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Home My WebLink About2778 ALBATROSS DR - Building PermitsCITY OF COSTA MESA �SYpMFS,Q B!/ILDING DIVISIAN F`�� 77 FAIR DRIVE. COSTA MESA. CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www costamesaca.aov � � FOR INSPECTIONS CALL: (714) 754-5626 � s,y„�o �,+ PERMIT NUMBER: BC12-00434 PERMIT TYPE: B COMBO STATUS: ISSUED Sub Type: RES_ALT DATE ISSUED: 0 8/0 312 0 1 2 ISSUED BY: MDM �os,aDDREss: 2778 ALBATROSS DR CM APN: 139472'10 Zoning:R1, , Vicinity: Const Type:V-B SQ. FT: 91 Suite/Unit: Primary Occ: Valuation: $19,000.00 SCOPE OF WORK:91 SQ FT ROOM ADDITION FOR AN EXTENSION OF THE DINING ROOM. REPLACE 6 X 6 PATIO DOOR. 6 LIGHTS, 6 OUTLETS, 2 SWITHCES, NO NEW BATHROOMS OR BEDROOMS. REF: 612-00182 FOR RE-ROOF OWNER: GARCIA, RAYMOND Phone: APPLICANT: LAREY, VICTOR Phone: 714-305.4955 CONTRACTOR: VICTOR O LAREY Phone: 714-374-3376 Ceil: ARCHITECT: ENGINEER: CHRISTINA R SILVA COMBINATION PERMIT FEE SUMMARY Building Plan Check: Building Fees: Electrical Fees: Mechanical Fees: Plumbing Fees: SMIP Residential: SMIP Commercial: Bldg Std Admin Fund TOTAL FEES: Address: 2778 ALBATROSS DR Unit: City/State/Zip: COSTA MESA, CA Address: Unit:: City/State/Zip: License No:514239 Address:1742 PINE ST Unit: City/State: HUNTINGTON BEACH, CAZipCode92646 License No. License No.37201 $199.71 $307.25 $38.90 $0.00 $0.00 $1.90 $0.00 $1.00 5548.76 Monday thru Friday - 7:00 am thru 7:00 pm. Saturday5- 9:00 am thru 6:00 pm. P New Years Dav. Memorial Dav. Indepentlence Dav. Labor PHONE: PHONE:714-307-7101 Sundays and the following Federal holidays: )av and Christmas Dav NOTlCE: The work authorized by this permit sha!! comply w'ith all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 42-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF�LAST INSPECTION. INSPECTIONS: In orqer for the work authorized under this permit to be wnsidered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and fnal approval will result in the expiration of this permit. COOE R. INSPEC110N TYPE D�T INTITIALS �� INSPEC710N IYPE R� INTITIALS 1616 Fixed System Finel Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing /� y 200 Final Re-Roo( 210 Final Electrical �/ L 2 �1.� 201 Final Block/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition � 212 220 222 250 Final Fre Prevention Final Planning Approval Final Site 7 Final Buildinq/Occupancy 2— `� x WORKERS' COMPENSATION DECLARA710N: I hereby aKrm under penalry of perlury one o( the following declaralions: ❑ I have ard will main�ain a c�rtificate of consent to self-Insure for workers' compensation, as provitled (or by section 3700 of the Labor Code, tor the performance of the work for which this permit is issued. ❑ I have and will maintain vrorkers' compensation insurance, as required by section 3700 of the Labor Code, for the peAortnance of the vrork (or which Ihis permit is issued. My workers' Gompensation Insurance carrier and policy number are: Carrier �_�G(N (ihis SecTron need irof be romple/fed rl(he peimif is/va/luetl at one hundretl tlollars (8f00) orkssJ Policy Number: � �(�7 �� / ❑ I certily that in ihe performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become suhject Owner ID verifed by tlriver's license. ❑ Yes ❑ No Driver's License No. Expires: Verifcatlon of Ownership by (rype of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cetliry that no excavalion five (5) or more feet in depth iMo which a person is required [o descend, will be made in wnnection with work au�honzed by this pertnit, and that no building structure, scaHolding, falsework, or demolition or dismantling IherBof, wiil be more than �hirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Titie 8, California Administralive Code). ❑ As owner-builtler, I will nol employ anyone to do work which woultl require a permit from the Division of Industrial Safery, as noted above, unless such person has a permit to do such work from the tlivision. to the worker ' compensation laws of Califomia, and agree that if I should � � become su6� ct tc the workers' compensation provisions of Section 3700 of App�,�„i�s s�ynawre oa�e the Lab r de, shall forthwi h comply with these provisions. 