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Home My WebLink About3317 ALABAMA CIR - Building Permits(714) 754-5273 • Fax (714) 754-4856 Job Address: Suite No Vicinity: Parcel Nunmber: Applicant: Address: Owner: Address - CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT, PERMIT 3317 ALABAMA CI 13958127 LYLE COOTER 22921 SAVI RANCH PARKWAY YORBA LINDA, CA STRAW, JAMES C 3317 ALABAMA CIR COSTA MESA, CA ELECTRICAL PERMIT Phone: (714)283-8262 Zip: 92887 Phone: Zip: 92626 Contractor: ' ALLIED PLUMBING - HEATING -AIR CONDITIONING Address: 22921 SAVI RANCH PARKWAY REF:M00-00190 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 1000a Service over 1000a Motors to 1 hp Molors to 10hp Motors to SOhp Motors to 100hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg � Sign Circuits Temp Pwr Pole Intermed Pole � �+�r .�;' � .. .� YORBA LINDA, CA Phone: (714)283-8262 Zip: 92887 License: 610780 / �/. D�RMIT NUMBER �I E00-00420 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 05/04/2000 Issued: O5/04/2000 ISSUED BY: E�iR�� .� a � D� SCOPE OF PERMIT INSTALL NEW 4 TON A/C UNIT, 1 NEW FAU AND 4 HP ELEC MOTOR TO EXISTING SFD. Quantity $23.50 $0.00 $54.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 � � ��/.., � .. FEE SUMMARY Temp Dist System / Lighting Busway /100 k 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 700 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misc. Conduit Misc. Conductor Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Eleclrical 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 $0.00 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 $78.00 �OMMENT,S l SPECIAL CONDITIONS �� iy 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, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is notcommenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections end final approval must be obtained. Failure to obtain inspections and final approval will result in Ihe expiration of this permit. FOR INSPECTIONS CALL: (774) 7545626 WORKERS' COMPENSATION DECLARATON: � 1 hereby aftirm under penalry of perjury one of Ihe tollowing declarations: ❑ I have entl will malntain a certificate of consent to self-Insure for workers' compensation, as provitled for by sectlon 3700 of the Labor Cotle, for the peAormance of ihe work for which ihis permit is issuad. � I have and will maintain workers' compensation insurance, as required by section 3700 ot the Labor Code, tor Ihe peAortnanca of the work for which Ihis permi� is issued. My workers' compensation Insurance c rrier a d policy number ere: . � G 7D g 2�? Carrier: ��JZ 1 [/�-� � �/.� Policy Numher: (This section neeU not be complete0 il fhe permit /s valued af one hundred tlollars (5700) or /esS.J ❑ I certify that in the peAormance of the work for which this permit is issued, I shall not employ eny person in any manner so as to 6ecome subject to the workere' compensation laws of Californie, and agrea ihat' Yshoultl become subject to ihe workers' compansation provisions of Section 3700 ot the Labor Cotle, I shall forthwith comply with Ihese provisions. Applicant Signature: � Date: S �`7 � WARNING: FAILIIRE TO SECURE WORKERS' WMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TO ONE HUNDRED THOUSAND DOILARE ($100,000�, IN HODITIIXJ TO THE COST OF CAMPENSATION, DAMAGES AS PFiOVIDED FOR IN SECTION 31060F THE LABOR COOE, IMEFEST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm that I am licensed upderp rovisions of Cpapter 9(commencing with Section 7000) of Division 3 of Ihe Business and Professions Code, and my license is in full force and eReCt Lic. # � /� ii U Class k�-76 CTi Comrecrors Signature: � Date: S L o a CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirtn that there is a construction lendinq a9ency for Ihe peAormance of ihe work lor which this permit is issuetl. (Sec. 3097, Civil Code). Landers Name: Lentler's Address: SignaWre: Date: OWNER-BUILDER DECLARATIONS: I hereby aNirm ihat under penalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business and Protessions Code: Any city or county which requires a permil to constmct, elter, improve, demolish, or repair any structure, pnor to its issuance, also requires the applicant tor such permit to file e signed statement thet he or she is licensed pureuan� to the provisions ot the Contraciors License Law (Chepter 9(commencing with Section 7000) of Division 3 ot the Business antl