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Home My WebLink About3321 CALIFORNIA ST - Building Permitsr r _ , Job Address: Suite: Vicinily: Primary Occ: Parcel Number: 3321 CALIFORNIA ST REROOF FLAT ROOF ONLY, R3 �Dwellings/ Cong Res <10 13958209 Typeo(Construclion: V-N Zoning: Applicant: ASHMORE, VALERIE . Address: 1835 WHITTIER AV UNIT F12 � _. ", ��_. Phone:�-800-784-8787 ISSUED BY: COSTA MESA, CA _ _-- . _-.-. --Zip: 92627: �=c_'-{_, -..` " � - . ri'�-��...;�s_ -ti , . „ . �-"`. � "�.c- � StaWs: ISSUED Applied: 11/02/2005 Issued: 11/02/2005 Owner THIEL, GEftALD,R' - . , �' Address 3321CALIFORNIAST \,.-�-� � t , � � .' �k%�.� � j�,.`�.��-� - .A _ 1 �1 .— _��- Phone: - . ��' �; � �� . �, , . ,-., � i �� ,.COSTA MESA, CA ` > -� _ Zip � -92626-2012 ' � � ' �� , � Y . .-�"- ' - - . ��. l � �. � � �. .._ i � � ,; . - r . . ',, •.: � . . � _ =� " � - � �•.- / � ?._ : contractorv � 21STCENTURY ROOFING INC ` �� ' � ' ,.'��-.�, Address'' `°1835WHITTIER�AV.%i-"� � � �� ' � ��, �' � ` UNITsF12- .- ; �,� .'� . Phone: 800-784-8787 � .` �� ' � � � \�,; �\ � COSTA'MESA; CA � `�� , . . �.\�,�;;.\�.i� . - Zip: 92627� ..' �� ,License: 807430 �� : � . . i /. . .. .. , . . � Arch : Address: -� �� 1 . t` ZiP� �c .- � �'•�, ' � . . - Eng: __- _ ; �Address: Phone � 4 y;,.. 'r � , . �� , _ -i , � ' . �,. -.�ri; .; ," �. LicenSe� � `.'... . . .. ._..:� -. . - _' . Ai �A. .; ,- ' ,;�,��.� ��. - ' - . ' . - - .Phone:� , � " ' � , Licgqse: � ' � ' _ . _ . �./�, ,. , , . � � . . ' SCOPE OF PERMIT ° � " " ,�REROOF.FLAT,AREA OF'RESIDENGE AND'ATTACHED GARAGE ONLY: T/O EXISTING FLAT AREA'AND WSTALL NEW 40LY HOT MOP ROOF BV .'_7SQUARES . ,:" � _ ' ., �" � , - � ` ' - - s�� ;, � . . _<.., _- -� -- - - � . . . ' 1; . , , . �,j ' � ;`t�FEE SUMMARY,� i- .. �) � • � � � ,.: . ._ . Plan Check . $0.00 ' ' ` ' ' ' - � Calc Valuation: Ss,soo.00' ' `:PermiY. ,:„ $97.25 Claim Valuation: ' -Ss,soo.00� ; � . .. , SMIP Res:,. „ . $0.50 i._ r-1: . , .r:�.� -. �. , .>�'r',� , , , .�.SMIP Com ,'•, ,. $0.00 . _.- - , ; _ -;, ; : -;c Othec � �$0.00� , " -.- - ";'" � - . � i � Inspection: '$0.00 � =t� � i �� - • Total' . - $97.75 ' . , . ��.. ;--.- �:c' �� . �' ,� ._ ' � ��`;PLANNING &'ZONING !%'` , _ , SETBACKS .,'�`' . ' � % f� ' ' �, � n �'.,. � a:� , ; �,/' � "'- �, MAINSTRUCTURE(Front 0-0 �� " Rear 0-0� " Left 0 0' �', Right'i 0 0� / �� . . . ii / � Fi . , ' - F� / \ / �,, f ACCESSORY�'�A Fron j 0 0 ��\ Resr �0 Ol � .�Le(f � 0�,0] �� - �Riyhtr�0, Oj'�� /i:��/�� - i , ^ �l, ' r• � �. ..--5%.'i - i � �� /,-:i i , ' .'/�-�ti ,� ��,1 ;' . ' � ,�- _l;.�. / _\ii /:' � \ � PARKWG � Existina: �.0 ,Reauired � o'. . �Pr000sed:�b_ '" � �� i i �t �' , , '� r. ___ �. �':� .,' /-., . �. _ : �' - - - � . �\ , '� - �� , `� ��' �� i�_ ,� � � _ ' , I `.1 � . � ,�,iU� _ � � . . _ �L� � _ _- . _ _ __._i��i"'"' , 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) EXPIHATION: This permit shall automa[ically expire and become void if work is not commenced within 180 days, or it work Is suspended or abandoned for a period of 180 days. INSPECTIONS: In ordar for the work authorized under this permit to be considered legal, such work must compty with all applicahle codes, and all required inspeetions and final approval musl be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (774) 7545626 zaauae �a�ao7 WORKERS' COMPENSATION DECLARATION: � " - '� � ' I hereby aHirm under panalry of perjury one of tha tollowing declaretiBns; ' , -�� , '� - , ❑ I heve antl will meintain a certificete of consent to self-Insure for workers' compensetion, as provided for by section 3700 of the Labor Code, for the pertormance of ihe _/ work for which�this permii is issuetl. � � ^ . � � , . �� `� have antl will maintain workers' canpensatlon