1� /Y Q/_7�/�Division of Industrial Sa(ery Permit Numbec (/ �_ .1 �D 7 � Appl¢ant s SignaWre ^ Oate WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAVJFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO TH� COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. �LICENSED CONTRACTORS DECLARATION: I hereby aKrm that I am licensed untler provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, antl my license is in full force and eHect. ��q Lic.# � 23 classu .C�� Yi� �' �-/2 � ComratloYs Signature Date CONSTRUCTION LENDING AG NCY: ❑ I hereby affirtn lha[ there is a construclion lending agency for the per(ormance of the work for which Ihis permit is issued. (Sec. 3097, Civil Code). Lenders Name: Lender's Address: SgnaWra Date OWNER-BUILDER DECLARATIONS: 1 hereby affrm ihat untler penal�y o( perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to consirucL alter, improve, tlemolish, or repair any stmcWre, prior to its issuance, also requires the ap0liran� for such permit to file a signed statement thal he or she is licensed pursuant to the provisions of the Contracrors License Law (Chapter 9(commencing with Section 7000) of Division 3 of ihe Business and Protessions Code) or that he or she is exempt therefmm and the basis for the alleged exemption. Any violation o( Seclion 7031.5 by any applicant for a permit subjects the applicaM to a civil penalry of not more Ihan fve hundred dollars ($500).): ❑ I, as owner of the pmperty, or my employees with wages as their sole compensation, WILL DO THE WORK, and the sWCWre is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of properry who builds or improves thereon, and who does such work himself or herself or through his or her own employees, providetl that such improvements are not imended or offered for sale. If, however, the building or improvement is sold within one year o� completion, lhe owner-builder will have the burden of proving that he or she did not build or improve for purppse of sale.�. ❑ I, as owner o( the property, am EXCLUSIVELY CON7RACTING WITH LICENSED CONTRACTORS to Construcl Ihe project (Sec. 7044, Business and Protessions Code: The coniractors License Law does not appN �o an owner of property who builds or improves thereon, and who wntracts for such projec[ with a wntrector(s) license pursuant to the Conhactors License Lavrs.). ❑ I am exempl under sec. Business and Pro(essions Code (or this reason: 305]<6 (3I01) HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicanl or present or future building occupant need lo file and certify a Business Plan for emergency response to release or lhreatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the Califomia Health antl Safery Code requires, with some exceptions, that a Business Plan be filed with ihe Costa Mesa Fire Department by every husiness which has at any one time tluring a reported year a quantity of hazardous materials equal to or greater Nan a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet ot compressed gas at standard temperaWre and pressure). 2. Does or will the applicant or present or future building occupant need to fle a registralion form for acu[ely hazartlo�s materials? ❑ Yes ❑ No (Section 25533 of the California Healt� antl Safety Cotle, with some exceptions, requires regisiralion with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutey hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic teet of compressed gas at standartl [emperature and pressure). 