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Home My WebLink About2985 BABB ST - Building Permits(714) 754-5273 • Fax (714) 7544856 • www.ci.crosta-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: Suite No Vicinity: Parcel Nunmber: Applicant: Address: 2985 BABB ST 14123107 CARLOS ZAMORA 957 N ELM ST OR.4NGE, CA ,F�1'1 �� 1,,� y'"` � ,o OA�� Owner: KUHLMAN, JAMES ROBERT Address 355 COSTA MESA ST COSTA MESA, CA Coniractor: ADD AIR WC Address: 957 N ELM ST ORANGE,CA ISSUE FEE Temp service test Res. a/c package New Res (1-2 unifs) New Res (3+units) Pool/Spa Lighting Fi�As Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over 1000a Motors l0 1hp Molors l0 10hp Motors to SOhp Motors to 100hp Molors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole Phone: 714-997-2969 Zip 92867 Phone: Zip: 92627 Phone: 714-997-2969 Zip: ' 92867 License: 747643 SCOPE OF PERMIT UPGARDE SUBPANEL AND 1 SWITCH AC CONNECTION. $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $1.10 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 so.00 $30.50 $0.00 $0.00 50.00 $0.00 Quanlity FEE SUMMARY Temp Dist System / Lighting Busway/100fl Standing Section Misc Electrical Equipment Transformers up to 1 kva/kw ................up to 10 kva/kw .................up to 50 kva/kw .................up l0 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misc. Conduit Misc. Conductor Circus ( gen or ride) Circus (mech ride or lights) Chrislmas Tree Stand Fireworks Stand Other Eledrical Fee Investigation Fee Plan Check Fee Reinspedion Fee Stams: ISSUED Applied: 07/14/2006 Issued: 07/142006 ISSUED BY: � ` $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 so.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES E55.10 COMMENTS / SPECIAL CONDITIONS Quantiry 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under Califomia statutes and related regulations. (Ord. No. 92•28, § 1, 1241•92) EXPIRAT�ON: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order tor ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inapectiona and final approval must be obtained. Failure to obtain Inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 � zaeee �aroo� WORKERS' COMPENSATION DECLARA710N: �' � I hereby afFirtn under penalty of perjury one of the tollowing daclarations: , ❑ I have and will maintaln e certificate of consent to self-Insure Por workers' compensation, as provitled for �y section 3700 of ihe Labor Code, tor the peAormance of Ihe ork for which ihis permit is issued. and will maintain workers' compen5aiion insurance, as required by section 3700 ot Ihe La Aortnance oi the work For which this pertnit is issued. My w rk omlpe�nsation Insur/gnca carner and policy num�er are: I � Carrier ��'ltc��'^N PolicyNum ��`�� s section need not be complefed il fhe permif is velued at one bundred dollers ($f 00) or less.) ' � ❑ I certity that in the pertormance ot the work for which this pertnit is issuetl, I shall not employ any person in eny manner so as to become subject to the workers' ws of Califomia, end agree that 1 should become subject to the workers' compensation provisions oi Section 3700 of the Labor Code, I shall torthwiih pIY with th a provis yn5"�� '� y- � C_ pplicant ure: � WARNING: FAILURE TO SECUPE WORKEPS' COMPENSATION CAVERAGE IS UNUWFUL AND SHFLL SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES AND pVIL FWES UP TOONE HUNDRED TFIOUSAND DOILARE (5100,000), IN ADDITIIXJ TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SEGTION 3]O60F THE LABOii CODE, IPIrEREST, AND ATiORNEY'S FEES. DECLARATON: ed under provisions of C�apter 9(commencing with Section 7000) of � o e us ess and Professions Code, antl my license is in full � �i 2o e . ?