Protessions Code) or that ha or she is exempt theretrom antl ihe basis tor Ihe elleqed exemption. Any violation of Section 7031.5 by any epplicant tor a permi� subjects the applicant to a civil penelty of not more than five hundretl tlollars ($500).): ❑ I, as owner oi Ihe property, or my employees with wages as iheir sole compensation, WILL DO THE WORK, and the simctura is not intended or oNered for sale (Sec. 7044, Business antl Protessions Cotle: 7he Contractore License Lew tloes not apply to an owner oi property who 6uilds or improves thereon, and who does such work himselt or hersaltor through his or her owA employees, provided thet such improvemems are not intendetl or oHered for sale. If, however, the builtling or impmvement is sold within one yeflr of completion, Ihe owner-builder will have Ihe burden of proving that ha or she did not build or improve tor puryose of sala.). �}:+* . � ; � ' � . ❑ I, as owner oi the-properry�am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to constmct the project (Sac. 7044, Business antl Professions Code: The conlwctors�License Levi tloes not appty to en owner oi pro0erty who builds or improves Ihereon, entl who contracts for such project with a coniractor(s) license pursuant to the Coniractors.Liceose Laws.). � ❑ I am ezempt under sec. � Business antl Professions Cotle tor this reason: Signature: �'d Date: Owner ID verified by tlnvels license. ❑ Yas ❑ No Dnver's Licansa No. Expires: Verification of Ownership by (type ot document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CER7IFICATION: ❑ I hereby certify Iha� no excavation five (5) or more teet in tlepih into which e person is requiretl to descentl, will be matle in connection with work authorizetl by Ihis permit, antl that no building structure, scaftolding, felsework, or demolition or tlismantling ihereof, wlll be more then thirry-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title B, Califomia Atlminisiretive Coda). ❑ As owner-builder, I will not employ anyone to do work which would require a permit irom the Division of Industrial Safety, es noted above, unless such person has a permit to do such work from �he division. Signature: Date: Division of Industrial Safety Permit Number: CERTIPICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRV: I certiy under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all stata laws and ciry ordinances relating to building consWction, antl authonze represematives of the City ot Costa Mesa to enter upon the above-tlescribed property for inspection purposes. 1 agree not to occupy or allow acupancy oi eny building euthonzed by this permit until final inspection. Signature Ot Le� �^ Date 7 �— L� __ And/OrAuth izedApplicant Date COOE Y. INSPECTIONTYPE 1616 Fixed System Finel Fire Prevention 1266 200 201 Pool Spa Final Final Re-Root Finel BIocWReteining Wall 202 Finel Factory Fire Plece 203 Finel Sign 204 Final Demolition 2446�a6 neri O INTIfIALS COOE� INSVECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final ElecMcal 212 Finel Fire Prevention 220 Final Planning Approval 222 Final Sita 250 FinelBuiltling/Occupancy psjf� TIN RIRlS ; C�TY � COSTA MESA BUILDIN6 DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT (714) 754-5273 • Fe�c (7/4) 754-4856 Jobnddress: 3317 ALABAMACI Suite No Vicinity: Parcel Number: 13958127 Applicant: LYLE COOTER Address: 22921 SAVI RANCH PARKWAY YORBA LINDA, CA Owner: STRAW, JAMES C Address: 3317 ALABAMA CIR COSTA MESA, CA MECHANICAL PERMIT Phone: (714)283-8262 Zip: 92887 Phone: Zip: 92626 Contractor: ALLIED PLUMBING - HEATING -AIR CONDITIONING Address: 22921 SAVI RANCH PARKWAY Arch / Eng : Address: REF:E00-00420 Phone: (714)283-8262 YORBA LINDA, CA Zip: 92887 License: 610780 Phone: Zip: License: PERMIT NUMBER M��t� 77 FAIR DRIVE, COS , 2626 Status: ISSUED Applied: 05/04/2000 Issued: 05/04/2000 ISSUED BY: SCOPE OF PERMIT INSTALL NEW 4 TON A/C UNIT, 1 NEW FAU AND 4 HP ELEC MOTOR TO EXISTING SFD. ISSUE FEE Inst FAU <100 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 Boz Vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handiers < 10000cfm AirHandlers> 70000cfm Floor Furnace Floor or Suspend Heater $23.50 $14.80 $0.00 $0.00 $0.00 $14.80 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $o.00 $0.00 Quantity FEESUMMARY Repair / Alt Absorbtion Unit Repair / Alt Refrigeration Unit Ventillation System Evaporative Cooler Co mmercial I n ci nerator Domestic Incinerator Compressors / Absorption Systems Upto3hp/100kBTU 3 To 15 hp ! 