3. Does or will the applicant or present or fuWre building occupant need [o prepare an RMPP (Risk Management antl Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the Califomia Health and Safery Code provides that the Costa Mesa Fire Department may require the preparation, certification and filing with Ihe Fire Department of an RMPP by 6usinesses which are required [o regisler awtely hazardous materials with the Fire Department. 4. If an RMPP is presentry requiretl, has Section 25534 of ihe Califomia Health and Safety Code been fully complied with? ❑ Yes ❑ No 5. Does or will the appliwnt or preseM or future building occupant require for the work which is the subject of lhis application a permit for such construction or modifcation from lhe South Coast Air Quality Management District or (rom any other air polNtion control districi or agency? ❑ Yes ❑ No (Section 658502 of the Califomia Govemment Code repuires ihal lhe requestetl infortnation be (umished on applications for non-residential builtling pertnits). 6. Will any part of the facility ro be constructed under this permit be within 1000 feet (rom Ihe outer boundaries of a school? ❑ Yes ❑ No Qf "yes", the facility must meet Ihe requirement of Sections 25534 and 42303 of the Califomia Health and Safery Cotle). 7. If a permit fmm ihe South Coast Air �uality Management Dislrict or other air pollution control district or agency is required for the work which is the subject of this applicatioq have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No 8. (If "yes", attach certifcate of compliance from ihe appropriate air pollution conirol oKcer). � CERTIFICATE OF COMPLIANCE: I certity lhat under penalry o( perjury ihe intormation given above is correct. I agree to comply with all state laws and ciry ordinances regarding Hazardous Materials and Emissions. CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalry o/ perjury that I have reatl Ihis application and state �hat the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of the City of Cosia Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow ocwpancy o� any building authorized by tKs permit until fnal inspection. gnat o alOwn Oate / � ?J /2- AndlotAWhmrzetlAppllcant Da�e � �oonessovemiowo: z7']g ALBATROSS` DR, ��'T� �- "'MERSNWEIFRIOWN: C.��('�j,q �,.� FLOOD: AE-46 ,�,.00� ,��u: � 7�8 A�s D2 v�TA MESA,CA 92626540-4994 r�vv�.wwxa �ooness: J`- / ' MCXRECT OX FNtlNFER: J1CN.OR FNQ.'S AOURESS: uc. no.: urn: ca+m�crarsru� A PLUS ROOFING ( 714 ) 754-1000 caxm�crorcs�uimc 11237 SLATER AV �oox�ss: FOUNTAIN VALLEY CA uc.no.: 675241 92708 uwr: LICENSED COHfN1CTONS DECLAflGTION: I Mreby dlim uMx penely d parjury Mm 1 em fiea�ued �vdr pewieian d Cheplr e (mmmendM xnh Senion )OW) of Division 3 d Ma Buvnea ard Pmfinewru Coda. vN mY Iwenm e in IWl laca ud Maa. cmuc.No.:060847 uc.cuss: C 39 uc.No.: 75241 EXP: O1/97 �ele: � / 7 Contreaa: s., � WNEN BUI EN DECIAHATION: I hereby elfirm uMar penely d per ry ihet I em uamp liwn tM Cont�etlon licema Law la ihe �olbxinB �� (�ion �031.5 Bus'uwss end Proleeaione Code: Fny cIy a munry which roQuires e pe�mil lo mmVUM, Mm, improw, Eemoleh, or mpei vry swcWre, pmx to ile asuence, eko requiree Ihe epplirant fw auch permN m Rb e eipneE eteiament thel he a sM ia licensed W�uen� to tha potitions d Ne Canvedae Licenae lew ICheqer 9(mmmmriip wnh 9eUbn ]OW) d D'vwbn 9 d Ihe Bueinev eM Prdeuians Coda� ar thet he a ehe is aaemq �hereimm enA ihe bavis br Ne ellepeE exemption. My violetion d Sedion �aii s M env rod�cem i«. re�mn wq«rs ma eod�cam m e a.a ae��nv d �a mae m.� r a n��d�ed ddW.1�D� � I, av ownm d Ihe popeny«my amplv�eae wh wepea eo ihei ede mmpenaetion, xill do tha xwk, arM tlw cbucWn'm iw imeMaE or Mersd la eele (`�� ]�. Bueirew e�k ProleaeionaCoda: The Conlredas Liense law Ema nd epplyto en ownerd p�opMy who Wida a inprovm tMreon. eM Wn doae vuch xwk limeetl a MneC or Mrouph h'v «her own mmplryr, pv.