-- � - (�F o c CONSTRUCTION LENDING AGENCY: � ❑ I hereby aflirm ihat ihere is a cons�ruction lending agency for the peAormance of ihe work Por which this permit is issued. (Sec. 3097, Civil Code). Lendels Name: Lendefs Address: Signeture: Date: OWNER•BUILDER DECLAFiATIONS: I hereby aHirtn that under penelry of perlury Ihat I am E%EMP7 FROM TME CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Protessions Code: Any ciry or county which requires e permit to consiruct, alter, improve, demolish, or repair any sWcture, pnor to its issuance, also requires the applicant tor such permit to tile e signed stalement thet he or she Is Ilcensetl pursuant to Ihe provisions of the Contrecrors License Law (Cheptar 9(commencing with Seclion 7000) of Division 3 of ihe Businass and Professions Code) or that he or sha is exempt therefrom and the basis tor Ihe alleged exemption. Any violation oi Section 7031.5 by eny applicant for a permit subjecis the applicant to e civil penalry oi not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages es Iheir sole compensation, WILL DO THE WORK, and the siructure is not intended or ottered for sale (Sec. 7044, Business and Professions Code: The Coniractors License Law does not apply to an owner of property who builtls or improves ihereon, and who doas such work himself or herself or ihrough his or her own employees, provided that such improvements are not Intendetl or oRered for sale. If, however, the huilding or improvement is sold within one year of completion, Ihe owner-builder will have ihe 6urden of proving that he or she tlitl no� build or improve for purpose of sala.). ❑ I, as owner of Ihe properry, am E%CLUSIVELV GONTRACTING WITH LICENSED CONTRACTORS to construct the prolect (Sec. 7044, 8usiness and Professions Coda: The comractors License Lew does not appty to an owner of propeny who bullds or improves ihereon, and who contrects for such project with a contrector(s) license pursuani to ihe Contractors License Laws.). ❑ I am exempi under sec. Signature: Owner ID veritietl by tlriver's licensa. ❑ Yes ❑ No Bu5ine55 antl Profession5 Code tor Ihis reason: Verification of Ownership by (type at document, i.e. - property tax hill or deetl): DIVISION OF INOUS7RIAL SAFETV PERMIT CERTIFICATION: Driver's License No. Date: Expires: ❑ I hereby certify �ha� no escavation five (5) or more feet in depih into which a person Is required to descend, will be made in connection with work authorized by this permit, and ihat no building structure, scaflolding, talsework, or demolition or dismantling ihereot, will be more than ihirty-six (36) feet high. (Chap. 32, Gry 2, Ar12, Sec. 341, Title 8, Calitornia Adminislralive Cotle). ❑ As ownervbuilder, I will not employ enyone to do work which would require e permit irom the Division of Indusirial Sefery, as notetl above, unless such person hes a permit to da such work from the division. Signature: Date: Division oF Industrial Safety Permit Number. CERTFICATE OF COMPLIANCE AND AUTHORVJITON OF ENiAY: I certify under penalry of perjury that I have read this ep0lication and state that the information given is correct. I egree to comply with all state laws and ciry ortlinances relating to building construction, end authonze representaiives ot the Ciry ot Costa Mesa to enter upon the above-described property tor inspection purposes. I agree not to occupy or ellow occupancy ot any building authorized by this permit until finel inspection. COOE A. INSPECTIONTVPE 1616 Fixed System Final Fire Preveniion 1266 Pool Spa Final 200 Finel R8-Rooi 201 Final Block/Retaining Wall 202 Final Fectory Fire Place 203 Final Sign 204 Final Demolition on�r � irmm��s COpE1 INSPECTIONTYGE QAT[ INTffIRLS 206 Final Mechanical 208 Final