOM�OMPEN5ATI0NDECUPATION: (Thi55ediannee0nolbecompleteOilthe0e�miti5loonehunOretl�5100�or1e55�. I cetlity Iha� in Ihe petlormance oi I�e work for which �his permit is issued, I shall noi ¢mploy any person in any manner so as �o become suhjecl to Ihe Workers' Compensalion Laws o� Cali�omia. �aie- Signature: NOTICE: II, afler making this tleclaration, you should �ecome sublec[ [o the Workers' Compensation provisions o� �he Labor . Cotle. yau musi fotlhwil� compty with such provisions or �his permil shall be OeemeO revoketl. LONSTPUCTION LENOING RGENCY: I hereby attirm thal lhere is a cons�mction IenOing agency for the peAormance o� lhe woB lor which this permi� is i<suea (Section 3097. Civ. C�. lENOEN: aoosess: OWNEP 601LOEfl �ECLABATION: I herehy aftirm ihat I am exemp� fmm Ihe Coniramors' S�ale License Law for the �ollowing reason (Section 7031.5 Business and Pmfessional Cotle: Any ci�y oi coun�y which requires a permi� to con5huci, alter, improve, demolish, or repair any simcture. Drior lo its issuance. also requires ihe apPbcant for such permit to file a signetl statement ihat helshe is licensed pursuanl 10 Ihe p�ovisions ai Ihe Caniractors' S�a�e License Law (Chapler 9(commencing wi�� Section 7000) o� Division 3 of ��e Business antl Pmle55ion5 COde) or Ihat he/She is enempl therefrom antl Ihe Gasis �or t�e alleAQO exemption. Fny vi01ati0n ot Seciion 7031.5 6y any applicant br a permi� sublecis �he apPlicanl �o a civil penalry o� not more (han five hundretl tlollars (E500). I, as owner o� �he pmpetly or my employees wilh wages as Iheir sole compensation, will do the wo�k, anU ��e ❑ simcture is no� intentletl or offeretl for sale (Section 7044, Business and Pmfessional Cotle: The Coniractors' State License Law tloes nol aODly lo an owner ol a pmperty who builtls or improves �hereon. an0 who does such woB himsel�/herself or thmugh his or her own employees, pmvitled (hat such impmvements are noi inlenaetl or offered tor sale. If, however t�e builtling or im0�ovemenl is soltl wi�hin one year ot comDlelion, ��e owner will �ave Ihe burUen af pmving he/she tlitl no� �uiltl or impwve � lor �he purpose ol Sale). I, as owner o� the pmperiy, am e�clusively comracting wilh licensetl contractors m cons�mct Ihe pmleci (Sec�ion 70a4, Business ❑ antl Pm�essions Cotle: The Conlraciors' S�ate LicenSe Law tloes not appty �o an owner o� pmperiy who �uilds or impmves Ihereon antl who conlracis �or such pmlects wiih a contractor(s) Ilcense pur6uan�to the Contractors' $ta�e License Law),I am aware ihal proof ol Iheir Worker's Compensalion insurance shaultl be pmvi4e0 lo me. � I am ezemyl under Section: B. 8 P. C. br ihis reason: Date: Ownec I tlo hereby certily iha� I am aware al an0 untlerstantl �he requirements ol Cah�amia Heallh and Sa�ery Cotle Sections 25505, 25533, antl 25534 and Ihal I or any fuiure building occupanl wllllwlll not (circle one) need �o comply wlih saitl stata co0e5 and lhe requiremenis �or a permi� lor con5imciion or matli�ication Irom �he Air Ouali�y Management �islrici. Resi�en�ial cons�mction apDlications are exemp� �mm Ihese provisions. - , , . ' • Oa�e: Applicanl: I hereby cerlily ihal I have reatl �his applicalion and state Iha� ihe a�ove in�orma�ion is carrecL I agree lo compty with all ci�y and counry ortlinances and s�ale laws relaiing Io �mlding con9mction antl hereby aul� rize represen�atives of this city �o enier upon �he above-menlianed pmperly loi insDeciion purposes. � ' Daie: _��z�,L90 S�gna�ure: % • Driver's License or Social Securiiy p: �� 6at a6 WMe—Builtlmg; Green—Cotle Enbrcement; Canary—Appl¢anl; Pmk—Fevenue; GolEenrotl—Assessor CITY Ot� COS'CA ME^a<l — L1U'LI�DING P�RhIIT AERhf NO: i)iF 0500n'. Pt:1tM1T A?O: NEP �SOOR'% rLAN C?IECK NO: U6E:Ei(� �90 S GO.