•ided �hm wch impowmenta ero mi imeMed n dimad t« eda. M. Iwwmx. the WiNi�q a inpwanem ie sdd r.nhin arY+d mmpluim. Ne owrcrbuilder will heve iM buNan d qwi�p he w eha did M WiM a imqaro la �M purproe d oebl. ❑ �. m owro. a �ne wwero. ��mis.eh oom,eenu wnn �ioen.w cono-ec�ws m omwuuu ine wM� es.eion rou. &�.'um. ena Pmleaeione Cade: The Conlretlae L�ense law doee nol epply �o en owrier d papeny xM builds or'unpwa ihaaan entl who contrecle fa wdi prqaes wnh e mMreaa(e) Icenaed punuem Io Iha CaNradaa Limnea lewl. � I em ezemp uMar Section: B. 8 V.C., br Ne raemn: Dele: O.mar: I do hereby ceniry Ihet I em aware d uM unEeiawM Ihe reQuiromems d CdYomb HaeM aM Safaty Gode Saaiona 25505, 25533. eM 2553/, end ihm I rn eny lulure W ikinp arwpeM will / wal nM (drcb o�w) neeE to canply wil� eeiE atPoe oodes eM IM requirtmeMe br a permil lormnel�uctim or modifiretbn homlheAi�erepement Diatrid. Reaidemiel wnat�udion epplrstbmweaempl tmm thms proWeion.. Dme: RVW�: WOflKEP'S CONPEHSATON DK WRATION: I Mroby eifiim uMu penehy d pwjury ans d IM tollowiip Eetleretbru: ❑ I heve eM W meimen e cMilkele d muent to eaXimure far xvrkas' wmpenWion. ee povded la by Sxbon 3'!00 d Na lebar CoM, fa tM peelmnenea d �la xvrk la wlieh ihu parmii u ivuad. �in.v.ene,ame�a.�wo�xen•comoe�o�mw�.�w...�.a��eMs.a�s�aoam.i.no.coa.bm.w�dm. wwk lor whitl� th6 pa�mk ie �ued. My waMen' compenu�ion imurence'ert"nr arM pdiry number ero: c�.: STATE FUND EXPIRES Pa� rmmb«: — O 1/ 01 / 9 7 (Trris sec+irn r�e.d nn ee rnndmee r tne v�e u ror a�e nuneree eor�ers Is�onl or rev.) � I cenily thet in Ihe perlorme�e d �M work br vfic� Iho peimit is bsuatl. I ehell rwl emplq eny paeon in any meruix eo n �o becoma eubl� io the xnrken' campenution lexs d Celilamia, end pree Mel N I MauM Eecoma wEjad to Ihe xoMen' compenaeti� pmviaiww ol Seeim 3]00 of Ihe Lebor Cotle, I on h compy.wn /� s� Dete: . 7 Apd�� T Wam/np: Fe uro b ucvro worten'rompwuetlon rowrps b un w/ul, end �hsll aub�ect s employsr to aVM�ul peiWtlu eM Nvll fln� up ro ons huntlrotl MoweM Go/kn (S10q000), M etltlitlan ro tlro cwt o/ rompsiwlbrt ��p� ea povlded bi In Ssetlon 3105 of tlro Le6or COW, Infsn�4 end ettomsy'a hu. CONSTi1UCT10N IENWNG AGENCY: I Mreby etF�m uMm penetly d per'Fvy that there is e aonet�uaion NM'vp epawy tor ihe perlpmvice W tM xwk for wM1iM Ihe permY ia eeuad (�� ]. Civ. GI. LENDEP'S NAYE: LOIOER'S MDPE%: I uNM ihN 1 heve ned Nu ePWir,ation ud dete �hel �M abwe iMormetbn b coned. I eY�b �o camPN �mh e0 cnY eM mw�Y oM'vunue end a�ale leMe releln0lo Wildiq canstruclian end M1ereby eulha¢e repraeentmiveo d �N5 dly lo eMer upon IM ebv.e-menliaied paperly Iw impedian prtpmes. KEVIN KIRHY v� ✓ om,. sionelure a om�en ae�u� o�icenUContreclor (5151d6.WP) W�ile-Buikmp 8 SefMy; GreeMFJe; Cerery-Appicant: Rnk-Revenue; OONeniaE-Mns+or CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 078797 PERMIT NO; B 078797 PLAN CHECK NO: N GOVT; N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH JOB DESCRIPTION : T/O SHEATH REROOF WITH COMP SHINGLE SQ FT: 6,300 CLAIM VALUE: 6,300,00 CALC—VALUE: 6,300,00 GROUP OCC: R-3 /U-1 COMMENTS: 27.5 S*QUARES COMPSHINGLE/ SMOKE DETECTORS RE�'D PER 1994 UBC ***��+�*****�t**�* ��*�****+c*��+�****�x+t***��**�*�**��r* +��tx******x*x�***�t**+�***� Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ; . PROV; PARCEL: 13947210 ZNE: REF NO: PLANNING NOTES> ^ � . . iF 1E ik it 1E iE iE iE iE 1E if 3F 3f iE IE 1E iE iE iE iE if fF iF if 1E 1E iF if iE iE iE iE iE 1F iE iE ik iE iF iE IE iE IE 3E 9E 9E 1E iF 1E iE iE 9F iE iF IF iE if if iE iF iF iElE fE iF iE iE iE 3E iE'iE iE iE ik ik iE iF if it D E V E L O P M E N T S E R V I C E S A E Q U I R E M E N T S ZONING APPROVED BY DATE: • BUILDING APPROVED BY : DATE: �, APPLICATION ISSUED BY: DATE: 4%.L�/�' � iE 9E 1f� iE IE IE 3E iE iE iE iElE'� 3E�lE 1E 1f iElE iE If IEiF�F �F ifiF7F7F iFiF �3F iF�ifiF�F�F�FiFiF3F�F iF3F��iF3F�ifiFiEifiFiE 3E'lE 3E IE 1E if 1f 1f jfiF�A�F-'7E�E��jE 1f� iE LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 124.75 .63 SMIP/NON—RES PLAN ISSUE FEE HUILDING—DIC'—> PERMIT ISSUE PLAN—CHECK TOTALS----> 125.38 0.00 0,00 REVENUE DIVISION TOTALS--> COLLECTED: BLDG PMT PLUMBING