Plumhing � � 210 Final Electrical � 212 Final Fire Prevention 220 Final Planning Approval - 222 Final Site � ' - 250 Final Builtling/Occupancy � � (714) 754-5273 • Fax (714) 754•4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 2985 BABB ST Suite No Vicinity: Parcel Number: 14123107 MECHANICAL PERMIT Y �� l �"" I �yi Y � flAZE Applicant: CARLOS ZAMORA Address: 957 N ELM ST ORANGE,CA Owner: KUHLMAN, JAMES ROBERT Address: 355 COSTA MESA ST COSTA MESA, CA Contrecror: ADD AIR INC Address: 957 N ELM ST ORANGE,CA Phone: 714-997-2969 Zip: 92867 Phone: Zip: 92627 Phone: 714-997-2969 Zip: 92867 License: 747643 SCOPE OF PERMIT REPLACE FAU<10KBTU IN THE ATTIC INSTALL NEW AC UNIT <10K BTU. ISSUE FEE Inst FAU <100 k BTU Insl 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 Faclory Fireplace Hood wlMech Exhaust VAV Box Vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relccate Appl Vent Air Handlers < 10000cfm AirHandlers> 10000cfm Floor Furnarz 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 $0.00 $0.00 �uanlity FEE SUMMARY ISSUED BY: Repair / Alt Absorbtion Unit Repair / Alt Refrigeration Unit Ventillation System Evaporative Cooler Commercia l I ncinerator Domestic Incinerator Compressors / Absomtion Svstems Upto3hplt00kBTU 3To15hp/500kBTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 1,750 BTU Boilers Upto3hp 3To15hp 15 to 30 hp 30 to 50 hp Over 50 hp � - , Other Mechanical Fee Investigalion Fee Plan Check Fee Reinspection Fee StaWs: ISSUED Applied: 07/14/2006 Issued: 07/14/2006 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 TOTAL CALCULATED FEES $53.10 COMMENTS I SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 7, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized urMer this permit to be consideretl legal, such work must comply with all applicable codes, and all requlred Inspectlons snd finel approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTION$ CALL; (714) 7545626. WORKERS' COMPENSATION DECLABATION: - ' I hereby affirm under penalry oi perjury one of the tollowing declarations: r„• ` ❑ I heve end will maintain a ceniticate oi consent to self-Insure for workers' compensetion, es providetl tor by section 3700 of Ihe Labor Cotle, lor the pertormance of the work for which this permit is Issued. I hava and will mainlain workers' canpensa6on insurance, as required by section 3700 of the Labor Cotle, for the performance of the work for which this pertnit is issued. orke�s' comp at n Insurenca carrie� antl policy number are: carner L ��v�o1 —�er: -��%�fib(O�j— � ❑ I cenity ihat in Ihe paAormance of the work tor which ihis permit is issued, I shall not employ any person in any manner so es to become subjact to the workers' ation lews of Califomla, antl egrae ihat It I shoultl Uecome subject to the workers' compensation pr ' s oi Section 3700 of the Labor Code, I shall forthwith c mply w ihese pravisia �� // pplicant SI ure: �(�P�� Dete: �' ��i - � �- ING: FAILURE TO SECURE WOPKERS' COMPENSATION COVEMGE IS UNIAWFUL PND SHALL SUBJEGT AN EMPLOVER TO CRIMINAL PENALilES ANO GVIL FlNES UP TOONE HUNDRED THOUSAND DOLLAFE ($1 W,OW), IN ADDITIIXJ TO THE COST OF COMPENSATION, DAMAGES NS PROVIDED WR IN SECTION 3706 OF THE LABOH CODE, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereb l em licensed under provlsions of Chepter 9(commencing with Section 7000) of Division 3 of far c. q ,2 nt re: ` (_�` O.