�:: N 3UPP; N CUNS'I't�UCT'tON fti'PL•': l'—N Pc:RMI'T `TYPE: ELE PLI7 :iTR PORPO.iE: NEW JOB P"r".aCRI-]'TION : NfiW POOL 6 SPA 5�/ 'r'T: 9II9 CZAI�i V.1LUE: :�7,OQU.00 CA3,C—V.ALUE;: 5, f;pfS, 00 GROUP OCC: R-3 / COMMENTs : NE'iJ PJOi G 5FF: i( �X.� i!'-Y'1F'Y'>'Y.' 1% fE 1: � Y. N' Y K. y�'l..y {(. �cj(..X.'Y.�?E if'Ih'Y. }: j: }: Y.Jh :1(� } iF ��Y. if i� if'K �Y. JF ii' iE Y�if.} i? � iE +r..�. M.'IE �-k' � i:'Jf 1f 'i.')f �Y:-iE Y� iG IF.)(. }.�.x..�.y.}'}E-lf 'L �� N T N G R E Q II I R E M�: N i S s�. •r Fi a r, x s ------------ N,�;ri «��i.P)TNG ----------- --------. ACCESSORY avr.r..DING - — FANT: F'i' tt� dEi1R: P'i l:N FitNT: 'r'i IN REAft: 'rT SN 'i,�3rT'; P'i CN YCC;ifT; ET' TN Li?r'i : r'£ iN RGFi'i : 'r'Y TN PARKtNG ;i�30� PROV: PARc'LL: ?415632y ZNE: R9 REr NO: �r,�rvNzn��- rii�'I'i�.�> PiEW :;i�IIMNi1NG FOOi., AND �PA. S 3F?fif'!fM'kYif?E:�Fi(':�.'##fX.?;. r. { r ti'`�''?E?E:�fif3i'3f?EiFifiEi!�?f!f)fiE)f?EiF%Y�?EibY?EiE?f�iEiFif'X�Y3f<�F.`fY?f?E!4Y?E?EiFIF?EdE�fiF3C..k.36iEaE#�)RiE#iE D L(/ !: L O P M't: N T S � R V:C C'r'. S R E Q U I R E M F. N't 5 zorr�cr�c APPitc)Vi{i� NY �,4 (� 1�7� _ ��1�E: _�LZ��G Fi(7ILlli NG AFPRUVL:D i3Y ; llA.i c,; APYI�iCATIUN ZJJ�I�'.Q �IY� ?f7fY.�i'�'h�?t3fiE#i(1f�4#�%;:ke�-y:dEiE:� . ?r aF r. a. �.v. s,c t'r � x k x� �a :t� �t� x K x� **+� w?a ��+� � ac{.aax��F3F�' I�EGAi,SZAT3QN:N I� E E 5 t3LUG � MT PiT.7M➢1NG fiLF..CT12'.0 PLRMIf &t,00 7,.00 30, �0 �r �J� 51�t DA'P'r".; � . .. ..:..., t,fiEiE+t'ofx?�±i'K . �Y .': f .' .'. M'?e +c iE �1E if �Jf� 1f ?6 iF X�±f ?{.?f ?E if v. iE?f �E?f } x�k.?c aF #'� iE !E±(� i' x X� 3E %3F ib +! �c } M M A R Y STRJCTiIRAi, �ic,MuNi:Y �4ECFi7�NSC Fl:iih: ;MIP/Rc�3 Gk;4T>:iNG 5� PLAN 5� . G� SNIt /NUN�-RES rssnE rEr:. �.00 zs.00 BI7.T.l:,DiNG-DTV-? nGRMii. I��liL �'L1�N-CiiF.CI( TOTlIi� PtID BllL•' TO'i'A'LS-�—--> i13,50 iR,00 5.°..fiS 1fl4.15 1II4.15 ,OQ REVEP3CTE 1?TVTSLCN 'f09:'AI.G--: COiiI:CYEil: i�'4, i5 OViR/.r,iIOP.S'; .00 BLDU PNT i`I,CIt-tATNG ELLCTRiC ML•C}i1lN�C Fi:RL SMIP/i'OT GRADZNG PLAN•CIII:C:K 81.00 5.00 45.G0 .SU �?.,65 iE r: )i 1K �k v u Y. y. Y.'�?: �M �w. 3E 7f N� Y, �� Y�Y X w# 3f k# x, i� ryE Y. �M.• i! �k �K �' �M.� r. �.y,..}c y y x.K.+. ��)E ie Y+:� �tE iE #: a..r.;c.y..y ,� �: }r..Y� �� # i! }: �.} M• #�7� #:� %� ifi .N ?c.y. �c a: I� i i% ;f V T D t7 A L N E F. FS Y, � A FC 7� O lti h] TYi)E QTY t� F, S C R.T. F T I O N L7NIi CO�i TOTl.L C'�;T SFH 4�14 sT r•. t FLtI 1 FtE�—POOL�5 PER S�> F'C UF Sli'dPAC� ARtA uWz�.i�znr� Foot - 1N c:t?c�u�a,� - rr�.w Ef�. StvTMP�1NG F�npT, ENl? 4P F'L•:E:S 1�.OQ 5,809,00 :i0.00 30.00 .'.,OU 2,00 Li :��iiy—li«�!i'!:l11� li_f'1 ]i�:.,i". r�ATE� 22!?FiyQ ?i'!�: 1:�=`= CONSTRUCTION AND PLANNING - POV.. e� SPA APPROVALS Permit # Date Inspector p�ppROVALS Permit # Date inspector 1. Temporary Electrical Service or Pole � 52. Pool & Equipment Location l Lo a l� 2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement , � 3. Electrical Conduit UtilitY-Undrgrnd. 