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Home My WebLink About2929 ANDROS ST - Building Permits,., ; (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us • BUILDING PERMIT JobAddress: 2929 ANDROSST Suite: Vicinity: ROOF Parcel Number: 13928108 Applicant: GORDON THORIN Address: 317 AVENIDA GRANADA LONG BEACH, CA Owner: ROBISON, JOHN M Address 2929 ANDROS ST COSTA MESA, CA Convactor: ADAMS ROOFING Address: 317 AVENIDA GRANADA LONG BEACH, CA Zip: 90814 Arch : Address: Zoning: R1 R1 Phone: 714-965-0245 Zip: 90814 Phone: Zip: 92626 Phone: 714-96&0245 License: 524341 Eng: Address: Phone: 77 FAIR DRIVE, COSTA MESA, CA 92626 e Status: ISSUED Applied: O6/14/2004 Issued: O6/14/2004 .: �;��`% � / � G � . i �� = i ' - c\� / ,--; . � i t � .� // Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF. INST,4L 30 YEAR, CLASS A COMPOSI'fION SHINGLES AND REPAli2/REPLACE SHEATHING AS NEEDED. 24 SQUARES INCLUDES ATTACHED GARAGE. Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: $0.00 $97.25 $0.50 $0.00 $0.00 $0.00 Total: $97.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existina: o Rear 0-0 Rear 0- 0 Required: 0 FEESUMMARY PLANNING & ZONING Lek 0- 0 LeR 0- 0 - Proposed: 0 Calc Valuation: Claim Valuation: Rlght 0- 0 � Right 0- 0 sa,000.00 sa,000.00 e NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statufes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatiCally expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPEC710NS: In order tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (�14) 7545626 24E6�48 (W00) WORKERS' COMPENSATION!DECLARATION: _ , I hereby ettirm untler penalry ol perjury one of the following declarations: ❑ I heve and wlll meintain e certificate ot consent to self-Insure for workers' compensetion, as provided for by section 3700 of Ihe Lebor Code, tor the peAormence ot ihe � ork for which this pertnit is issued. � f hpve anG will maintain workers' compansfltion insurance, es requlretl by sectia� 3700 ot �he Lebor Code, Por the pertortnance W the work for which this pertni� is issued. My work��i m�pe�sa�tlon I rence rnar end policy number ere: I ,/ ��w�L.� ggrti � }iJ+ti.�f{_. � ✓�� Policy Number. l � ��`i� ^ dw / �. i ecNon need nof be completed il the permiNs velued et one hundred dollars ($f00) or less.) - �� ❑ I certify ihat in Ihe performance of the work for which this pertnit is issued, I shell not employ any person In any manner so as to become subject to the workere' compensetion lew ot Califomla, entl egree thet If I shoultl became subject to the workers' compensation prohsions ot Section 37 0 of ihe bor Code, I shell forihwith complywlthlhes rvislons. � cJ r , ,` C A p�lice ignetwe� � �1 � ate:: ` ��7 WBRNINO.'FALLURE'TO CURE WORKERS' COMPENSATION COVEPAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL P itES A D CIVIL FINES UP TOONE HUNDRED THOUSANDDOLLAqE($100,0OO�.INADDITIONTOTHECOSTOFCQNPENSATION,DAMAGESASPFOVIDEDWRINSECTION3](I60FTHELABORCODE,1 EREST,ANDATTORNEV'SFEES. LICENSED CONTRACTORS UECLARATION: I hereby eHl thel I am Ilcensed un er rovi ions at Chapter 9(commencing wlth Section 7000) of Divislon 3 ihe Business�d Prafessions Code, anA my license Is in full �..,�m.� rorCrey'"��a,�a.enecL uc. #`"�- r- G�e'ss q� ? t,G�ontractor'�sSignatu�"r�eTJ� . Deta: �a°-��p_/� c7 N�Fii:-=c.. CONSTRUCTION LENDING AGENCV: � ❑ I hereby affirm that there is a construction lending agency tor the peAormance of the work for which ihis pertnit is issued. (Sec. 3097, Civil Code). Lender's Name: Lendefs Address: Signelure: Date: i�>> ..�..�.�.� lll�� OWNER-BUILDER DECLARATIONS:r/j�� 1V��I !/.{C /� :�1� I hereby eftirm that under penalry of pe�ury�that�I,am�EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business entl Professions Code: Any ciry or county,which requires e�perinit to�coustmd, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the epplicent for such pertnit to file e signetl stetement tliat.he or sha Is Ilcenseil,pureueN to the provislons of ihe Contractore license Law (Chapter 9(commencing with Section 7000) oi Divislon 3 of the Business and Pmtessions Code)�or lhet he�o{�she isesempt Iherefrom and lhe basis for ihe elleged exemption. Any vlolatlOn of Section 7031.5 6y any epplicent for a permit subjecis the applicent to e clvil penalry of noCmore�than five hundred dollers ($500).): , ri,-r ❑ I, as owner of the property, or my amployees with weges es ihelr sole