�/ b — -_ G Z Cotle, and my license is in full CONSTRUCTION LENDING AGENCV: ❑ I hereby aHirm that there is a construction lending agency for iha pertormance ot Ihe work for which Ihis permit is issued. (Sec. 3097, Civil Gode). Lendefs Name: Lenders Address: Signeture: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm t�a� untler penelry of perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the followinq reason (Sec. 7031.5, Busineu antl Professions Code: Any city or counry which requires a permit to construct, elter, improve, tlemolish, or repair eny structure, pnor to its issuance, also requires the applicant for such pertnit b �ile a signed statement thet he or she Is Iicensed pursuant to the provisions of ihe Coniractors License Law (Chapter 9(commendng wlth Sectlon 7000) oi Division 3 of Ihe Business antl Protessions Code) or Ihet he or she is ezampt therefrom and the basis tor tha elleged esemption. Any vloletion oi Section 7031.5 by flny flpplicent for e permlt sublects the applicant to e civil penalry ot not more ihen tive hundred dollars ($500).): ❑ I, as owner of Ihe properry, or my employees with wages as their sole compensation, WILL DO 7HE WORK, and ihe structure is not intendetl or oflered for sale (Sec. 7044, Business and Professions Cotle: Tha CoNrectors License Law does not apply to an owner of property who Ouiids or improves thereon, and who does such work himself or herselt or ihrough his or her own employees, provided t�at such improvements ere not intended or oHered for sale. If, however, the building or improvement is sold within one year of completion, Ihe owner-builder will have the burden of proving t�at he or she did not build or improva tor puryose ot sale.). ❑ 1, a5 owner of Ihe property, em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to Consiruct the prolect (Sec. 7044, Busine55 end Professions Cotle: The comractors License Law tloes not apply to an ownar ot propeny who builds or Improves Nereon, entl who conirects for such project with e contractor(s) license pursuant to ihe Contractors Licensa Laws.). ❑ I am exempt under sec. Business and Professions Code tor this reason: Signature: Date: Owner ID verified by driver's license. ❑ Yes ❑ No Drivers License No. Venfication of Ownership by (type of document, i.e. - propeny taz 6ill or tleed): DIVISION OF INDUS7RIAL SAFETY PERMIT CERTIFICA710N: Expires: ❑ I hereby certih/ that no excavetion fiva (5) or more fee� in depih inio which e person is requiretl to descend, will be made in connection with work authonzed by this permit, and that no building simcture, sceHoltling, falsework, or demolition or tlismantling ihereof, will be more ihan ihirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Titla B, Calitornie Administrative Code). ❑ As owner-builtler, I will nol employ anyone to do work which would require a pertnit from the Division of Indusiriel Safery, es noted above, unless such person has e permit ro do such work irom Ihe tlivision. Signature: Date: Division of Indusiriel Safery Pertnit Number: ICERTIFlCATE OF COMPLIANCE AND AVRIORIZATION OF ENTHY: I cenity under penalry ot perjury that I have read this appliwtion entl state that Ihe infortnetion given is I correct I agree to comply with all state laws and ciry ordinances relating to building consiruction, and authonze representatives ot ihe Ciry of Costa Mesa to enter upon ihe above-described property tor inspection Ourposas. I egree not to occupy or ellow occupency oi eny building authorized by this permit un�il final inspection. COOE �. INSPECTIONTYPE 761fi Fized System Final Fire Prevention 1266 Pool Spe Final 200 Final Fie-Roof 201 FInaI BIocWRetalning Well 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition OATE � IMRIALS 7' CODE 1 INSPECTON flPE 206 Final Mechanical 20B Finel Plumhing 210 Final Electncal 212 Final Fire Preventlon 220 Final Planning Approval 222 Final Site 250 Final BuildinryOccupancy Date pRJ�, INTIfIRLB :. , << s � ._ APPROVED CITY OF COSTA MESA PLANI�'ING DIVISION SURJECT TO BLDG. DEPT. REG. ti()TE: ADDiTiONS, DELrTT(INS, Ok CORRECTIONS SIiAI�L 13F ,aPNRi->VeD BY "CHF. PLANNINr � i)IV. BY:�� ._ _. _ ' `, I-1' 7 ..