500 k BTU 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 15to30hp 30 to 50 hp Over 50 hp Other Mechanical Fee Investi9ation Fee Plan Check Fee Reinspection Fee TOTAL CALCULATED FEES COMMENTS I SPECIAL CONDITIONS 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 $53.10 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is notcommenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work mus� comply with all applicable codes, and all required inspectiona and final epproval must be obtained. Failure to obtain inspeclions and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 WORKERS' COMPENSATION DECLARATION: � — I hereby aHirm under penalry of perjury one of the tollowing daclarations: ❑ I have and will maintain a certificate ot consent to self-Insure tor workers' compensation, as provided for by section 3700 of the Lahor Cotle, for Ihe pertormance of the work for which ihis permit is issued. �' I have and will maintain workers' compensation insurance, as required by section 3700 of tha Labor Code, tor the peAormance of Ihe work for which this permit is issued. My workers' compensation Insurence carrier and policy number are: . 1-I �1 Carrier: i�il"�iA�(/._On.�- . Policy Number. V• C" 7�/� Z�� (This section need not be complefed i((he permif is valued et one huntlretl tlollars ($f 00J or less.) ❑ I certiry that in iha pertormance oi Ihe work for which ihis permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of Ihe Labor Code, I shall forthwith comply with ihese provisions. . / Applicant Signature: .Y Date: _� s y'' � WARNING: FAIWRE TO SECURE WORKE ENSATION COVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOVER TO CRIMINAL PENALTIES ANO CIVIL FINES UP TOONE HUNORED THOUSAND DOLL4RE ($100,OW), IN AODITION TO THE CAST OF COMPENSATION, DAMAGES AS PROVIDED FOF IN SECTION 3]O6 OF THE LABOR CADE, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: �'� I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of iha Businass and Professions Code, and my license is in full I force and eHect. Lic. # ��D� � Class # (�i� b (�' � Contractor's Signature: �� Date: S �/ o � CONSTRUCTION LENDING AGENCY: ❑ I hereby aifirm ihat there is a constmction lending agency tor ihe pedormance ot the work tor which this permit is issued. (Sec. 3097, Civil Code). Lentler's Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby aHirm that untler penalry of perjury ihat 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 wnstmct, alter, improve, demolish, or repair any s�ructure, prior to its issuance, elso requires the applicaN for such permi� to file a signed statement that he or she is licensed pursuant to the provisions of ihe Coniractors Llcense Law (Chapter 9(commencing with Section 7000) of Division 3 of ihe Business antl Protessions Cotle) or that he or she is ezempt therefrom and the basis for Ihe alleged exemption. Any violalion of Section 7031.5 by any applicant for a permit su6jects the applicant to a civil penalty W not more lhan five hundred tlollars ($500).): ❑ I, as owner of the propeny, or my employees with wages as iheir sole compensation, WILL DO THE WORK, and ihe stmcWre is not intendetl or offered for sale (Sec. 7044, Business and Professions Code: The Coniractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herseH or ihrough his or her owri employees, provided that such improvemenis are not intentletl or oHered for sale. If, however, tha building or improvement is sold within one year of completion, ihe owner-builder will have ihe burden of proving that ha or she did not build or improve tor purpose of sale.). ❑ I, as owner of the property, am El(CLUSIVELV CONTRACTING WITH LICENSED CONTRAC70RS to consiruct the project (Sec. 7044, Business antl Protessions Code: The coNractors License Law does not apply to an owner of property who builds or improves ihereon, and who coniracis for such project with a contractor(s) license pursuant to iha Contractors License Laws.). ❑ I am exampt under sec. Business and Professions Coda for this reason: Signature: Date: Owner ID veritietl hy tlriver's license. ❑ Ves ❑ No Driver's License No. Expires: Verification ot Ownership by (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certity that no excavation five (5) or more feet in depth into which a person is required to descend, will be made in