compensation, WILL DO THE WORK, antl the structure Is not intended or ottered tor sele (Sec. 7044, Business and Professions Code: The Contractore Licensa Lew does not apply to en owner af property who builds or improvas thereon, and who does such work himself or harself or thmugh his or her own employees, provided that such improvemems ere not intended or otfered for sale. If, however, the building or improvement is sold within one year oi completion, the owner-builder wlll have the burden of proving that he or she did not 6uild or improve for purpose of saleJ. � ❑ I, as owner W fhe property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct ihe pro�ect (Sec. 7044, Business and Professions Coda: The contraclors License Lew does not apply to an owner of property who builds or Improves thereon, end who contrects tor such project with a contracror(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business end Professions Code tor this reason: SlgnaWre: Data: Owner ID verified by dnver's license. ❑ Ves ❑ No Driver's License No. Expires: Vedficalion of Ownerehip by (type of document, Le. - properry taz bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cently thet no excevation five (5) or more feet in depth into which a pereon is requlretl to descend, will be made in connection with work emhorizetl by this permit, end that no building sirucWre, scaHolding, falsework, or demolition or dismantling thereot, will be more then ihirty-siz (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Ttle 8, Calflomia AdmlNstwtive Code). ❑ As owner-builder, I will not employ anyone to do work which would require e Dertnit from the Division of Intlusinel Setety, as noted ebove, unless such person has e pertnit to do such work from ihe division. � Signature: Dale: Division of Industnel Safety Permit Number: � CERTIFICATE OF COMPLIANCE AND AU7HORIZATON OF EMRY: I certify under penelry of perjury that I have reed this epplication and state that the infortnation given is correct. I egree to comply with ell state laws and ciry ortlinances relating to bullding conswdion, end emhorize representatives of t�e Ciry of Costa Mesa to enter upon the above-descnbetl property tor Inspection purposes. I agree not to occupy or ellow occupancy ot any building aulhorized by this permit until final inspection. ['�•1�I�7�CFi'lidLL.l'Jti�3 1676 Fixed System Final Fire Prevention 1266 Pool Spe Final 200 Final Re-Roof 201 Finel BIocWReteining Well 202 Final Fadory Fire Place 203 Finel Sign 204 Final �emolition G� INTRIpLS � / •u i�.� .1 � . � ./ � .,�� GOOE� INSPECTIONTYPE 206 Final Mechenical 208 Final Plumbing 210 Final Electdcal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupency 2iE 1tlI�4fi ,, =ii�t , . ��' c �..:..:: � ' �; CITY OF COSTA MESA . BUILDING DMSION DEVELOPMENT SERVICES DEPARTMENT PERMIT � PERMIT NU BER 699-00374 '� (714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suite: Viciniry: 2929 ANDROS ST LEFT SIDE YARD. ParcelNunmber: 13928708 Applicant: JIM CATON Address: PO 60X 1288 BUILDING PERMIT Zoning: R1 R1 ; �Phone:-.: 714 638•2315 -' - ' GARDEN GROVE CA �' ' � - Zip: 92642-2375� ' �� owner: ROBISON� JOHN M � � � ; �,, � � � � � Address 2929ANDROSST t � - ' � �� , ?�� • , � ; � � - _ -_ _ - r . �.� �-� : �� r . _Phone , -- ` '� ' , � `� �� i COSTA MESA, CA _ - " Zip. 92626 � 4_�� r � �` . `� � � `, � . � , , -.-. �" . �L�i i � -' � _ ,' i� :� . �'�; � � ��•_�.� Contractor � :11M CATON.MASONRY �. �� , ��, Address( PO-60X 1288-'=; '� ':1 �. '� � / \�`�� .� ,`'�.l � :,: �-," Phone: 714638-2315 �� ; `'� � ��„ /, 4 \ ;�, ;.%OARDEN_GROVECA � � ;, J-�l �� , n.�" Lp '9264?_?315 License�;305339 � �+�`•�� U,.--'� �;�� , � � Y� . - . i��` ��A i� '�• r � . 'r�"'�'�.. ' .." E^9� ;: ., ' - _ " �'� ' ,,,;-'�. . :.;�-,`I � � �Address: ' � � �. '. .. ��: . . , . _ . _�- . i. , - / Phone: --- � �,• . � !� 'Bhone: -�, .� , � , . - � , License: Zip: � ± �License:� _ � . . - � � _ , � . .. Status: ISSUED Applied: 03/19/1999 Issued: 03/19/1999 Arch : Addr`ess: � "f � . . � . , Zip . ; � ; . ; . SCOPE OF PERMIT .., ,-, . � . � ..� . � '. ,TOTAL OF 60-LF OF 6' HIGH BLOCK ACONG STREET SIDE SETBACK OFEX SF: RESIDENCE. ' r�� .. .. . � . . .. . . . . •. � . ,- .. .. .. �.. . .. .. . , � �� - h ` " ' FEE SUMMARY ' I f /t� P,Ian Check � $0.00 - x `� , , - — �,; �_ � ;;, , -.,Ca1c Valuation: � _g�,zoo.00 � , Permit !�,$112.25 - - - ��% `==Claim Valuation `,, g5,is0,00 SMIP Res �`, $0.52 -` � ' SMIP Com $0.00 � � � . Other.; „�$0.00 � _ - — % ; � ' 'v i , `�: �� - -- � '_ , �� Inspection: � ` $0:00 r ��--. �, � ; � � � , �=;, i �V �� TotaL• � $112:77 � ; � � , ,� ,. ' , ' . P � . / i ' � .- � . % `' , � � "' �� :. PLANNING & ZONING ,' = i,i % � SETBACKS�;_. �;' � Z �F2 ," ��, �,� - , -_. � =�� _ �,�. � '�: . MAIN 6TRUCTURE �Pmnt_ `0- 0 , _ , Rear- �0- 0 ` � - . Left. �0 0 �_ Right 0=:0� ', � � ACCESSORY Front '46=0 � . : , .Rear 0-0.- , Left 0,�1 _-�, ,� , Rlght �� 0.=0 �,-' PARKING Existin : 0� � `� ' ' Required: � 0 , Proposed: .. 0 � � ,- ,.: , " � „/-` NOTES: � , . - ,,, 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 1 BO days. I INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all '� ' requlred inapeetlona end flnel epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. � FOR INSPECTIONS CALL: (774) 7545626 _ I WORKERS' COMPENSATION OECLARATION: � � � I hereby eHirm under penalty of perjury one of the following declerations: . '' ❑�I have end will meintain e certificete of conaent to self-Insure for workers' compensellon, es provided for by section 3700 of the Lebor Cotle, for the pertormance of the work for whlch this permit is issued. ❑ I have end will maintain workere' compensetion insurance, es required by section 3700 of ihe Labor Code, for the peAortnence of the work for which this permit is issuetl. My workers' compensation Insurance cenler entl policy number ere: . Cartier: Policy Number: (This section neetl not be completed i! the permlt /s velued at one huntlretl tlollers ($100) or less.) ❑ I certiiy thet In the performence of the work for which this permit is issued, I shall not employ any person in any manner so as to become sub�ect [o the workers' compensation laws of Ce f� rnle, and agree that H I should become sub�ect to the workers' compensetion provisions ot Sedion 3700 of the Lebor Code, I shall torthwith comply with these pr v' i6ns. ApplicantSigneture: Date: �� WARNING: FAILURE TO CURE WORKEFS' COMPENS TION COVERAOE IS UNLAWFULlWD SHALL SU&IECT AN EMPLOVER TO CflIMINAL PENALTIES AND CIVIL FINE$ UP TO qJE HUNDRED TNOUSAND DOLLARE ( 100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIOED FOR IN SEClION 37060F THE LABOR CADE, IMEflEST, AND ATTORNEI"S FEES. LICENSED CONTRACTORS DECLARATION: I hereby effirm ihet I am licensed under p�visi� force and eHect. Lic. ri O 5 Contredor's Signature: �1,. i of Chepte� 9(commencing with Section 7000) of Division 3 of lhe Business end Profes�y ions Code, end my Iicensa is in hll Cless# ' C^�— G'—aP ,, Date: �—��—� 70�7' CONSTRUCTION LENDING AGENCY: ❑ I hereby aftirtn that there is a construction lending agency for the peAormence of the work for which ihis pertnit is issued. (Sec. 3097, Civil Code). Lendefs Name: Lender's Address: Signature: OWNEH-BUILDER DECLARATIONS: Date: I hereby eKrtn that untler penalry of perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Professions Code: Any ciry or counry whlch requires e permit to construct, elter, improve, demolish, or repair any siructure, prior to i[s Issuance, also requlres the epplicent (or such permit to flle e signed stetement that he or she is Iicensed pursuant to the provislons of the Contractors License Lew (Chapter 9(commencing with Section 7000) of Division 3 of the Businass end Professions Code) or that he or she is exempt therefrom end the basis for tha elleged exemption. My violetion of Section 7037.5 by any applicant for a permit sub�eds the applicent to a civil penelry of not more ihen five hundred tlollers ($500).): ❑ I, es owner of [he properry, or my employees with wages es ihelr sole compensation, WILL DO THE WORK, and the sUucture is not in[ended or oHered for sale (Sec. 7044, Business and Professions Code: The Contradore License Law does not apply to an owner of properly who builds or improves thereon, end who does such work himself or herself or through his or her own employees, provided that such improvements ere nat IntenCetl or ofleretl for sale. If, however, the building or improvement is sold within one year of completion, the owner-builtler wlll have the burden of proving thet he or she tlid not bulltl or improve for purpose of sale.). ❑ I, es owner of the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construa [he pro�ect (Sec. 7044, Business end Professions Cotle: The contradors License Lew does not apply to en owner of property who builGs or improves thereon, end who contracts for such project with a contractor(s) license pursuant to the Contrectors License Lews.