54. Forms _ 4. Electrical Conduit-Undrgrnd.. � 55. Electrical Bonding � 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test �y �'� Qp � 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation ` � 59. Ga5 Pipe, � Undrgrnd., Test 9. Water Pipe�Undrgrnd. __ ,� 60. Backwash Lines,P�Trap, O Undrgrnd. � 10. Structural Floor System . 61. APPROVAL TO DECK 11. Property Sewer Line & House.Connection f! 62. Backwash & Receptor-Final `L(lp c�� O,� 12. Sewer CaP ��; . ,i 63. Heater & Vent-Final 13. Roof Drains _;1 .`� 64. Plumbing System - Final 14. Rough Plumbing ,:, � 65. Electrical-Final Z/�/( L/�O 15. Rough Electrical-Conduit .�'� �� 66. Solar SYstem-Final - 16. Rough Electric Wiring _ 67. Fencing & Access Approval � b�q� Q� 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING y�,, J9! ,p� 18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL z/.�i �i� 1�d 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace • �� APPROVALS Permit # 21. Ducts, in Structure , .. 70. Underground Hydro 22. Ducts, Ventilating '� 71. Product Piping O Gas ❑ Oil 23. Gas Pipe�Rough & Test 72. Undeiground Flush . 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing � 74. Overhead Hydro 26. T�Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing � , 76. Dry Standpipe � 28. Lathing & Siding � � . • � +? 77. FIXED SYSTEM FINAL 29. Insulation � ' i ;!':A ; 7g. FIRE PREV. FINAL 30. Drywall Nailing �� •.� + HEALTH DEPT. REQUIREMENT 37. Plaster Brown Coat . � � ;, � 79. FINAL INSPECTION "' '� 32. Electrical Power MeterFinal � •�� .i_� , �� . 80. FOOD CERTIFICATE ISSUED i 33. Final Electric ' �� i �� Notes: � 34. Final Heating & Air Conditioning � `' �I 35. Final Gas Pipe�Test � �' r�' • � �-t � ;,� 36. Hood or Canopy �� , i. : � i 37. Final Factory Fireplace , t� � , . 38. Final Plumbing ' i � �i 39. Water Service�Final � �' ; 40. Gas Service-Final � .. . I ' 41. Solar pomestic-Final � �� ; 42. Backflow Preventer , , � 43. Backflow Irriqation � ' ' 44. Landscape Irrigation System � � , , 45. Sound Attenuation � ' ' 46. Handicap Regulations ' 47. FINAL STRUCTURE & BUILDING � -"(� � 48. FINAL PLANNING � � .I 49. Electric Release to Edison � �, �i +�1� 50. Gas Release to Southern California Gas Co ' ,,,%j ��' 51. CERTIFtCATE OF OCCUPANCY ! No. Date ADO��cant to fill in all spatts excevt ��ase within heavy poreer lines ana si9n all aDoropriate Eeclaratians. CITY OF COSTA MESA CONSTRUCTION PERMIT � P RMIT TFACT NO. LOT NO. UNIT NO. Project Addtess ag7g �� i APPlicanYs Maili�n.�( �o��=�� s�O�l,� L/J�FS�6 Q�i/� • C Owner's Name �'� _ '�r Phone S �� a Address �ME /]�_ �� 1 Arch/Eng. License No. Address Convacror's Name �-1eL�FiE y i EDE,� Phone "�-rL Address (mailingi �097 �ES'�' �j�U� � - � �Es.B City License No. LICENSED CONTRACTOR DECLARATION I hereby affirm that I am liGensetl untler provisions of Charter 9(commencing wilh section 7000) ot DiviS�on 3 oi Ihe Business antl Protessions Cotle, antl •y license is in tull foJ.