insurance, as requirad by section 3700 of Ihe LeDor Code, for tha pertortnance of the work for which this pertnit is issued. My workers' c enysation I ance carner entl policy numDer are: —/ '/ / �/� / ' rner. w�; rAo ��t�s � (,''2dicyNumber: I /I `7 Lo `t(J —"O(O (Thls section n of be complefed il the permif is valued af one hundred dollars ($100) or less.) - ❑ I cenify tha(in iha pertortnance af ihe work loi which this perrnit is issued, I shall nat �employ eny persan in any manner so as to become subject �o Ihe workers' "' compensatlon laws oi Calitomia, antl egrea that ii I should Decome sub�ect to the workers' compensa�ion provisions of Saction 3700 oi the Lebor Cotle, I s�all forthwith �comrply wi�th these provisions. CApplitant�SignaWre:�" oa�;T-- 1� �— D '� ..,�.p.:–� - �,...- WARNING: FAILURE TO $ECURE WOFKEPS' COMPENSATION COVERAGE IS UNLAWFUL PNO SHALL SU&IECT AN EMPLOYEF TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED T/iWSAND OplARE (5100.OW), IN ADDITION TO THE COST OF COMPENSATIIXJ, DAN.AGES AS PROVIDED FOR IN SECTION 3�W OF THE UBOR CODE, IMEFEST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: � I hereby aHirm that I am licensed unde,rp rovisions of Chapter 9(commencing with Section 7000) of Division 3 of Ihe Busines�s.�nd profer�s�s Code, and my license is In full torce end eNecL Lic. N�'� � /1 A �Cia�s,'q .f7 �� 9 Conhactofs Sig`ria[ure ` � ..2t.c.t/ �De�e� // —�i —t].i � _..-�?"._ CONSTRUCTION LENOING AGENCY: � , , _ ❑ I hereby aftirm ihat there is a consimction lending agency for ihe pedormance of the work tor which this pertnit is issued. (Sec. 3097, Civil Cotla). Lenders Name: Lendefs Address: SignaWre: � Date: OWNER-BUILDER DECLARATIONS: I hereby attlrm ihat unGer penalry ot perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW tor Ihe following reason (Sec. 7031.5, Business flnC Professions Code: Any ciry or counry which requires a pertnit to construct, alter, improve, demolish, or repair any structure, pnor to its issuance, also requires the applicant for such permlt to tile e signed stetement thet he or she is Ilcensed Dursuent to Ihe provisions of the Contractors License Lew (Chepter 9(commencing with Sectlon 7000) ai Division 3 of t�e Business end Pmfesslons Code) or Ihet �e or she is exempt thereirom an0 the basis for t�e alleged e:emption. Any violation of Sectlon 7031.5 by any applicant for a pertnit subjects the epplicant to a civil penalty ot not more then tive hundred dollars ($500)J: ❑ I, as owner ot Ihe properry, or my employees with wages as their sole compensation, WILL DO 7ME WORK, and the siructure is not intentletl or oHeretl for sale (Sec. . 7044, Business and Protessions Cotle: 7he Coniractors License Law does not apply to an owner of propehy who builds or improves ihereon, antl who tloes such work himself or herself or �hmugh his or her own employees, pmvitletl that such improvements are no� Intentled or oNered for sale. If, however, �he building or improvemen� is sold within one year of completion, the owner-builtler will have the burCen oi proving that he or she did not build or improve for purpose ot sale.). � ❑ I, as owner ot the Oroperry, am EXCLUSIVELV LONTRACTNG WITM LICENSED CONTRACTORS to construct the projec� (Sec. 7044, Busines5 and Protessions Code: 7he comractors License Lew tloes not epply to en owner of property who builds or improves Ihereon, and who comrects tor such project with a comractor(s) license pursuant to tha Contractors License Laws.). ❑ I am exempt under sea Business end Professions Code for this reason: Signature: Da1e: Owner ID venfied by drivefs license. ❑ Yes ❑ No Driver's License No. Expires: Verificetion of Ownership by (type ot document, i.e. - property tax