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signeture: Date: Owner ID verified by driver's license. ❑ Ves ❑ No Drivefs License No. Verification of Ownerehip by (rype of document, I.e. - property tez bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: Expires: ❑ I hereby certify thet no excevation five (5) or more feet in depth inta which a person is requlred [a descend, wlll be mede In connecllon wlih work euthorizetl by �his permit, end that no building structure, sceHolding, telsework, or demolition or dismentling thereof, will be more than thirry-six (36) feet high. (Chep. 3.2, Grp 2, Art 2, Sec. 341, Title 8, Celifomle Atlministretive Code). ❑ As owner-builder, I wlll not employ anyane to do work which would require e pertnit from [he Division af Indusirial Setety, as noted ebove, unless such person has e pertnit to do such work from ihe division. � � Signature: Date: Division ot Industriel Sefety Permit Number: CERTIFlCATE OF COMPLIANCE AND AUIHORIZATION OF EMAY: I certify under penalty of perjury ihet I heve read this applicetion antl stete that ihe informatlon given is corred. I agree to comply with all stete laws and city ordinances relating lo building construction, end euthorize represenletives of the City of Cwta Mesa to enter upon the ebove-descnbed properry for inspection purposes. I egree not to axupy ar allow occupancy of any building authorized by this pertnit until final inspection. �fjE�, INSPECTONTYVE 1616 Flxetl System Finel Fire PrevenGon 1266 Pool Spe Final 200 Finel Re-Roof 201 Final BIxWRetaining Wall 202 Finel Fectory Fire Plece 203 Final Sign 204 Finel Demolitian 2/46d6 � I�� 2 -9a � GData � / 1�Dat �ppEy ixsvecnaxrvae 206 Final Mechanicel 20B Final Plumbing 210 Finel Eleciricel 212 Final Fire Preventlon 220 Finel Plenning Approvel 222 Final Site 250 Finel Building�Occupancy �:�uuLR9 ,:, :� �� N � � ' � t � , � .� J � � v � •, ci � � i � � �p �1 a? � � � w '° � � s DIV1SfOP! C;F iiLlii.J[� iG SAFETY CITI�' OF t%OSTA MESA APf�Rd3'+/i'D cs��c, eu��w� �, P71i(1CPE,� c�T`I �• 1� Date '��— This set of ptans znd spedficalbns MUST he kapt on �is lob at aq t�ncs and'd is unlewh� i make am/�9zs aalterafior: m same :?6rou wr¢� oertnissan (iantlw Dii�onot Bu2dr_ y�d ga�xtys Ciry of Casia Mesa. ltre sla�s�in9 oi �hs P�n and sDea�tic;s SHAEI.NOT be held to petm9ak 6e an epprws� of the violatiort ot ary provi,sio.�s cf any City of Co�t� I�a Ordinance andlor Se!e i�r: These P4�s a� ?ertnd shaN e�!P�� bY famlaUon and Cecame wRhin 780 da��s c� �'�ea. woAc is �t cemm°rced atd r,tirRair,d adrve xr UBC §37d (d) � 11Ef10[NCE 242 1 . II[610[NCf � ' _ � ��Q S STREET --� IIEtIDEMC[ � 'f'o-Fa.SI � � � �� E'� �t1 �"ca�i'+ �2�r CITY OF COSTA PAESA F�a��ra� �iv. SUBJECT TO 6LDG.DGPT.REG. BY [��p DATE / ' � I�V�C ADDITIO�!S, DELETIui'JS, OP, CCRRECTI�JfJS SHALL B� APPr�04'ED 6Y TfvE PLRNitiIFiG QiViSION R[�IOENC[ �e .F Cement Coping Optional -� Channel Block With 13/8� Ho�izonta� Top of all Fences For Fences 5' or Less Vert. Bars $/8" � at 4' -0" O.C. For Fenees Higher Than 5' Vert. Bars 3/8"� at 32" O.C. Fill Cells Solid With Grout W here Steel Occurs Reinforcing Steel Shall � Conform ta Sec.A-15-39 A.S.T.M. All Steel to be Lapped 24" or to Code NATURALGRADE 7W0 3/6"¢ BARS � CONTINUOUS TOP $ BOTTOM HORIZSTEEL MUST BE TIED IN P.LACE AT TIME OF TRENCH INSPECTION. TYPICAL 6�� CONCRETE BLOCK FENCE f 0 � _ LL F �— e � o n D ' �WIDTH p SEE CHa 9 BELOW DL ~^"I '�:Jy.'i !k. i.:,-::! ?05?& S:E:.2 •: . �� n� �i/S r'�ra.'s6c a, s� ING'�REQUIREME GENERAL- NOTES MORTAR: p�e part Plastic Cement, and Th►ee Paris Sand GROUT: One Part Cement Three and One Half Parts S'and COPING: One Part Cement, Three Parts Sand CONCRETE: Weil M1xed 1:2-I/2:3-I/2 Mar. of 7- I/2 Golfens ot YYater Per Sack of Cement GROUT MAY BE POURED FROM THE TOP OF THE FENCE IN CELLS WHERE STEEL OCCURS. CELLSAND AREASOF HORIZONTAL REIN- FORCEMENT SHALL 8E CLEAR, CLEAN & FREE OF ALl MORTAR DEBRIS, ETC. H OF EARTNTCOTH i/z Th1E HEIGTH Of FENCE B LOW BOTTOM OF FOGTiNG. SCALE: I/2��= I' WIDTH . r-'Y++ Sra+l� � 14�. � � 14" 12" 12•� . . . . . tiA ..n.:J'_S+�i..uSYBLt�JQ,6y.X`. - i . . . . THICKNESS . . �'"' �`•`u �'10��:'. rti � - ;..� � n 10 , ` 8 � 8 �� , _ � �. k',: �:e:e��.,dn, � � � �� DEPTH OF EARTHTOOTH .