ELECTRIC MECHANIC 124.75 TOTAL PAID DUE 125,38 125.38 ,00 125.38 OVER/SHORT: .00 FIRE SMIP/T63 GRADING PLAN—CHECK i81Fi(�iEIE1E�)EiEiFfEiEIEIEiElE3EfEfEiElEaEi(�jEfEiEiF1E1EiEiE3EfkiE1E1ElEiFlFiklElEiE1E3E3EiEaEiEjEikiEiflkif�lE3EfE1E�IE�EiE3FlE1flEiFfEiEfE'1F1ElFiF1E1EfE�E�EiE I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 6300 ALTER BY VALUE RESIDENTIAL NOZONE 1.00 6,300.00 END OF FEES . �VSTRUCTION AND PLANNIN, �L & SPA hrrR6VALS Permit # Date Inspector pppROVAIS Permit # pa« Inspector i. Temporery Electrical Service or Pale 52. Pooi & Equipment Location : • 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement ' � 3. Electricai Conduit Utility-Undrgmd. 54. Forms •.4,.Electrical Cond�it�Undrgmd. ' 55. Electrical Bonding � ' S. �teel Reinforcement 56. Rough Plumbing & Pressure Test • , 6. Electrical UFER Grnd. 57. APPRQVAL TO COVER�GUNITE � 7�; Footings 5$. Eieotrical Conduit-UndrgrnU. � ��$, Foundation 59. Gas Pipe, O Uniirgmd., Test 9. Water Pipe�Undrgrnd. 60. Backwash Lines,P�Trap, O Undrgrnd. 10. St�ucturai Floor Svsiem 61. APPROVA� T0� DECK ' 1 t. Property Sewer Line & House Connection 62. Backwash & Receptor-Pinal 12. Sewer Cap 63. Heater & Vent-Final �' 13. Roof Drains � 64. Plumbing System � Final ` � 14. Rough Piumhing 65. Electrical-Finai • 75. Rough Elec:ricaf-Conduit ,. 66. Solar System-Final � 16. Rough Electric Wiring 67. Fencing & Access Approvai . 17. Rough 1Viring S�9n � 68. APPPOVED FOR PLASTERING ' 18. Rougfi Electricai-T Bar Ceiling 69. POOL:SPA SYSTEM5 FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMEN7 I 20. Rough Factory Fireplace � APPROVALS - Permit # 21. Ducts, in Strucrure 70. .U�derground Hydro 22. Ducts,Ventilating 71. Product�Piping0'Gas OOiI 23. Gas Pipe-Rough & Test 72. Underground Flush . 24. Roof Framing � � 73. Undergrnd. StorAge Tank � Gas ❑ Oil 25. Rooi Sheathing � � z 3/_ q6 �(�a f� � 74. Overhead Hydro � [ 26. T-Bar Ceiling (Structurall & Monocoat � - � 75. Dry Chemicai � - 27. Frame and Flashing .. 76. Dry Standpipe � 28. LatMng & Siding � . - 77, FIXED SYSTEM�FINA��L 29. Insulation 78. FIRE PREV. FINAL ' - 30. Drywall Nailino � � HEALT.N DEPT. REaUiR�EMENT 31. Plaster Srown Coat � ' 79. FINRL WSPECTIDN - ( 32. Electncal Power Merer�Finai 80. FOOD CERTIFICATE ISSUED 33. Finai Electric � � Notes: �. - , , 34. Final Heatin9& Air Conditioning � �_� 35. Final Gas Pipe�Test _ - �- . 36. Hood or CanopV K � . 37. Final Pactory Fireplace - � � . 38. Pinai Plumbing � . - `� � _ � 39. Water Service-Pinal " . ' � 40. Gas Service-Finai _ �. 41. Solar pomestic�Finai . � � 42. Backflow Preventer _ � _ 43. Backflow Irrigation � ' . - 44. Landscape Irriaatiop System ' -- - 45. Sound Attenuation •� � . �� ' �46. -Handicap�Regulations � ' � 47. FINAL STRUCTURE & BUILDING a�.? qd ��,� �� : 0 48. FINAL PLANNING , 49. Elect�ic Release to Edison � 50. Gas Re�ease to Southern Califo�nia Gas Co 51. CERTIPICAT6 0F OCCUPANCY No Date PN0.IECTROUflE33: z'�'�(s ALBF�'ROSS -DR OWNEfl'SNRME: MR. S`MRS. RAY GARCIA ' p�+pEs�' Z�I %II ALHATROSS DR . ,_ COSTA MESA CA 92626 ` (714)646-1790 �HCNIEXGINEEP: nooxess: NEG.NO.: UNIT: uxR: PEHMITTEE: HOB WILSON ( 714 ) 646�-1740 ' FODPESS: Q A S B 1 8 TH S T � COSTA MESA CA 92627 LICENSEO CONTMCTON UEClAMT10N: I hereby atlirm that I am licensetl under pravisions af CAapter 9(commencinB ��h Section 7000) of Oivision 3 oi IAe Business anA Pmiessions CaOe, antl my license is in full force and eflect. ciTruc.:025966 srpreuc.:377487 cuss:�g/� � > Oate: ��11�' � � Signature: � lY• L!