connection with work authorized hy ihis permit, and that no building stmcture, scaHoiding, talsework, or demolition or dismantling thereof, wili be more than thirty-siz (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Calitomia Administretive Code). ❑ As owner-builder, I will not employ anyone to do work which woultl require a permit from the �ivision of Intlustrial Safery, as noted above, unless such person has a permit to do such wark from the division. Signature: Date: Division ot Indusirial Safety Permit Number: CERTIFICATE OF COMPLIANCE AND AUiHORVA710N OF EN7RV: I cenity under penalty of peryury that I have read this application and state that tha information given is correct. I agree to comply with all state laws and city ordinances relating to building consimction, antl authorize representatives ot ihe City of Costa Mesa to enter upon the above-described propany for inspection purposes. I agrea not to occupy or ellow occupancy of any building authorized by this permit until final inspection. SignaNre Of Legal Owner(s) Date S «�� r Authorizetl Applicant Da CODE N. �NsvecnoxTrae 1616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Final BIocWRetaining Wall 202 203 Final Factory Fire Place Final Sign 204 Final Demolition 2d46�d6 QA�T. INTRIRL COUEN INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Elecirical 212 Final Fira Prevention 220 Final Planning Approval 222 Final Site 250 Final Buildin<yOccupancy DRTE INTITIALS CITY OF COSTA MESA BI/ILDING p1VIS10N DEVELOPMENT SERVICES DEPARTMENT PERMIT (714) 754-5273 • Fax (714) 754-0856 Job Address: 3317 ALABAMA CI Suite No Vicinity: Parcel Nunmber: 13958127 npp�icant: MYERS, ROB Address: Owner: STRAW, JAMES C Address 3317 ALABAMA CIR COSTA MESA, CA �t ��R Contractor: Address: 2284 RUTGERS DR ArchlEng: Address: C.M. PLUMBING PERMIT Phone: Zip: Phone: Zip: 92626 Phone: 645-2689 Zip: 92626 License: 669867 Phone: Zip: License: PERMIT NUMBER P99-00199 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: SCOPE OF PERMIT REPLACE PORTION OF GAS LINE FROM METER TO GARAGE & GARAGE TO HOUSE. ISSUE FEE Backflow irrigation Backflow Preventer Bathtub Clarifier System Connect Qce,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oip Interceptors (Sand Auto ) AMT $22.00 $0.00 $0.00 so.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 $0.00 $0.00 $0.00 $0.00 QTV FEE SUMMARY AMT Laundry Tub / Washer $0.00 Landscape Irrigation $0.00 P-Trap $0.00 Pressure Regulator $0.00 Process Piping (per 10 k) $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 $0.00 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor $0.00 Sink, kitchen $0.00 Sink, service/mop $0.00 Spa (private) $0.00. Spa (public) $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 COMMENTS / SPECIAL CONDITIONS Status: ISSUED Applied: 03/31 /1999 Issued: 03/31/1999 SumpPump Swimming Pool 7rap Primer Urinal Vacuum Brkr Bkflow(1-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Waler Closet (ToileQ Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service Water Sottener OTHER VIOLATION PLAN CHECK REINSPECTION TOTAL CALCULATED FEES: AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $8.75 $0.00 $0.00 $0.00 $30.75 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 NOTICE: The work authorized by this pertnit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) . EXPIRATION: This permit shall automatically expire end become void if work is not commenced within 180 days, or if work is suspended or abandoned for a penod of 180 days. INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inapections 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 WORK 'COMPENSA�ONDECLARAnON: ' I he y amrtn under pendlry oi perjury one ot Ihe tollowing declaratlons: I have and will maintain a cenificate of consent to seN-Insure for workers' compensation, as proWtletl for by section 3700 of ihe Labor Cotle, for the pertortnence of the work for whiCh [his permit i5 issued. ❑ I have and will mainfain workers compensation insurance, as required by seclion 3700 of Ihe Labor Code, for the peAortnance of tha work for which this pertnit is issued. My workers' compensation Insurance carrier and policy number ere: Carner. Policy Number. (This secfion need nat be completed il tlie permif is ve/uetl et one huntlretl tlollers ($100) or less.) ❑ 1 certify that in the pertortnence oi the work tor which this permil is IuueO, I shell not employ eny person in eny manner so es lo become subject to Ihe workere' compensation laws o��lifomia, ntl agrae ihat if I should ecome suhject to the workere' compensetion provislons of S ion 3 00 of ihe Labor Code, I shall fonhwith comPly with these P(d' i y n /'� ApplicaniSignaNre: � � Date: ��i� "/� WARNING PNLURE TO SEWR ORKER ' COlAP SA I�N COVERAQE IS UNLAW FUL ANO SHALL SU6IECT AN EMPIOYER TO CRIMI PENALTES AND CML FlNES UP TO ONE HUNDRED THWSAND OOLLARE (5100,000), IN ADOITION TO T' E CO OF COMPENSATION, DAhNGES AS PROVIDED FOR IN SECTION 3]O60F THE LA80R COOE, IDfrEREST, AND ATTORNEI"S FEES. LICENSED CONTRACTORS DECLARATION: I hereb attirm that I am lic�e�� d'�jd.er mvisions ot Cha ter 9 commencin with Section 7000 ot Division 3 oi Ihe Busi ss j� fassions Code, and m license is in tull force and aHect. Lic. # l�� r310� i P ( 9 ' Class d ��b Y Conirectofs Signature: ��I}'y-%�J�1h Date: '{1 CONSTRUC710N LENDING AGENCV: ❑ I hareby eHirm Ihat ihere is a construction lending agency tor the peAormence of the work for which this permit is issued. (Sec. 3097, Civil Cotle). Lender's Name: Lentler's Atldress: Signature: OWNER-BUILDER UEClpqpT10N5: Dete: I hereby ettirm ihat under penalty ot perjury Ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business end Professions Code: Any ciry or county Which requires a permit ro construct, elter, improve, demolish, or repair any structure, pnor to Ils issuence, elso requires the applicant far such permit to flle a signed statement ihat he or she is licensed pursuent to the provlslons of Ihe Contradors License Lew (Chepter 9(commencing with Section 7000) of DiNsion 3 of the Business and Professions Code) or that he or she Is exempt iherefrom antl the basis for the elleged examption. Any violation of Section 7037.5 by eny applicant tor a permit sub�ecGs Ihe applicant to a civll penalry of not more than five hundretl tlollars ($500).): ❑ I, as owner oi the pYoperty, or my employees with wages es their sole compensetion, WILL 00 THE WORK, and the siructure is not intended or oHeretl tor sale (Sec. 7044, eusiness and Professians Code: The Contractors License Lew tloes not epply to en owner of properry who builds or improves Ihereon, end who does such work himself or herseH or ihrough his or her own employees, provitled that such Improvemenis are not Intended or oHered for sale. If, however, the builtling or improvement is sold within one year of completion, the owner-builder wlll have the hurden of proving �het he or she did not build or improve for purpose ot sale.). ❑ I, as owner of ihe property, am EXCLUSIVELV CONTRAC7ING WITH LICENSED CON7RACTORS to construct the project (Sec. 7044, Business and Professions Cotle: The contractors License Law tloes not apply to en owner of properry who hulltls or improves ihereon, and who conirads for such project with a coniractor(s) license Dursuant to the Coniractors License Laws.). ❑ I am exempt under gec. Business and Protessions Cotle tor t�is reason: Signature: Date: Owner ID verified Dy drivers license. ❑ Yes ❑ No Dnvals License No. Fxpires: Verification oF Ownerohip by (rype of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIqL SAFETY PERMR CERTIFICATION: ❑ I hereby certity that no eacavation five (5) or more teet in depth into which a person Is requlred to tlescend, will be made in connection with work authorized by this pertnit, end that no building struclure, scattolding, falsework, or demolitlon or Cismantling thereof, wlll be more than t�irty-six (36) feet high. (Chap. 32, Gry 2, Ari 2, Sec. 341, Title 8, Califomia Administrative Code). ❑ As owner-Duilder, I will not employ anyone to tlo work which woultl require e pertnit From Ihe Division of Industrial Setety, as noted ebove, unless such person has a pertnit to tlo such work trom the division. Signature: Date: Divislon of Industnal Satery permit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORVA710N OF ENfTiV: I cehify under penalty of perjury that I have read this application and stata ihat the information given is correct I agree ro wmply with all slate laws and ciry ortlinances releting to building consiruction, and authonze representetives ot iha Ciry of Costa Mesa to emer upon the above-tlescnbed pmperry tor inspection purposes. I agree not to wcupy or allow wcupancy ot eny building euthonzetl by this pertnit unpl final inspection. CODE �, INSPECTIONTYPE QajE f�$ 1616 Fixed System