�, 24- �—. —20�----. ._.__, 16' ... 12 SPACING OF EARTHTOOTH.' . 12' . . . . . . . . . . .14 . . . . . 16'. . 16 v da �'i Jf•.?' i City of Costa Mesa;�tCd,iifo'rni'a"�� n�,.w� � ,n Building Department !: EV15ED NoV.82 � / / aooxEssaeatm�o: 24?9 ANDROS ST �xsxuieira�mvx: CATALDI, ANGELO �n N IODXE55: 2� Z 9 ANDROS ST � COSTA MESA,CA 92626 _ _ :. �vvi.. �uuxo �oowFss �xedrtecT on Q+nN�n: �xCH_ Ofl FH(1'S MDXE55: ca+mncrars wu�: ca�mncrons �uiax+ ruoaEss: UNT: uc xo.: UNT: uc ta: uNr: LICENSED COMflACTOH3 DECUIPRTION: I Mreby eR'rm uiMer panelly ol pa�ury Ntl I am licemetl uMar perieiam ot Cheqar 9 (oommerdM wXh Seclion )000) d Di+ision 3 M Ihe &reimae eM Protecarom COAa. a�N mY liaerea u in hll forca md eHetl. crtr uc. Mo.: uc. cuss: uc. No.: � x p: oere: c��ao�: OWNEN BUIL�EP �ECIAqAT10N: I Mraby effirm under penely d perN�Y �� em exemq irom tM Conuaqpa Limnea lew (w tlie Idb�q raeson (�ion ]W1.5 Bue'vieea mM Prolmebre CaEe: My ciy a couniY �� Vuires a permb lo mmtrucl. aller, imprwa. �mdah. or repe'v erry at�uclure, pia �o ne awaMe, ebo �apuirm tM eppli�eM Iw euch pe�m0 to Rb a aip�d eblemeM thtl he a ahe �a li�sed W�uenl lo iM provuiona d ihe Lomraqwe Licanae lew IGheper 9(�menriip xiih Sapun )OOO) a�'bion 3 of ihe Bub�ass end Profeeeona Code� a tAm M w ehe ia axemq iherehom enE IM bmia /w Ihe dbpad azemplian. My vidmion d Sepion ]031.5 by e�ry eppli�enl fu e pemiil aubpdt iM eppliceM Io e tivA pmelly d nol more ihen fHe huM�eE tlollen �55001). � I. m owrer d �ha puperlY w my emp�Weea vnlh weps+es �hei ede mmpanae�ion, will do ihe xwk, eM IM el�uclure e� iMended w oflered br eele I�an )OC6. Buvmas erd Prdeeawna Code: TM Conlrrfae L'aenx Lewdoee �wl eppNto en ammot pape�ly who buida w improvee IMreon. enE'Ma tlom aurli wak IvmeeM a MneC or ihrou0h he or Mr own amplo�eee, prondaA thm wch impewemeMe are M imeMed uoflered b ae�e. X.Iqwwer, iM buitli�p «inpovemeM u edd xithin aw ymr d oompbvm. Ue ow��.w�u.� w�n n� ma wba� d w�re na w sna eu �a w�m «�mwo� io, ma wmo� d�a). � I. m oMner d IM V�PM. em eztl�arvaN oontred�q wnh IimneeE conveUaa ro canstrud Ma pM� (5edion IWC. Bus'ums a�k Pmleaeione CoCa: TM Coniraane L'cansa Lew Aom eat eppy lo en aw�w d prapeey who builda a impwm therean eM Mn convecn br qWi qol�a �h e wMrmar(a� IicenmE W9uent to ihe Com�etlors Liwme lew). p � em e.einpt �mm secGa,: e. a v.c., h. �nia resv«,: DeM: Ownu i ec �+«enr �n�N mm i�,..e.e d e�d ��doBw�a me na��am, d cwwnu r�.�x .m sme�r coa. sea�. nsos. sssro..ne 2553/, eM tl� I m vry tuluea WiMi�q �Pem xi�� wi� rw� (o�eb ma) need �o epnply wilh eaiE aima mdae eiM IM nquiremenb M eppmillawns��uciionwmodifimt'wnhanthaA'e e�iy anepemenlDie�rif.Residwieloom��uaioneypicetiweleezemqfmmiheee „�.+��. oma: Aad�: WOAKEfl'S CONPENS�TON DKLAR�TION: I hereby effim� uMer perol�y d perjivy ons d tM tdbwiip dederetiona: � I �eve arM Mil meinten e wnifiw�a d mmam to eaMinwra (ar v.dken' canpenaetion. m yarNsd fw by SeCim �100 d �M laEv COEe. tw tM pertormence ol tha wok la wkch thia pe�mB u imued. � in��ew��m�..m�A��v��im��.m�a��,.abrs«a�amoam.tmorcoea.rameo��am. w«k t« whieh Mu Va�m� ia ixu�. MY worken' mn0e�umion i�reuranea u�rer vd VawY numEx ere: c�.;a.. raorN�mna: mis sxrion iroed rwt ne rnnab�eeY ure v�x ie ror aie nundred ddrers (srool o. be,J � I cendy Net in �he qAomience d tM work for whch I�is pmm� ie asued. I ehell m� amploy em� pamon in eiry menrror w m lo EBC0111B 9UMM �O �M NIXIfB9 IXM11�1019fi�M11 �BWB O� fiBWM110� BIId 99�� B�1W{� bBLM11B BYqlI� �O I�1B WOI�W6� �a��a� wa+so� a sma� a�oo a ma �. coaa. i�i rmn.an o� n mow�/o�� ./� Dete:_�r' �� APdicenL�/��/� -a-� � WNn/np: FNlun b �xun woiksn'rompensetlon covsraps b unYMN( CIIWI Nb�/Cf GII MIpIOyM f0 CIIINMI �lMaMN �I1d clv/I flraa yr h aro hunMee fhouaa� �len /S1PqG00A M atltlltlan b Ms ewl ol ro�vsluefbn, demep� u pvvltlsE br In 5�5tlon 9106 0/ fhI Le6orCotle, IntM+S Nd elfomsy� /esa CONg�UCT10N lENU1Na RGENGT: I MreEy alfirm uMar penelly d per'ryrv ihtl IM1ae u e oonnrucfnn bMi�p eper�cy lor tln p,d�� w m. wo.k ro, wn�m inm w�• m m•�d cs<aon aos�. cH. c�. LENDEP'S NRME: LENDEWS �ODRESS: � CBfll�'/ �� 19VB l89f� 1h19 Bp�YPI1M 91b 119�8 ��1BI1�10 6bOVB 111�0lIIIB�1OII IH COIIBd. ��fdB �O COf11P�Y W��1 @�� OI`/ Blid CpIf1�Y dd111B11C0! 