�.— ��eb �,+ � 1 l October 26, 2009 CI'I'Y OF COSTA MESA P.O. BOX 1200 • 77 FAIR DRIVE • CALIFORNIA 92628-�200 DEVE�OPMENTSERVICES DEPARTMENT BUILDING DIVISION COURTESY NOTICE OF PERMIT EXPIRATION James Robert Kuhlman 355 Costa Mesa Street Costa Mesa, CA 92627 PERMIT NUMBERS: M06-00425, E06-00762 2985 Babb St., Costa Mesa, CA FOR: Water Heater Our records indicate the above listed permit{s) were obtained for property improvements or alterations at the above address. Per the 1997 Uniform Building Code, Section 106.4.4 Expiration, permits are valid for 180 days from the date of such permit, or the date of the last inspection for the project. Our records do not show an inspection for these permits within the last 180 days nor have they had an approved final inspection. If you have a signed inspection card showing that an inspection was made within 180 days, or that the final inspection was approved, please contact this office so we may correct our records. If you do not have an approved final inspection, your permits will expire on November 6, 2009. Additional fees will be required to finalize expired permits. Requestinq an inspection - If you need to request an inspection, please call our Inspection Request Line at 714-754-5626. Requestinq an extension -If you wish to request an extension, requests must be made in writing addressed to Ed Petros, Chief of Inspection, at the above address, detailing circumstances and listing an estimated date of completion. If you have any questions, please contact the Building Division at 714-754-4871, between 8:00 a.m. and 4:30 p.m., and a staff member will assist you. The accuracy of records affecting your property is our goal and we appreciate your working with us to resolve this matter. Sincerely, �`uix'u'� �. Barbara J. wart Office Specialist II cc: Add Air Inc. Building Division Q14) 754-5273 • Code Enbrcement (714) 754-5623 • Planning Division Q14) 754-5245 (714) 754-5273 • Fau (714) 754-4856 • www.ci.costa-mesa.BUILDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 2985 BABB ST Suite: Vicinity: HOUSE & ATTACHED GARAGE Parcel Number: 14123107 Applicant: PARK, TIM Address: 5830 WOODLAWN AVE LOS ANGELES, CA Owner: KUHLMAN, JAMES ROBERT Address 355 COSTA MESA ST COSTA MESA, CA Contractor: ROOFING USA CO Address: 5830 WOODLAWN AVE LOS ANGELES, CA Zip: 90003 Arch : Address: Zoning: Phone: (323) 231-6060 Zip: 90003 Phone: Zip: 92627 Phone: (323) 231-6060 License: 787667 Eng: Address: Phone: ISSUED BY: Status: ISSUED Applied: 05/29/2007 Issued: OS/29/2001 Phone: Zip: License: License: SCOPE OF PERMIT REROOF EXISTING SINGLE FAMILY RESIDENCE & ATTACHED GARAGE (21 SQ). TEAR OFF EXISTING ROOFING & RESHEATH WITH 1/2" PLYVJOOD. INSTALL 30# FELT UNDERLAYMENT & REROOF WITH 25 YEAR COMPOSITION SHINGLES. Plan Check: $0.00 Permit: $97.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $97.75 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existinq: 0 NOTES: Rear 0- 0 Rear 0-0 Requiretl: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 53,200.00 $3,200.