/� WONKEHS' COMPENSI1TtON DECIAMTION: I hereby affirm t�at I have a certificate ol consent to seli-insure or a certificate of Warkers' "+mpensation Insurance or a certifiea copy thereoi (Sectian 3800, Lab. C�. icrxo.:059d987 exv.oere: 04/01/90 JMPRNY: STATE FUND � • L] CetlifieA coDY is here6y fumishe0. � Certifietl copY is file0 with the ciry Builtlinp Oivision. ' �ate: ��ZR'�i� NPDlicant: �� E%EMVfION FlIOM WORIIENS' COMPENSR710N �ECIAMTION: Rhis section need nol be complele0 if Ue perme is far one hunEreA (E700) a less�. I ceniry that in the pertormance of ��a work for whicA this permit is issuetl. I shall nnt employ any person in any manner so as to become Su01e�[ Io [he WaM1ers' fAmp¢nsa�ion Laws o� Califami2. Date: Signature:� � NOTICE: It, atter makin0 this Oeclaration, you.shoul0 Eecome sublect ro the Workers' ComDe�sation pmvisions oi IAa LaUor CoOe, yrou musifort�witA comply with sucA provisions or lhis permi[ shalPhe deeme0 revokeU. � CONSTBIICTION LENOINO AGENCY: I hereby aflirm thal tAere is a constmction lentling aAency for the pedormance oi �he work tar ' whicA ihis permit is issueA (Section 3W7, Civ. C), � , ' ' lFNOFp: I pODflE53: OWNEB BUIIDEP DELUM710N: I �ereby aifrm that I am exemD� ��om t�e Cantractors Slaie License Law for tha tollowinA �eason (Section 7031.5 Business anA Pmfeuional Cotle: My ciry oi counry which requires a Dermit to consimct, alter, improve, tlemolish, or repair any s[mcture, Orior Io its Issuanca, alm.2quims the applicant tar such permit to file a sipnaG statement that Ae/s�e is Iicense0 pursuant ro ihe pmvisions ot ihe Coniracrors' Sta[e License law (ChaD�er 9(commencinA witA Section 7000) of �ivision 3 0l I�e Businass antl Pmfessions Catle) or Ihat Ae/s�e is exempt the2imm antl Ihe basis tor [he alleped exemption. Any violation al Section 7031.5 6y„ any aDPlicant far a permit sublects tha applicant to a civll Denaity oi not more ihan tiva hunErad dollars (5500�. I, as owner of t�e DmDerty or my employees with wages as iheir sole. compensation, will do ihe wark, and Ihe simcture is not intentlatl or oHered for sale (Section 7044, Business antl Pmfessional CaAe: T�e Cantracrors' Stale License Law Aaes not aDPly to an owner of a property who bui105 or improves thereon, antl who tloes such work himultlAerself ar ihmugh his or Aer own employees, O�avi0e0 that such impmvements are not intendetl or ailered for sale. If, however Ne huiltlinp or . impmvement is so10 vnthin one year oi wmDletion, t�e owner will have tAe UurOen ol proving he/she tliC not hui10 or impmve for tne vurpose of sale�. I, as awner oi Ihe propeM, am exclusiveN contractinp vnih Iicense0 coniractors ro coretmct tAe pmlect (Section 70CC, Business ❑ antl Profeuions CaOe: The Coniracrors' �tate License Law tloes no[ apD�Y �o an owner ol propeM who bml0s o� imDraves Ihereon and w�o conirads for suc� prole��s witA a cuniractaqs�license pursuant ro ihe Contracmrs',State Licanse Law�. I am aware Iha[ Draof oi t�eir Worker's Compensatmn insurance sAoultl be D(ovi0e0 to me. � I am exempt untlar Section: . B. 8 P. C. � . for this reazon: � Date: Ownec I tlo nereDy ceniry tAat I am aware of ana understana tna requirements ol Califomia Healih antl Satery Coae Sections 25505. 25533, antl 2553C anJ that I or any IuWre OuilUinA occuDant will/will not (circle one) nee0 to comply vnih 5ai0 state fAtles anOlhe requirements tor a permit for consirucl'wn or mo0ilication tmm [he tir Oualiry ManaAement Distnct. HesiEeniial consimctian applications am eKemD� ��om these pmvisions. Oate: ppplicant: I hereby certity ihat I have reaA this appliwtion and s�ate Ihat Iha ahove iniormation is correct I a0ree to comply with all city antl county or0inances and state laws ielatinq ta Uuiltling constmction antl here�y aut�onze representatives oi this ciry to enter upon tM a6ove-mentioned pmpeM �or inspection puryoses. /� Date: �� r g`� SiAnature: �b�' A Y �� onver's �icense or Socia� Secunry x: 1661d8 W�i�e-BuilEinp; Green-Code Enforcement: CanerV-Applican�; Pink-Pevanue; GOICenroE-qssessor CITY OF COSTA MF.SA - BOILDING PERMST PERM NO: BE 045545 PERMIT NO: BE 045545 PLAN CIiECK NO: 02105-09 S GOVT: N SUFP: N CONSTRUCTION TYPE: 5-N PERMIT TYPE: ELE STR PUi2POSE: ADD JOB DESCRIPTION : ADD 208SQ FT BEDROOM TO EXIST SFD SQ FT: 208 CLAIM VALUE:. CALC-VALUE: 14,001.60 GROUP OCC: R-3� /, COMMENTS: 