Final Fire Prevention 7266 200 Pool Spa Final Final Re-Rooi 201 Final BIocWRetaining Wall 202 Finel Factory Fire Place 203 Final Sign 204 Final Demolition 266fid6 COOE I INSPECTION TYVE 206 Final Mechanicel 20B Final PlumCing 210 Final Elacirlcel 212 Final Fire Preventian 220 Finel Plenning Approvel 222 Final Site 250 FinalBuiltling/Occupancy � � Date r:� m: noonessocem�ar�c: 3317 ALABAMA CI OWNEN'SN4MEIFpqWN: STRAW, JAMES C woxess: 3317 ALAHAMA CIR COSTA MESA,CA APPL.MRIIJNO IOOPES4: �NCNRECT OX ENdNEEN: IRCM.OP ENa.'SADOPE53: uNt: FLOOD: AE-37 92626 uc. rw.: UNT: caHm�crarsruMe: LUKE ROOFING (714)633-8798 caNm�croasMuura 448 S MONTGOMERY ADDNE9A ORANGE CA uc.ao.: 672569 92667 uxr: LICEN9E0 COMNACTOq4 OECL�pATION; I heroby tllirm unAx pneXy M p�r�ury ihu I un Ikmrd undar provhbm W Cheqrt G �m ndnp wilh 3actlon ]000) N Dhlebn 3 0/ �hs Busl�wa enE PMasslons Cada, uM my Ilo�nro le In lull laru end aMM. mu r+o.:062058 ruc.cuss: �-39 uc.No.: 672 69 �FXP: OS/96 oete� /�^ ' 3%— i) Comreaa: ✓ i WNEN BUILDEN OECLAXITION: I heraby Nfim unEer p�nally ol per�ury ip l em exemq Imm iM Conlredon Lbmu Lew for tM lollovnnp rseeon (SeUbn ]W1.5 &nina� end Prdmeiom Cad�: Any cAy a oounly wfiich rpulm � pertnM to mmtrua, eNer, Improw, demolb�, or repei eiry HrucWm, priw Io d� owena, abo rpuim Ihs epplMsnt br �uc� paimA to fib ulpmE tWemeM �hu ha or �hs ia lioenesd Ounuenl m Iha 0��+� d IM Comredon Liwnaa Lew [Chepter B(commera1p wMh 8epbn ]000) ot DWYbn ] ol ths Buaineae eM Proleveone Codej or IhM M a ehs le axemq Ihaehom end iha burc lor Ihe ellepaE exemqion. Any vbletun of Sednn '0�1.5 by eny applicent lor e permn �uCjecb IM epplicenl lo e mnl panalry d �wl mon Ihen Me huMred dollen �f500�). j I.asowmro/iMpeopanYormY�Vb'/��0„�Iheirplswmpeneelbn.willEOlMxoM,eMihaeWnuroenMinleMeA or oMered lar aeb (&eMian )006. Butiiwee end PrdeseionaCoEe: The Contreaois Lloenae l.ew don eW epplyto an wmm ol o�M wM b�ilds or vnD�ea ihareui. e�d who daee such wak him�ll or heiseY a ihraqh he a her own emplvyese, proWEeE IMI euch imOro�eMa are roi imerded w aHered tor eab. H, howmr, ihe buiNinp m inprovemeM b eold wNhin ma yeer d oomplelion, Ns wnar�buiNer will heva Iha WMen d provinp M or ehe dk ml W iIE or impewe tw tM puryoee M We). � 1. sv ovmer d IM propery. am axdutiveM �nireairq wnh lioanaed conlrmlon b conArud iM prqetl (Setlion ]WA. Bueinme eM Prolessione Coda: The Contreqon L'cenae Lew doea na epply io en ovmm W prape�Y'�o W iqe a impovea Ihereon eM x1a convecte Iw wM O�q�s �h e conlredor(s� IkenaeJ Wnuenl lo Ihe Conireaon liceme lew). � I em ezempt uMer Seclion: B. 8 P.C., la ihie raamn: Date� Oxner: I do hereby cerlity IM1a� I em ewere d eM uMe�slend the requiremama d Celiomie Heell� eM Sefety CoEe Setlbna 25505. 2553�, eM 255Ja, end ihei I a eiry Mure buikinB �Va^� �II / wAI noi (dreb one) meE lo canply wih aaid eteta cado arM the �aquiremente br eparmAlormnalructionwmod'ifirationhan�heA'v e�ly.arapamantDinna.ReademielmnqruqionepDb��aenaaemptlromlhme pfOV1910118. oma: nadr�c WOPKEF'S COMPENSATION DKLAN�TIOH: I Mreby effi�m uiMm pnelly W pe�jury oro d iM Idlowirp dedermuru: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 074943 PERMIT NO: B 074943 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE; STR PURPOSE: OTH JOB DESCRIPTION : REROOF OVERV 1 LAYER WOOD SHING W/COMP. SQ FT: 3,000 CLAIM VALUE: 3,000.00 CALC-6'ALUE: 3,000.00 GROUP OCC: R-3 /M-1 COMMENTS: SMOKE DETECTOAS ARE RE�UIRED PER U.B.C. 1991 /CLASS A COMP ROOF 1EiE1E1E1EfE1EiE�EfEiE�EiFiElEiEikifififiEiFlE�fif1FlFiEifiElflf 1F1EiEiEiElFlEiFfEiElEiEiElF1ElE1EiE9E1E1E�ElElfiEiE*1ElFIEiEiflEiEiE1E3EiE�1EiE3E1ElF�EIElE Z O N 2 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: 13958127 ZNE: REF NO: PLANNING NCSTES> i � iE fE'lE iE'lE 1E 1E iE iE 1E ih fE iE 1E 1E 1E 1E 1E iE 1E 1E'Ih fE iE 1E 1E'N' iE iE iE iE 1E 1E 1E 1f if 1E if 1f 1f� iE if 1E iE 1E 1E iE jE iE iE 3E iE 1E 1E iE iE 1E iE iE 1E 1f iflf iE iE fE IE!(� iE 3E'lE iElE 1E jE iE if if iF D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N-T S ZONING APPROVED BY DATE: HUILDING APPROVED BY : DATE: ' � APPLICATION ISSUED BY: ��i�-- DATE: �� I J �E�EiEiEaE�iFiEx�3tx�iEi[�**iex�*iEiE**7F�3FTF7F£'iFiFTFTF3fiF�F F�FiF'iF7'F3F3FiF7F7FiFiETF7FiF3FitiEkifitiEiE*** iE LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEG ENT: BLDG PMT PLUMBING ELECTRIC MECAANIC FIRE SMIP/RES GRADING PERMIT 54.00 ,50 SMIP/NON—RES PLAN ISSUE FEE � InewaMxilmeintenecenMiceiedmnaemmsetl�imumbrwaken'cwnpeme�ian,nqwNed/wWSedion3100diMLeEor BUILDING—DIV—> PERMIT ZSSUE PLAN—CHECK TOTAL PAID DUE coas.