811d 8�0�0 �6N9 fB�ffiPIB �O b111�1�i CqIBIN(�qfl Blld �IMB�' 8111�IOfRB fB�MB8911�BhVB! (R I�It9 CnY �O BIIIBf 11p011 ��18 BbU'4TB11�011ld P�OpBII)' ,"��'°�°°"`°°� � �vGcLd C,a�a C. b r — /J/J� Print Neme � /� � i' //Gi i//O �@�/ �// �� Dme: j�� neNre d �mx�ApenVApp6mntiGonlreqrc (5t51d6.WP) Whne-BuiN'rq6Ede�Y:Oraer�Fb:CanaryAppicent:Pink-Rawnw:GdEanrod�Avaesmr CITY OF COSTA MESA — HUILDIhIG PERP9IT PERMIT NO: P 071907 CONSTRUCTION TYPE; 5—N JOB DESCRIPTION : WATER REPIPE PLAN CHECK NO; PERMIT TYPE; PLU f� PERM NO: P 071907 GOC�T: N SUPP: N PURPOSE: ALT SQ FT; CLAIhi VALTIE: CALC—VALDE; GROUP OCC: R-3 : COMMENTS; NO OTHER WORK AUTHORIZED BY THIS PERMIT ***x�*�titat*atieif*at**�-ac*�c***rac+t��t�t*eait+titjr***�t-ftr�icaa*�t�c+tit�***�r*er**w�****ic***�c**-�c*�t*ac*�r.x.*r Z O N I N G R E Q U I R B M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING --------- FRNT; FT IN P,EAR; FT IN FRNT; FT IN REAR; FT IN LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN PARKING REQ: PROV; PARCEL; 13928108 ZNE; REF NO; PLANNING NOTES> � if 1P iF �If �E iE �E f%3E �IE if �f if af �Y �E if iF if if 1E iE * if �If if �)f 1f iE iE iE jf 1f 3f if 1f 1F if iR �E if iF'!f �1F if'If 1f if if if iF'If iE iF iF {F M if � if !E if� iE if i4 �h 14 if aF iF �F 1f if if iPik iE it 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 20NING APPROVED HY DATE; BUILDSNG APPROVED BY ; DATE: APPLICATION ISSUED BY; DATE: I� �rt. +t****+f*�r*�*�x-**�****�t*-�c�**�.**��3�.**�u******+�-*****�r �rrt***ar�+�*�rr�*xx-�-f***�r* +F�*-�r***�*�r* LEGALI2ATION;N F E E S U M M A R Y STRUCT[JRAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GP,ADING PERMIT 7.00 25� SMIP/NON—AES PLAP] ISSUE FEE 20.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 7,00 20.00 0.00 27.00 27,00 ,00 REC�ENUE DIVISION TOTALS--> COLLECTED: 27.OQ QVERlSAORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAP1—CHECK 27.00 'lE %if'Ih 1F'1E if if iE 1F'1E if'1f i4 iE'IF al' 3F if if if'IF �f'X' �f'lf'If')f iE 1F'lf'1k iP'1f'lh if if if'lf 1f i� 1%M!F if if'1E')f �IF �E'iF'1f if 1F iF'1F'lE if iF if if iF'1f i�-'k i%iE if af iE-If 3F 1F'If 1%1f ih 1f� i! I N D I V I D U A li -F E E H R E A K D O W N TYPE QTY D E S C A I P T I O N, UNIT COST TOTAL COST PLU 1 WATER RE—PIPE %,�� %,0� END�OF FEES � : 1 -.: � �i �t?i799`4—��Jii995�i 'I��Ee3r Z?.0'� ' � fJkiSr 4s114/i5 iY!"E� O�:SD CONSTRUCTION ANDPLANNING � • P00. SPA APPROVALS Pennit # Date Inspector qppROVALS Permit # Date Inspector i. 7emporary Electrical Service or Pofe 52. Pool & Equipment Location , � 2, Soil Pipe-Undrgmd. 53. Steel Reinforcement , , 3. Electrical Conduit UtilitY�Undrgmd. 54. Forms � �� 4. Electrical Conduit-Undrgmd. 55. Electrical Bonding � 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Gmd. 57. APPROVAL 70 COVEA�GUNITE 7. Footings � 58. Electrical Conduit-Undrgmd. 8, Fo�yndation 59. Gas Pipe, O Undrgrnd., Test � 9. Water Pipe-Undrgmd. 60. Backwash Lines, P�Trap, O U,ndrgrnd. 70. SuUcturel Floor System 61. APPROVAL TO DECK ' i � 11. Property Sewer �ine & House Connection 62. Backwash & Receptor-Final 7 12. Sewer Cap �� 63. Heater & Vent�Final � 73. Roof Drains � � 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final ! . 75. Rough Electricai�Conduit 66. Solar System-Final � , 16. Rough Electric Wiring . 67. Fencing & Access Approvai � " 77. Rough Wiring Sign 68. APPROVED FOR P�ASTERING � 18. Rough Electricat�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL � 19. Rough Heating & Air Conditioning � FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 2t. Ducts, in Structure - 70. Under9round Hydro 22. Ducts, Ventilating 71. Product Piping � Gas O Oil 23. Gas Pipe=Rough & Test 72. Underground Flush 24. Roof Framing � '� , 73. Undergmd. Storage Tank � 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 76. 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. FinalElectric , � Notes:1(_.t „9S. ,•, �, J � 34. Final Heating & Air Conditioning •.� �-1 ��/�-- 35. Pinal Gas Pipe-7est . � � 36. Hood•or Canopy 37. Final Factory Fireplace �� 38. Finai Plumbing �,�� 39. Water Service�Final 40. Gas Service-Final 47. Solar pomestic-Final � � 42. Backflow Preventer � � 43. Backflow Irrigation 44. Landscape Irripation System � � � ' ' 45. Sound Attenuation . 