1EifiFififkKit�EiFiEiElEikiFiPiFiFiliE1ElfiEikiEiklE%iFiF*iFikiFitiliEiEitiEitiPkitiEiEiEikiPitiE�E1EiE1F9liPikiF3f-�tiFiEikiEiliEiEiFilifikaFdFiEiEiEiFiF . Z O N I N G R EO U I R E M E N T S S E T H A C K S � ------------- MAIN AUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: 22 FT IN FRNT; FT IN REAR; FT IN LEFT: 59 FT IN RGHT: 5 FT iN LEFT: FT IN'RGHT: FT IN ; PARKING REQ: t�PROV: PARCEL: 13947210 ZNE: R1 REP NO: • PLANNING NOTES> 208�SQUARE EOOT ROOM ADDITION , � iF iF fF �)E iF i! it iE 1E 1E iF 1E k if ik iP 1F iE iE 1! iE iE iE iF i! 1E iE i! ik 1P 1E iE M fF iF iFlE 1F iF k�IE iF 1E iEiF iE iE iF iE iE it i! if ik if iE if ik * iF 1f ik i! 1E If iE if IE iE iEiF i! iF iE iF it ik �F 1F 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 : C�'-',� _ DATE: �� '� HUILDlNG APPROVED DY ;, DA'PE: �� APPLICATION ISSUED BY: " � DATE: �� Z$� 3EikiEiEiEifiE1ElEiE9FlEiE�lf9iiFiEiElfiElEiE �3F iFiFiE3EiFiFfkiEiFiE9E1EiF'iF£iF�FiFiF itiE ifiEjEiFiEif�lElfililiElElEiEifiEiEifiElElfiEifiFlElfNkiEiflEiEiEifififiFikififdfkiE kIF3F#1Fifif�E3ElFifiF�EifikiEiFiEiEifiEkiPkiFiEiFiEifiEiF3fi6iE � LEGALIZATION:N F E E S'U M M A R Y STRUCTURAL SEGMENT:Y - � ' BLDG PMT PLUMHING ELECTAIC 'MECHANIC FIRE SMIP/RES GRADING , PERMIT 162 .00 . 6. 75-�. .,ti , 99 ' 5OY „� SMTP/NON-RES ' PLAN 105.30 - - ISSUE CEE 15.00 t ' BUILDING-DIV-> P�RMIT. ISSUE PLAN-CHECK .,'. TOTAL PAID DUE TOTALS:----> �].69.74 15.00 �- �T05.30• 290.04 290.09 ,00 REVENUE DIVISION 'COTALS--�> COLI,EC'£ED� •� "• 29U.04 OVER/SHORT: .00 IILDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GItADING PLAN--CHECK 162.00 21.75 .' ,99 105.30 ' " dEik3tifiEifiFlF7EiEififiEiFl4MiPiEiEiflEiFiEMifiEiEiEiEiElEikifaEiFiF3fi(�ifik.lF�lfiFiEiFi(�ififiE#1F1(•MitiFiFiEififiElEifiFiEiFiElEiEiElFifi(�iElfiFififiEiF ' I N D I V I D U A L F�E E ' H R E A K D O W N� TYPE QTY. D E S C R 7 P T I O N , UNIT COST TOTAL COST SFR 208 DWE-TYPE V-WOOD FRAME ' ,� -GOOD 67.70 14,081.60 ELE 2 FIXTURES, LIGHTING 1 ST 20 EA. .75 1.50 ELE 5 RECEPT'/OUTLET 1 ST 20 , CA. .75 3.75 ELE 2 RLCEPT/SWITCH 1� ST 20.-� EA. .75 1..50 END OF FEE.ri.- " �' ' f ' 01 OQ050663-OOOS0666 T rJ T 290.04' DATE: 12/28/89 TIttE: 09:05 CONSTRUCTION AND PLANNINL � L& SPA - APPROVALS Permit # Date Inspector pppROVALS Permit # Date Inspector r i 1. �I"emporary Electrical Service�or Pole, �,; �` 52. Pool & Equipment Location ,l - 2. :Soil-Pjpe-Undrg�nd„ °' '�� ,r • 53. Steel Reinforcement ,^ _ ..,.. �� 3.�Electrical CondUi�Y-l4tility-Undrgrnd':�� ' 54. Forms" •� °° 4�.�Efeciri�al Cond_u'il=Undrgrnd. �. 55. Electrical Bonding '-' , �. ^�- <.-. �. _ :•, �. ' : 1�SIEeCReinforcement; � x 56. Rough Plumbing & Pressure Test .� \ N �" ."1 ��. n . ;rj6,��¢ct�;cal UFER�rnd. ;; )! QQ 57. APPROVAL TO COVER�GUNITE W � ^,.��.,�Footings ",S' �L a l�Q 58. Electrical Conduit-Undrgrnd. �,`� r� 9�r.,Foundation r- �;� � 59. Gas Pipe, O Undrgrnd., Test � �'�� ;,�5.`'Water Pipe�Undrgmd. , �� 60. Backwash Lines, P-Trap, O Undrgrnd. - 10. Structural Flooi System � � �,� � e� 67. APPROVAL TO DECK , � 11. Property Sewer Lin�& HoLse�Conrtection � 62. Backwash & Receptor-Final � - G 12. Sewer CaP - c� �? i'� 63. Heater & Vent-Final ,1 13. floof Drains � `� f ..� - � 64. Plumbing System - Final ' } 14. Rough Plumbing ✓ +f1 �� . 65. Electrical-Final ' 75. Fough Electric�l-Conduit � 66. Solar SYstem-Finai � 16. Rough Electric�Niring 67. Fencing & Access Approval 17. Rough Wiring Sign - , 68. APPROVED FOR PLASTERING 18. Rough Electricgl�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioni� � .,,,FIRE DEPT. 6EQUIREMENT C+ �: rl x: :l "✓: �J tl_ X. x !:•-� : r 20rAo�'hF2ctQryFiieplace s�`.:: p'..� ;' �=� ��; ��APPROVAt�S_,,;Permit# ' '� :�" �. r 21:-Du'�ts, in StrFictu�M •• �' _�� K r-�`', �'l^� �=70. CJndergrog�[i Hqiiro N .� v:. ^ K �L .k �" Cr X t : �.-. C y '� - iC 22.SDuhis, �l'ent�latiru�.h , ,-� '�� y, r� r,, .-t �x r 771, Product-Rping � 6as �:Oil 23.�Gas-Pipe-Rough & fest l'i_ x t=1 c; C7�� 7y, Undergrodnd Fl�u'sR' �'" ^ �� (1 !