�«ma�n��awine�i«��nmmo��iaw�ee. TOTALS----> 54.50 0.00 0.00 54.50 54.50 .00 ❑ I hew eM xil meinten workere' compemelian ins�reM.e. m rpuired by Seqion 3100 d iM Lebor Code. br IM pe�armarKe d IM work ta which Nia parmil n baued. My waken' wmpanvtion inwrence rarrix enE pdiry number era: c�a�: REVENUE DIVISION TOTALS--> COLLECTED; 54.50 OVER/SAORT: .00 PdKyN�mn«: HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK �n�: �r„� „�e �w na �daee r ma o�a a ro. �a n��e�e em� �siool w�..� 5 4. 0 0 . 5 0 �] I wnJy Nm in �ha pMormeMe d Rn work I« whkh mu parmit ia iaweE. I ahell ria empby eny pamn in eny menner eo m io bjae�aiMxvkan'canv��ionkvnolCalaanie.aMe6reeihe�il� ecomevudwm�hexvrkan' iEifiEiFififif�iEififlfifiEififififififififlflElEiFlflElEfElE9EiEiEiElEiElEiFiEiElEiflEifififiEiEiEiEfEiflE�EfE1ElElE9EiE9FiEiElE3FlfiEiEiEiEiEiEiEiE�F3EiEaE1E moensmon o�som a 5ea� a�ao w ina iemr c�m, i.ndi �onn..rn co vry �.nn i o� '�. I N D I V I D U A L F E E B R E A K D O W N ��a �o -3 - 9 � Aoa��: � i am/ny:Fe/lunro�xurowortxi romperwtlonroverep�bvn/awNl ��d�lullaub/rtlenemploysrfocrlMiulpenaMs,enO TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST c/vll flrro� �qr ro wro huntlra0 fho✓asM Jo/Hn (5100,OWJ. In aEL/tlon ro tlis rost ol romvewtbn, Oarvp� u provMM br In sKno�aioso�ms�mo�cow,��r�tandammsy��. SFR 3000 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 3�000.00 CONSTFUCTION LEN�ING AGENCY: I hereby atFrm uiMar penelry d paryry thet iMm u a mn�ruaion kMiiq epemry Iw �M peAormance a tM wrk M which ins oe�mi u uaued (Seaion �05). Giv. Cl. LENDEH'S NPNE: LENDEp'S AOOFE55: I cenM �het I have reaE inu eodice�bn eM slete �het ine ebova iMm�wbn b wrtea. I wme io comVN wiln ell tlIY enE ooumY ordirezea eM etete levn relatiq io buik'vp conavumon erd Mraby eu�horae rapaeemaiivea d ihe tlry io eniar upan iM ebwe�meMioneE pivpeM �«��°�'�""0�B9 GARY LUKE n ' . � ome: /C� -� �_ . uro d Oxrar/�1p� VAppira Conlrmw � � � �i5t-�BWP) While-Build'vq 8 SalelY:G�eerFle:Cenery-Appiranl: Nnk-Re�anua:Gddenro��eveeaor �� x�L�Zil�i�l�i�� i.l ^Q1°o4i_-_��1�34i9 1T�73 [��TF: iu,:. :s vii�E� ��9 �4 cr, , � ' - . POOI & S�. t=� CONSTRUCTiON AND PLANNING. � APPRQVAIS Permit # � Date Inspector AppROVA�S Permit #' f Date Inspector i. Tamporary E�ectricai Service or Pole 52. Pool & Equipment Location " 2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcement . 3. �Electrical Conduit Utility-Undrgmd. 54. Forms ''=A�rElectrical Condu�t�Ondrgrnd. . 55. Electrical Bonding � � 5-+Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. ElectricalUFEft'GS'nd. 57. APPROVALTOCOVEft�GUNITE -�. �7.'Footinqs '� 58. Electrical Conduit-Undrgmd. � 8. Foundation - _ � 59. Gas Pipe, � Undrgrnd., Test i� ' 91 lNater Pipe-Undrgrd'd. `„ ' 60. Backwash Lines, P�Trap, O Undrgmd. 70. Strncturai Flaor System � 61. APPROVAL TO DECK � 51. Propeny Sewer tine & House-Connect4on 62. Backwash & Receptor-Final 12. �ewer Cap ,c 63. Heater & Vent•Final 73. Roof Drains 64. Plumbin� System • Final t4. Rough Plumbing_ . � 65. Electrical�Final 75. Rough Electrical-Copdu¢ . 66. Solar System-Final 76. Rough Electric4Viring � 67. Pencing & Access Approval 17. Rough Wiring Sign . 68. APPROVED FOR PLASTERING 18. Rough Electricai=T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditloning FIRE DEPT. REQUIREMEfVT n <'r . i��_, r 20. Rough Factorar Fi�eplace ' � � � ; � z'- APPROV/XLS''. � Pe�mit #�_ 21. Bucts, in'StrUetura' • •� - ' - ' •-' -' 70. Underground HYdro " �. . 22. Ducts, Ventilajing .� "' `-� .� ''. 71. Produet� Pjping'O Gas � Oil 23. Gas Pape-Rougfi & Test �.. 72. Underground Ft6sh � 24. Roof-Framing" � ' � .' 73: Undergrnd.StorageTank OGas OOiI 25. Roof She:�thing �� . .� a- �� 74":'�verhead Hydro_ 26. T-Bar Ce�i�ng (StructLraq & Monocoat ;t � �, �' ; 75. Dry Chemical ,.,�, � � . 27. Frame anGl Plpshing� . _ v _- �, �+ - 76. Dry StanUpipe � �+ ' _ - 28. la.tCmg.�'Sidjng -'* � " � �- � " =- " "" 77, FIXED SYSTE{61�FINAL _ �z,- c. 29. Insulation - � • � � � 7�: FIRE PREV. FINxS,L ' � ' 30. Dryava�i Nailinij ""' ` , _t1EALTH DEPT. REQUIREMENT 37. Plaster Brown-Coat' K; i~ + 79.� FINAL �NSPECTIflN � ' T � 32. Electrical Pow'er Nd�rF�nai ' � 8Q; FOOD CERTIFIpATE ISSUED_. .- -�s � 33. Finzi EleMric- . : ~ . . Notes: - * - . - 34. Pinal Neating.