46. Handicap Regulations 4J. FINAL STRUCTURE & BUILDING � - 48. FINA� PLANNING 49. Electric Felease to Edison 50. Gas Release to Southern California Gas Co � 51. CERTIFICATE OF OCCUPANCY No Date Applicant to fill in all spaees except tnose within �eavy UorEer lines anC si9n all app�o0��ate tleela�ations. CITY�OF COSTA MESA CO ST UCTION P RMIT PERMI O TRACT NO. LOT NO. UNIT NO Project Address � Applicant's Mailing d re s Owner's Name Phone � Address Arch/Eng. License Na. Address • Contracmr's Nam hon Address (m�'i'�� T� ��%� � Y -- �V I L f Cit License Na LICENSED CONTRACTOR DECLARATION I hereby aftirm that 1 am licensetl untler provisions ot Charter 9(commencing with section 7000) of Division 3 ot the Business antl Professions Cotle, antl my license is in full r ntl effect. Licens CI ' e se Date — Si9natu�e WORKERS' COMPENSATION DECLARATION � hereby affirm that I have a certificate ot consent to selt-insure or a certiticate �f Workers' Compensation Insurance, or a rertitietl copy thereof (Section .f8o0. lab. i� � � �, � ` '^� Policy No. � � � COmpany �-V� ertifietl copy is hereby furnishetl. Certifie o tlle0 with the city i f i' n. �ate � � ADP��ant EXEM ION FROM WORKERS' CO ENSATION DECLA ATI N (This section neetl not be completetl it the permit is for one huntlretl ($300) or less). I certify that in the performance ot the work tor which thi5 permR is issuetl, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws ot California. Date Si9nature NOTICE: It, after makin9 this tleclaration, you shoultl become subject to the Workers' ComOenwtion provisions of the Labor Cotle, you must torthwith comply with such provi5ion5 0� this Oe�mit shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV 1 M1ereGy affi�m that there is a mnstruction lentling agency fot the peftormanc¢ of the work for which this permit is issued (Section 3097 Civ. C.) Lentler's Name Lentl¢r's Atltl�ess OWNER BUIIDER OECIARATION ' I hereby atiirm that I am exempt trom [he Contractor's License- Law for the following reason (Section �031.5 Business antl Protes5ional Cotle:'Any city or county which requires a permit Io construct, akeq improve, tlemolish�or repair '`*`;,erefrom antl the basis for the allegetl exemption. Any violation ot Seciion �""��531 5 by any applicant for a permit subjects the applicant to a civil 'J�"�enalty of not more than five huntlretl tlollars ($500). � I, as owne� ot the p�operty or my employees with wages as thei� sole compensation, will tlo the work, antl the s[ructure is not intentletl or offeretl for sale (Section 7044, Business antl Protessional Cotle: The Contractor's License Law tloes not apply to an owner of a property who builtls or improves empioyees, provi0ea tnat Suc� �mprov¢ments are no[ intenaea o� oiterea m� sale. If, however, the builtlin9 or improvement is soltl within one year of com- pletion, the owne� will have the burtlen of p�oving h¢/She tlld not builtl o� Im- prova for the purpose of sale). ❑� I, as owner of [M1e property, am excWsivery cont�acting with licens¢tl con- tractors to construct the project (Section 7044, Business antl Professions Cotle: Tne Contractor's License Law. does not apply to an owner ot property who builtl5 or improves thereon, antl who contracts fo� Such projects wlth a con- tractor(s1 ucen5e pursuant to the Contractor's License t.aw). I am aware that proof o( [heir Worker's Compensatlon insurance shoultl be proviEetl to me. L7 I am exempt untler 5ection B. & P. C. for this reason Date Owner _ I hereby certify tbat I have reatl th intormation is mrrect. I agree to con anA State laws �elating to builtling c[ sentatives of this city to enter p inspec[ion p se Signature Drivers' LlcenSe or SS � above �ances repre- y for 3 �a os TVPE OF CONSTRUCTION NEW ADD ALTERATION REPAI R ❑ CONVERSION ❑ DEMOLISH ❑ OTHER p� p# DESCRIPTION OF WORK/USE OF BLDG. S Main Building: TYPE OF PERMIT GRADING FOUNDATION STRUCTV RAL T FIOnt ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL B Reaf ❑'OTHER . �: PROJECT DESCRIPTION 54. FT. � oCCUPANCv C Right K Left CONSTRVCTION TYPE VALUATION $ $ ZONE GRADING CU. VDS. ACRES Ping. Ref. # nemarks: Planning Notes: Sink Preventer Irrigation Clarifiers Dishwasher Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets Interceptors Kitchen Sink Lavatories P—Trep Roof Drains Reinspection Fea � $15 Boiler Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Blt. IC80 # Heating System & Ducting ❑ 0.100,000 BTU O t 00,000 BTl Reinspection Fee � $15 CMF 0865-46, rev. 10/84 WM1ite - Builtling; Canary - Appllcant Pfnk - qccounting; Goltlenrotl - Assessor Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service AutaWash Laundry Trays Issue Fee Hood or Typel ❑ Canopy Typell ❑ Refrigeretion System ❑aioo,000aru ❑ioo,000 System Repair/Alteration Fire Dampers Registers laue Fee FEES $ 3 FEES $ 3 5255 2i��ien Parking Req./Provided ELECTRICAL Automatic Washer Transformer ❑ 15-50 KW ConstructionPoleSub. � 50+KW �Cookin9 Unit Merer ❑up to 100 amps Dishwasher Meter ❑over100amps Dryers ❑Gas ❑Electric Sub Panel Fan Motors DO-1 HP �1 %- 8 F.A.U. Inc.Solar �9-15 HP �16-15+ Fixtures Microwave Device Boxes Pole Light Outlets Range Switches Sign Garbage Disposal Standing Sections ` Generetor DO-5 KW �5-15 KW Trash Compacmr .