�e anA effect. CenseClas C-_37 i �¢%�Q 'Sn2/O(o I�ate $'a� ��% Si9natur "" : WORKERS' COMPENSATION �EC ON `�ereGy atfirm tnat I have a ce if' � nsent to selt-insure or a certificate Workers' Compensafion InSurance, o� a certifietl copy [he�¢of (SeCtion ,00, Lab. C.) Policy No. C ny BCertifietl copy is hereby furnisM1etl. Ce�tifietl copy is tiletl with the cit uil ing Division. Date PPplican E7CEMPTI�N FROM WORKERS' C MP SATION DEGLARATION (Thi55ection ne¢tl not be coR�P�etetl if t e�mlt is to� one huntl�etl ($100) or Iess). I certily (hat in the per(o�rttance of the o� (o� which this m�t i5 i55uetl, 1 shall not employ any perso� in any m o s t ec ubject to the Workers'�ortJpQnsaj(Q/i laws of Calif ia. � Da[e 7�(Q h / 5�9nature _ NOTICE: Ii, after makin9 this tlecla tio , hou become subject to tne Workers' Compensation pro�isions t or tle, you must forthwith comply with such p�ovisiU�s o� is it 5 all be tl¢emetl revoketl. CONSTRUCTION LENDING AGENCV I hereby a(tirm that there is B�onstructiqq n lending agency for the Performance of the work for which thi5 p vrp'ly �5 issuetl (Section 309] Civ. CJ Lenaer's Name � ��^ Lentler's Atltlress OWNER BUILDER DECLARATION � hereby affirm that I am exempt frOm the Conttacto�'s Li[ense Law tor the ilowin9 reason (Section ]031.5 Business antl Professional Cotle: Any city or unty which requires a permit to construct, alter, improve, tlemOlisn o� �epai� .ry structure, prior to its i5suance, also requires the appliwnt for such permit to file a siqnetl statement tpat he/She is licensetl pu�suant to the Provi5ian5 of tne ConVactor's License Law (Ghao�er 9(commencing with Section 7000) of .,z:?.�vision 3 0( the Business antl Professions Cotle) or that he/she is exempt ;.-�refrom antl the basis fOi tM1e allegetl exemption. Any violation ot Section q.. =S�+`91.5 by any applicant for a permit subjects tM1e applicant to a civil 't %s�kndlty of not more than tiVe huntlretl tlollars ($500). ❑ I, as owner ot the properTy or my employees with wages as tneir sole compensation, will tlo the Work, antl the structure is not intended or otferetl for Sale (Settion 7044, BUsiness antl Pro/essional Code: The Contractor'S License l.aw tloes not apply to an owner of a property who builds or improves the�eon, antl who tloes sucb work himself/he�selt or th�ough hi5 or her own emOloyees, provitletl [M1at s��h improvemenfs are not intentletl or offeretl for sale. If, howeve�, tM1e builtli�9 or imp�ovement is soltl within ona Year of com- pletion, the owner will hav6 the burden of p�oving he/she tlitl nOf builtl o� im- prove fo� the purpose of salB)� ❑ I, as owner of the proverty, am exclusively mntracting with licensetl con- Iracto�s to construct the praleci (Section ]044, Business antl Pro�essions Cotle: The Contractor's Llcense l,aw tloes not apply to an owner of oroperty who builtls or improves thereon, antl who contracts for such projecis wi[n a con- t�actor(S) bcense pursuani to the Conitactor's License Law). I am aware that proof o( their WorkeYs CCmpensation insurance shoultl be ptovitletl to me. ❑ I am exempt under Section B. & P. C. for this reason oate �Iwner tion antl state tbat the above all city antl countY ordinances n, and hereby au[horize repre- bove-mentioned (�pro�p'e7rty(�tor Data� �z�iq38 TYPE OFCONSTRUCTION NEW ADD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER � DESCRIPTION OF WOFK/LSE OF BLDG. �f/l+Z mFI� n /Z /n.S TVPE OF PER(NIT LJ GRADING LJ FOVNDATION LJ $TRUCTURAL ❑ TENANT ❑ TELECT�RICAL ❑ PLUMBING ❑ MECHANICAL � OTHER /l�� __._/-/i✓9 PROJECT DESCRIPTION 5c1. Fr CON STRUCTION TYPE VAWATION $ GRADINGCU.VDS. A( Remarkz: Sink Pre�enter Irrigation Drinking Fountains Floor Orains