& Aic Eonditioni�g `. " , � '� . � . " - - , � _ , �. 35. Ginal Gas PipETesi ; V -- . , � � � . � � , .; •- �• 36. Nood�or Canopy - T"' - 'tr " ' - . � ' ' � � j . � T - t i _ - ' r l./ -37. Pinai.FacToryFirepiace - _. . � . * 1 � � - 38. Final Plumbing .'� , ' � . ' ' - �- ' 39. 1Vater Service•Final r n `" �-. , z; '� .' i 40. Gas Servite-Finai � �- - � � � " �, � _ . , 41. Soiar poniestEc-Final, �-• � !' - - � V � m _ t- 42. Backflow Preventer � ii r � ' '��^ • - a �rC r - 43. Backflow Irrigation' , . . ' . , ; ; . � Q4. Lardscape irtipation System - �- '� '� �- ° , � _ � ,� � r A5. Sound AttenYration `;, :". . � �' � ,,.,� i � � - - . - 46. Handicap-Regulatio�ns " � ' �' - _ r �� 4%. FINALS7RUCTUA�&BUILOING /r_�..9�'� . _ . L 48. FINAL P4ANNING « ' ,. , ` A9. Efectrie ftelease to Edison � ^ ' 50.GasReleaseto�SouthemCalifornia�GasCn . � ' ' � . 5i. CERTSFICATE OF OCCUPANCY " _�.= * � No. Date Z . d U � Z ZQ am J7 J � Q W [!] J J m Q U � Za W � aw WZ J Q m z J � W W � _ ZH w� N �= 70 � z Q U J a a Q � H y Z O F U � � � N z "-ls �` � I08 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely ADDRESS 3.3 / 7 '^'"`"" OWNER �j8j'ID@8 D9V. CO• TEL. ��_�C CITV $8T1�Ffl III1& NO. LENDER�I�NUl11'EBCI St&L89 National Hank BRANCH 190 BroadwaY Avenue aooaEssSan I7iago� California ARCHITECT TEL. f7�li �evex�xocrccec K. lbrius ti� � ADDRESS2%12 E. Coaet Hwy. Corona D M CONTRACTOR pwner ADORESS TEI. CITV NO. STATE CIT V ��. Na. 252560 ��. No. SI2E NO.OF BLDGS. OF LOT ].00 X� I NOW ON LOT O USE OF EXISTING BLDG. N W BLDG.I44V 9• ROOMS 8 STORIES 1 EXTERIOR WALL ROOF COIIlPO O COVERING SLllCC� COVERING WOO� USE OF BUIL�ING AND `�`�OFK TO BE PERFORMED I hereby acknowletlge that I have reatl this application antl state that the above intormation is correct and agree to comply with ell laws reBulating buildin8 construction, antl I shall noi employ any persOn in viOlation of the workman'S compensation laws ot the Stete of California. I hereby rertify xhat I am Properly licensed as a conbactor untler the State ot California Bus��ess antl Protessions Cotle, Divisicn 3, Chapter 9, antl that such Iicenses ere in f�ll force antl attect, or I am exempt from the provisions of the State of California Business and Professions Code, Divi9�o a r 9. Signature of � Permlttee Authorizetl Agent �FR 2� EaPa;oO0130?_� *** 115.50 cr„r, APPLICATION FOR BUILDING PERMIT RECEI D B D T R CEI E DATE ISSUED � 5�=� � -� ,5 =/—1 PERM T A.P. NO. . �I BUILDING �� / � // � ' ADDRESS (� TRAC�%(Q � LOT BLOCK `EW/ ADD A P ! ` OWNER /Y.lJIAY i d J �IXYJ6LN1 NA J' FIRE,# ZONE �� APPROVED VAROSAPPROVED MAIN BUILDING FROM GLST�EET) IA e DISiANCE BET APPROVED NOLD FOR VAWE 4' aa � � r.ani�v -,� �'� USE OF IVEW BUILDING VARDS AF BET. MAIN & ACCESS. BLDGS. DATE / j APPROVED��—�p C DATE ��/ I - � LI AL REQUIREN,�?:T� �� O SQ. FT � 70� � o TME AMOUNTSHOWN UNDER VALUATION IS FOR j THE PURP�E OF E5TABLISMING A PEPMIT FEE ONLV: m ¢ VALUATION �%'�,p-� � �JD ,QL% O'O PERMIT FEE 5 � O( V / � � ,Q m $ PLANCHECK 3 U� E 0 f/C t�.. LL UwNER ��g D��ppME� DATE 5-1-69 JOB ADDRESS 3317 Alabama Circle BUILDING PERMIT N0. 30108 GENERAL CONTRACTOR p.,mer-Builder DESCRIPTION of WORK R s�d nc W�Att Caraae AP No. _ LOT �� TRACT ��o� FIRE ZONE VAI IIF Aon Acv� nn � `" SUBCONTRACTOR GAS WATEa 'LZ P umbin ROUGH PLUMBING PROP. SWR. LINE OUSE CON. L" SPRINKLING SVSTEM MISCELLANEOUS ROUGH HEATING ANO AIA CON01710NING � E TEMPORARY SERVICE OR POLE UNOERGROUNO � POWER � ROUGH WIRING � '� � �ieatina and Vent_ PORMS IAJ S7EEL REINF. FLOOR SVSTEM BONO BEAM � STEEL REINFORCE SHEATHING FRAME AND FLASHING LFTHING — IN � OUT [,pJ PLASTER.BROWN COA�— HEATING, VENT., REFRIG. AN� q,C., F PLUMBING, FINAL AN� GAS TEST� EIECTRIC, FINAI. BUILOING, PINAL SPEQAI REOOIREMENTS CITY OF COSTA MESA REQUEST FOR OCCUPANCY TRACT NO, . �'93 DATE - � "-(� _ LOT NO. �� ADDRESS 5 5% 7 f7��s.�� i�--� �'-� - 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 undeYsigaed; by er,ecutir.g this ag:eement, ackno;aledges that {�-they) E� were) advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa 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 otheY than those conditions protected by s urety bondo The undersigned agrees to indemnify and hold the city harmless from any claim resulting in damaqe or personal iniury to the undersigned by reason of the aforementioned n�mpleted condition. BY r/ . r� Pu aser ` B& Developer and or ut rized representative Lender