� 5a0❑ TL Zone ' Z O N I N, , G R Q M T S Fee �$15 � � luue Fee DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building Approved By — FEES $ 3 SUMMARV OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT �PLUMBING $ � �SSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50% $ MICROFILM $ � MECHANICAL $ TOTA� FEE $ Vr= PLAN CHECK 25% $ CONSTRUCTION AND�PLqNNING ' � . POOL & SPA ' �� ' Date Inspebtor � • Date Inspector PPROVALS Permit # � APPROVALS Permit # , t1+Temporery Electrical�Serviceor�Pole 52. Pool & Equipment Location � ' In 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. APPROVAL TO COVER-GUNITE ' �. i 7. Footings i. �.,.. . 58. Electrical Conduit-Undrgrrtl�. 8. Foundation � � 59.�Gas Pipe, � Undrgrnd., Tesf i :t 9. Water Pipe-Undrgmd. . 60. Backwash Lines, P-Trap, � Undrgrnd. �..� 10. Structural Floor System � 61. APPROVAL TO DECK w' 11. Property Sewer Line & House�Connection 62. Backwash & Receptor-Final � 72. Sewer Cap 63. Heater & Vent-Final � 13. Roof Drains 64. Plumbing System - Final �, � 14. Rough Plumbing , - � 65. Electrical-Final . 15. Rough Electrical-Conduit 66. �Solar System-Final . . � 16. Rough Electric Wiring 67. Fencing & Access Approval � � 17. Rough Wiring Sign � 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling �' 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT � � 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure � 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping � Gas ❑ Oil . � � 23. Gas Pipe-Rough & Test ' 72. Underground Flush - � 24. Roof Framing 73. Unde'rgrnd.StorageTank OGas ❑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 78. FIRE PREV.•FINAL . i 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: ' ,1;� 34. Final Heating & Air CondiYioning , ' � 35. Final Gas Pipe-Test � � 36. Hood or anopy �r' 37. Final Factory Fireplace � ' ' � � �. 38: Final Plumbing � � � (��f� � �., " � 39. Water Service-Final . � • a � � .' � .. t. � 40. Gas Service-Final � • •�; � , � ' 41. Solar pomestiaFinal '.i " � , ,.r' ,: 42. Backflow Preventer � �� . ' 7 43. Backflow Irrigation y � " _: � ' ,i� • - t - � 44.. Landscape Irrigation System �, , " . . ' ' 45. Sound Attenuation - ' _ " � 46. Handicap Regulations �- �, � • - , , 47. FINALSTRUCTURE&BUILDING ' �� . r ,:, 48. Special Requirements Completed � . 49. Electrie Release to Edison �' �� • c ..� 50: Gas Release to Southern Ca�ifornia Gas Co "'� - ' � 51. CERTIFICATE OF OCCUPANCY � _ ' No. Datp - _ �1 � ,, . � � • � �' ��:id COSTA MESA BUILDING•SAFETY DEPARTMENT P.O. BOX 317 GOS7A MESA. CALIFORNIA fOR APPI/CANT TO F/[l /N COMPLETEIy TYPE OR PRINT I BUILDING ?cj�g Andros�St. AODRESS COSTA MESA. CALIFORNIA Glenverde Homes, Inc. MAIL ]30X 65 ADDRE55 ;�T� Balboa Island,Calif. TN�r3-1�220 eui AO[ L1C. ]ONTRACTOR �CCO COi�i. � �T No 988C \DDRESS Box 65�Balboa Island,Calif. .EGAL LO'j"1/f JESCeIPT10N I NO. •i�� BLOCK I TRAC'1 NO, OF BLDGS, sETewCK LiNE FROM :ervieR OF BTREET O REAR YARD 33 iI�E YARD ILE�7 lo IRIGHT � DESCRIPTION OF WORK JEW I� IIALTERATIONI IIAODITION I �72�/44� ROOMS V STOR WA�, L71CC0 ROOF COVERING �CiC IILDING AND WORK'r0 BE PERFORMED ��iti- � 3v o f M£REBY AC%NOWLEDG£ THAT 1 HAVE A£AD TX18 APPLICATIOH AND 6TATE THqT THE ABOVE IS CORRECT AND AGFEE TO COM� PLY WITH AlL CITY OFDINANCES RNO 6TqTE LAWB RE�ULATING BUILOINO CON9TRUCTIO�N.�+ �p}� ��nc� �IGNATUREOF G"r•NVPI�WE HOi"r-��jNC♦ y ��/ 6e`�'��:a^'1�:.� �CLJ //-17; S/ t ff4r�i�aCL C1�f• I. [:f`tY Oa �O.i:%� �'tL'SJ� APPLICATION FOR PERMIT BUILDING fOR Off/CE USE ONLY I flEGEIPT NO. I ��F �� COSTA MESA, CALIFORNIA ZONING ZON NO. OF USE OF NI � / PLANB I BUILDINO /'�\ C BYPROVED � l I 1 / \ � �ATE YARDS REOUIRED L W (GENTER LINE 6T.) �_ R.SI�E THE AMOIINT 9HOWN UNpER VFLUATION IB ROR THE PUfiPO6E OF EBTNBLIBHING A PERMIT FEE ONLY. VALUATION PERMIT FEE $ 3 S $ ��Ji � 7I� PLAN CHECK $ � /� `� � TOTAL FEE $ �Jo�..� � O .