-. Yr y M n�^. 'c' w� l L, I :k `y 24'Roof Framing '" ' `��. .'` '�' �' x ` - �-� � � `"`T • r ., *; r �� j ,.; X x `73 � Undergrn . Smrag�T�nk>� Gas ❑ Oil'� " 25�Roof Skeathing x � •� � y`� '�� 74'�?OverFead Hydro� � 26..`T�Bai Ceiling (Stru"tural) &�vloripcoat�� y ' G n:x z -• _ ,�-. C :7r', c Sf. J :t _: �+ „�.t. ,; 75^Dry Chemical _ , 3�..��-; 27sFracseac�d Flashing: �•��Q >�<�z 76. Dry �ip - �r �- �'��''� Stanii e ,- n _'28^ LatAing-& Siding �"� �~ ^''� ` �%b Q�� 77��. FIXED SY$TEM',.�F„INAL� Y, ;-, T�; .� �f29. Insulatidn �� _ �•G x 78? FIRE PREV. FINBL - .� . � �. �•� � �� . "30. Drywalt'�Nailing * �, � ;',�.� r., �-� (j';i'�, ; = TiEALTHrDEPT,. R�EQUIRENj,ENT 031. Plaster Brown Coatt 5 -�-' J �: �-e-�! "79 �FINAL Ih1SPECTtON� *� � OC 4 L -'32�"Electrical Power M Yer'-Finai � 1 �'� i li� �" *��80`"FOOD CERTIPICAI'E ISSUED`. � '7 �. �v :i, �-iK x -� c' G' iT: �' ' 'V �� i� :. ., o-a i33SFinel Electrin t: G7 � c,^O ' 1(/ (+�• �'�r„ .� � Notes: �'t `ZQ� o; '- .'`.:. �}. �� "'34l;'Final Heating& Ai*Coittlitiorring• ;;,;d, � V i i,� (x � �4�-_�v= = s `� '-'} �- .. �, - p g[. - '35`��Final Gas Pipe�TestK G �b x !� �.i � .i;� r. ,.=.z• - _ � �/� J Y'�ur,_"�;� �-36.�'Hoaii o�CanoPY * = I ' r"� _`'" � C 7-.�,i �!*�� c� �: z. 'r� � � - r, � ' 'l: i"1 •_� � .t �. I ; CK X Y. J # ;- v::,� :; �- _ `. � . � i �... .U:J -. P� �-37..�.Fina1 Factory FirePlacex . �-r � ��!� 'i ' ,�j.`K .x :�38`�Fin�l PI'vinb�g t =' K � i ; _ � � - '' ¢ ' t� f' "39.-Water Service�Final� � '' �"* " `' � �-- "' . x G i � � :x �. � n: i.�?;i�]G: �� -�r.T r'40.rGa'rSerw`ce-final � :' ��":^ � * T� � � * * '" �' =�'L � ` ' ' ' n CIH'r-. ;`1 x' i'2 .0 �. � 'k <t_ `41°'Solar pome'sticFinal'' � j �� *; �' ; � : * � :; `;,� , _, . 42. Backflow Preventeri: � ;-J `" R ' �: •= >� • { �-. , :� �'� �:r �:t ,:;....� a� � x• c. S � ,: x �. ... - ..l + ,. � 43. Backflow triigation; � � r,: + ; i� x � • • • • .. � :^44;^Landscape ITrigatidh Syster��!� `� �: � ` d�� x' iJ N ^; �.G' X � ns C:�r.:1: . ^' . T :k � .� J � � !' �i l; :-1 G^, �-; . R .. r^ y r. < t - r+ -. . � �....:a s � ' 45�Sound Attenuatior,n -7 .. ,. ,; r., ;.y* k � � �� `. , - :: w G46.••Handicep Regulations -+ O '� � -" ' ' ; G '= � `� _ -` . �t c x^ i 6: W " %�' 47�FIf�tALSTRUCTU�iE&BUILDING " �'„ _ "'�` � � u. ��:. ( �Q � : 48^FIPI'AL PLANNIN6 . y =, �;:i '•�� r x ; � ^� .� = _ ' .5' =' J l:� I.i '-`i. "49� Electric;�Release to�Edison � '' /.1 �� '� " - � ' `" " c. .. � . :a: � . � ,, w . y x cc: "� 50`Gas�Release to Southem California Gas Co ^ `� � � ' '� = `- `- ' ' x ' ' �� r. % . �.o ' - ' � 51. CERTIFICATE OFOCCUPANCY ' ' ' ' �• �=� � �- ' � � - No. Date _ Lot 66 � �IS?^ COSTA MESA BUILDINGSAFETY DEPARTMENT P.O. BO%9f] GO$Tp ME9A. CALIFORNIA For Applicant to Fill In Completely TYPE OR PRINT Bu1LOIN6 AOORE53 COSTA MESA, CALIFORNIA OWNER Pemba Subdividers Inc. MAIL 2g50 Mesa Verde Drive ADDR65S TEL. STATE 187'3�8 TEL. LIC. NO. NO. OF LOT �� Jy NOW oN LAT � USE OF � x�% Z�'{ K( lS�� EXISTING BLD6. ��~ i fiETBACKLINBFROM CCI ��1 CENTER OF BTFEEf �� RfiAR YARD 61O6YARDI LEFf �� RIGHT 8� DESCRIPTION OF WORK S ZIEDIN6 2 419 EXTERIOR WA ,t� COVERING USE OF BUILDING A� rtt KECEIVED YAfl a l 11►�'� FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDINf3 For Office Use Only I R6CE1'l' NO. I� PFJWf R6C6{V[D OY /C ZONING ZON[ NO.O� I UBE R�l PLANB 2 SUII �°"e,..,.,.. LOt E)6. � YARDSAPPROVED MAIN BIIILDING DISTANCE MAIN BLD VAR. iC Z C 11 P � I HEREBY ACKNOWLEOGH THAT I XAVB PEAD THIH APPLIC�T�ON AN� eTwTE THRT THC ABOVE �e CORIiCCT �NO AOqEE TO COM� PLY WITH ALL CITY ORDINANCH AND BTATB lAWB /R/i��OULAT�NO BUILOIN6CON9THUCiION. , -yet�,/� r � SIGNATUREOF = Qf� PERMITTE ./ AUTHORIZED A6ENT / v SQ. THE AMOUNT N PURPOS6 OF 88T/ VALUATION � /�7��- DAT! 198UEO 8 Ut SHALL BE LE35 THAN YAROSAPPROVED ACCESSORY BUILDIN6 �ATE —�p-C �] L/ N �y_ m VALUATION IB FOp THe F A PERMIT FEE ONLY. p � 7r m TFEE $ O N � m CHECK $ �d � Q � .FEE $ 0`