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 9248, § 1, 1241-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or iF work is suspended or abandoned for a period of 780 days. INSPECTIONS: In order for ihe work authorized under this permit �o be considered legal, such work must comply with all applicable codes, and all required Inspeetions 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 �aa�ae la�oo� :� - . WORKERS'COMPENSAnON DECLARAnON: � � I here6y attirtn untler penalry of perjury one ot Ihe following declarations: ❑ I have end will maintein a cenificate of consent to self-Insure tor workers' compensation, as provided for by saction 3700 of the Le6or Code, for ihe pertortnence of the - work for which this permit is issuetl. ✓ 0� I have end will maintain workers' compensation insurance, as required by sectlon 3700 ot ihe Labor Cotle, tor ihe perfortnance oF tha work for which ihis pertnit is issuetl. My workers' compensation��7ns�uranc� carriar anG policy number are: F♦ p Carrier: - �� f"^"�� ' PolicyNumber: . ` o �2� !7'"� (This section neea not be completed il fhe permit is veluetl at one hundred dollars ($100) or /ess.) ❑ I cetlity that in the pertormance oi Ue work for which this pertnit is issueQ I shatl not employ eny person in any manner so as to become subject to the workers' compensation laws ot Calitomia, ana a ree that if I should become sublect to the workers' compensatlon provisions of Section 3700 ot the Labor Code, I shall forihwith comply with ihese Dro ' Applicant Signeture: �..... Date: �� WARNING: PAILURE TO SECIIPE WORKERS' WMPENSATION COVERAGE IS UNUWFUL NND SHALL SOBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOIXJE HUNDRED TV/OUSAND DOLURE ($100,000), IN ADDITION TO THE WST OF CAMPENSATION, DAMAGES AS PROVIDED f-0R IN SECiION 3]O60F THE LABOR CADE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATON: I hereby attirm Ihat I a� licensetl u er provisio�oJ..Fh�qtap9 (rpmmencing with Saction 7000) of Division 3 ot the 8usiness an�Professions Code, and my license is in full force antl eHect. Lia N i9 [ b�> f Class s 1 Contractors SlgnaNre: �1�L` �• Dete: 'S sl CONSTRUCTION LENDING AGENCY: ❑ I hereDy aHirtn that there is a consiruction lending agency for Ihe peAormance of ihe work for which this pertnit is issued. (Sec. 3097, Civil Code). Lendels Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby aHirtn thet under penalry of perjury ihat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Busineu and Profeuions Code: Any city or counry which requires e pertnit to consiruct, alter, improve, tlemolish, or repeir eny slructure, prior to Its issuance, also requires tha epplicant tor such pertnit to file a signed statement that he or she Is Iicensed pursuant to the provisions oi ihe Coniractors Licensa Law (Chapter 9(commencing with Section 7000) of Divlsion 3 of ihe Business end Protessions Code) or thet he or she is exempt therefrom antl tha �asis for the elleged exemption. Any violation of Section 7031.5 by any applicent tor a permil subjects the epplicant to a civil penalry of not more than five hundred dollars ($500).): ❑ I, as owner of ihe property, or my employees wlth wages es their sole compensation, WILL DO THE WORK, and Ihe stmcture is not intendetl or oHered lor sale (Sec. 7044, Business and Pmfessions Code: The Coniractors License Law does not apply �o an owner ot property who builds or improves ihereon, and who tloes such work himself or herseN or through his or her own employees, providetl that such improvements ere not intended or oNered for sale. If, however, ihe builaing or improvement is sold within one year of completion, ihe ownerbuiltler will have the burtlen of pmvinq ihat he or she did not builtl or improve for puryose of sele.). ❑ I, as owner of ihe properry, am E%CLUSIVELV CON7RACTING WI7H LICENSED CONTRACTORS to consiruct Ihe pmjact (Sec. 7044, Business and Professions Gode: The contractors License Lew tloes not apply to an owner oi property who 6uild5 or Improves thereon, and who conirecis for such project wiih a coniractor(s) license pursuant to ihe Contrectors License Laws.). ❑ I am exempt untler sec. Signalure: Owner ID venfied by dnver's license. ❑ Ves ❑ No Business and Professions Code for this reason: Verification of Ownership by (type ot documen�, i.e. - property �ax bill or deed): Drivefs License No. Date: Expires: DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: ❑ I hereCy certify ihat no excavation live (5) or more feet in depth in�o which e peroon is iequired to descend, will be made in connection with work authorized by this pertni�, end that no building simcNre, scaHolding, falsework, or demolition or dismamling ihereot, will be more ihan thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title B, Calitornie Administrative Code). ❑ As owner-builder, I will not em0loy enyone to do work which would require e permit trom the Division of Indusirial Safery, es noted above, unless such person has e permit to tlo such work trom the division. SignaWre: Date: Division of Industnal Safery Pertnit Number: CERTiFICATE OF COMPLIANCE AND AU7HORIZATION OF ENTRV: I certify under Denalty of perjury that I have read this application and stale ihat the information given is correct I agtee b comply with all state laws and city ordinances relating to Ouiltling constmction, and euthonze representatives of ihe City ot Costa Mesa to enter upon the ebove-describetl property for inspection puryoses. I agree noi to occupy or allow acupancy ot any building authorized by lhis permit until final inspection. � 'gnatur Lagal Owner(s) � �Date a� / " And/Or Au horized ApDlicant . Data . COOE N. INSPECTIONTYVE 1616 Fized System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Final8lock/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition �L INTRI L CO�EN INSPECTIONTYPE 206 Final Mechanical 20B Final Plum6ing 210 Final Electncal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy ORTE INTRI NER WELCOM� HOMES DATE 5-18-56 JOBADDRESS �293'x Babb Street BUILDING PERMIT NO. 3OZZ GENERALCONTRACTOR Welcome HOIttBS VALUE $ J�60�.0� � I, BLOCK raacr 2896 S1ngle Res. w/att �ar. GROUP 7,Q, ,T TVPE p ZONE RL FIRE DISTRICT 30riZ INSPECTIONS �ATE I SUBCONTRACTOR ' DATE PIRMITS�NUM ER Foundation Forms e T� THeat�ing, Final � 5ewer, House S� SepticTankor spool L'" 'ng,ln F :ring Piumbing, Final, Fixtures Plum6ina. Fin,al Gas Test Wiring, Final Occupancy FOHM 210 9M IO�vS to St. 5 i � C�sta Mesa Building De�eartment :�PPLICATION FOR PERMIT :. � P.O.Box3�� 3�� BUILDING � COSTA MESA, CALIFORNIA , FOR OFFICE USE ONLY F'OR APPLICANT TO FII�L IN Receipt No. Permit No. Buildin9 ��s' � Q � h , Addresa '�� p hh Cf ot Costa Mesa, California Receiv ny Date Rec'd. Date Issued tia�.e�. s —/�—S� S,i�-S6 Cross St. baKBr owner Vrelcome f.one s, Inc . Mail naaress b628 ldestminster Ave. , city Y�`estminster No��V Architect or Lic. Contrector'��81C omo Address �`2i V12 Legal Lat Description I No. !} � Block (Attach Metes and Bounds) �"�'., No. of Size of Lot 2%.v-�v Now o 45e of I No. of Existing Bldg. T?Ori(: F,amil Setback Line from Rear Center ot strcet 57 Ft• side DESCRIPTION OF �'4 New I X I Alteration I c /av-µJ Hooms f Wali I Roof S'b1 C CO Cove Building i�7o I hereby e and state with all i building c Signature Permittee Building Address Costa Mesa, California Nearest Cross St. 5%11 Zone n. 11 No. of I Type , NOP6 Addition Demolish Stories Yiaod it I have read this Application is correct and agree to cromply Lath. s and State Iaws regulating Lath. Plast Valuatlontio� � . Permit Fee $ Plan Check $ $ � n O Total �' Fee $ au zoa ie.se o. r. a s. .� � CORRECTIONS APPROVALS �n Location I Inspecto Materials, O z � 2 D r ri.ur r�N Show locatlon and distancea fram property line and between 6uildinpa :� � _ : .�. , � . �'_ . _. �_ ._ ; .�.: . , :, .. i .,.. ,. ^JD C ^ . . . .. . ' _ . ❑ ' .J �-- _. .. �! �� . � . . � . ` 1 . ,'l � . , � ' \ '' `. . . � . , . . � � � � ,.. . � '_ . � �