Floor Sinks GasService Outlets Interceptors Kitchen Sink Lavatories P-Trap Roof Drains Reinspection Fee $15 Boiler Duct- UnderGround Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑ a i oo,000 aTu � i oo,000 eT Reinspec[ion Fee � $15 CMF 0865-4 , rev. 30 B4 White - Builtling; Canary - Applicant; Pink - Accountinq; Goltlenrotl - Assessor Showers Service Sink Sewer Cap Sewer Connection Solar Collecmrs Solar Pipin9 $olar Tank Swimming Pool w/Spa Urinal Water Cbset Water Heater Water Service Aum-Wash Issue Fee Hood or Typel ❑ Canopy+ Typell ❑ Refrigeration System ❑o-ia0000slu �iao,000 System Repair/Alteration Fire Dampers Registers laue Fee $ 3 A.P. �i`- S Main Buildi E T Front B Rear A C Right K Leh S Ping. Ref. # Planning Notes: Automatic Washer Construction PoleSub. Cooking Unit . Dishwasher lectric Fan F.A,U. Fixtures Device Boxes Outlets Switches Garbage Dispoul Generator �DO-5 KW 42�C / ,� . .. Zone Accessory Building: Z O N I N G R Parking Req./Provided E � M T 5 ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑over 100amps Sub Panel Motors�0-1 HP�iX-8 Inc.Solar �9-15 HP �16-15+ Microwave Pole Light Range I I Standing Sections 5-15 KW I I Trash Compactor � Reinspection Fee I$15 � � Issue Fee DEVELOPMENTSERVICESREQUIREMENTS: Zoning Approved By Building Approved By �� Appliwtion Issued By /✓-�w� N / � / � SUMMAqRV OF FE ��oBUILDING PERMIT $ a /•C7� 1""'��.VLAN CHECK $ �� PLUMBING $ PLAN CHECK 25% $ ELECTRICAL S PLAN CHECK 50% 3 FEES $ 3 SMIP $ ^ `J_� PERMIT ISSUANCE $ ENERGY P.C. $ GRADING $ MICROFILM $ MECHANICAL 5 �OIALFEF� $ 3 PLANCHECK 25% $ _� ' � —� l_ , � i CONSTRUCTION ANDPLANNING POOL&SPA APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector 1: Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVALTO COVER-GUNITE 7. Footings � 58. Electrical Conduit-Undrgrnd. 8. Foundation � 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVA� TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Dreins 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 75. Rough Electrical-Conduit �� 66. Solar SYstem-Final 76. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling - 69. POOL/SPA SYSTEMS FINAL 79. Rough Heating & Air Conditioning . FIRE DEPT. REQUIREMENT ' 20. Rough Factory Fireplace APPROVALS � Permit # �_ 21 . DuC[s, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas ❑Oil 23. Gas Pipe�Rough & Test 72. Underground Flush - 24. Roof Framing ' 73. Undergrnd.StorageTank �Gas ❑Oil 25. Roof Sheathing � ' � 7q. �Overhead Hydro � � 26. T-Bar Ceiling (Structural) & Mo coat 75. Dry Chemical 27. Frame and Flashing . 76. Dry Standpipe � 28. Lathing & Siding 77. FIXED SYSTEM FINAL � 29. Insulation 78. FIRE PREV. FINAL �� 30: Drywall Nailing HEALTH DEPT. REQUIREMENT � � 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED ' 33. Final Electric Notes: 34. Final Heating & Air Conditioning - � 35. Final Gas Pipe-Tesi 36. Hood or Canopy . 37: Final Factory Fireplace � " � 38. Final Plumbing �' • ' 39. Water Service-Final � ' 40. Gas Service-Final � - 41. Solar pomestic-Final . � 42. Backflow Preventer , 43. Backflow Irrigation � , ' � - 44. Landscape Irripation System � 45. Sound Attenuation - � 46. Handicap Regulations ; ' 47. FINAL STRUCTURE & BUILDING � . , ' 48. Special Requirements Completed � � - � 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date _., ��