bill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: ❑ I hereby certify the� no excavatlon five (5) or more teet in Oept� into which a person is required to tlescend, will be matle in connec�ion with work euthorized by t�is permit, antl that no Duiltling sirucWre, scallolding, falsework, or tlemolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Celifomla Administretive Cotle). ❑ As owner-builder, I will not employ anyone to tlo work which woultl require a permit irom the Division of Indusirial Sefety, as noted ebove, unless such person hes e pertnit to do such work from ihe divisian. SignaNre: Date: Division of Indusirial Safety Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORVA710N OP EMRY: I certify under penalry of perjury ihat I have read ihis application and state ihat the information given is correct. I agree b comply with ell stete lews end city ordinances relating to building construction, and authonze represema[ives of the Ciry ol Costa Mesa to emer upon Ihe above-described propeAy for inspection purposes. I agree not to occupy or allow occupancy of eny building au�horized by this permit un�il final insDec�ion. n ' Si atu Of galOwner(s) � (�Q � AnEl07Authonzetl Appticent".=' CQOEt' INSPECTIONTVPE - � ��' � t616 Fixetl�System Final Fira Prevention. 1266 Pool Spa Final 200 � Final Re-Rbot � ' � 201 Final BIocWRetaining Well 202 � Final Factory Fire�Place' � � � 203 Finel Sign 204 Final Demoli�ion . • • DRTE . •• INIID�LS � • ii'�%�J . �i cooe� 206 +• 208 210 212 220 222 250 INSPEGTIONTYPE ' � •� ,Final Mechanical � � Final Plumbing Finel Electncal � . � Finel Fire Prevention ' Final Planning Approval - Final Site � � � � Finel Building/Occupancy - . . P�ET � 1[�ELS . (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 3321 CALIFORNIA ST Suite No Vicinity: Parcel Nunmber: 13958209 Applicant SZABO, KEVIN,; � ' � Address: 2737 S CRODDY STEA - ' � � SANTA ANA, CA � i� � "�� . � . �. , i Ownerr' WARREN, CHARLES R TR Address 3321 CALIFORNIA ST ' . . .,..,._ - COSTA MESA, CA PLUMBING PERMIT Phone: Q14)24�-1414� � � _-Zip: 92704 . _ Phone: Zip: 92626-2012 Status: ISSUED Applied: 04/17/2002 Issued: 04/17/2002 ISSUED BY: �� Contrector. . COAST ROOTER PLUMBING HEATING & AIR CONDITIONING Address: 2737 S CRODDY , � - STE D . Phone: (714)241-1414 . SANTA ANA; CA Zip: 92704 � Arch / Eng :: , Address: � License: 529127 - -,-. , r_- _ ' . , � Phone: � � � ` Zip: � - - - - _ � License: SCOPE OF PERMIT REPLACE WATER HEATER '-, �--._- � . ; FEE SUMMARY � . ' AMT: � , QTY � ' AMT ��QTY � � ��AMT QTY s , � �, ISSUE FEE ' ' � ' $23.50. �' � � �'= �• •. = Laundry Tub / Washer $0.00- � 0 �- ,. �� . ,�.� Sump P_ump � -, .$0.00 0 BackFlow irrigalion, $0.00 ,�0 � Landscape Ivigation $0.00 0 � Swimming Pool j�/$0.00 0 BackFlowPreventer� ' $0.00 '0 '��. P-Trap � � _ $0.00 0 ; TrapPnnier, � $0.00 0 Bathtub A�� ' $0.00 � 0 � � " PressureRegulator � $0.00 0 � ��Urinal� <.� . ' � � $0.00 0 Clarifier Syslem ,� $0.00 0 - P�ocess Piping (per 10 ft) $0.00 0. � .Vacuum Brkr Bkflow(1-4) $0.00 0 Connect (Ice,Soda,etc) � � $0.00 0 - . ��Receptors $0.00 0 Vaouum BrkcBkFlow(5+) $0.00 0 Dental Units $0.00 0� � Septic Tank $0.00 0. . ,' Wash Basin� $0.00 0 Dishwasher � �$0.00 � . 0 _ � �- Sewer Cap for Demo $0.00 ,' 0 � �. �; Wash.Basin Set $0.00 0 Drain, Floor $0.00-� �: 0 � ��Sewer Connect $0.00 0� Waste and Vent System $0.00 0 Drain, Rainwater $0.00 - � '0 � � �� Sewer Private Line $0.00 �0 - '. Water Closet (Toilet) So.00 0 Drain,Roof $0.00 �0�-; . -Shower' ' . $0.00 0 . - ,%�;WaterHeater/vent $12.30 1 Drinking Founfain $0.00 0 - 'Sink; bef - $0.00 �,0�! � � Water Piping (Inst or Rep.) $0.00 0 Expansion Tank $0.00 0 l� Sink, commercial � $0.00" �0 �� Water Re-pipe $0.00 0 Gas Earthquake Valve $0.00 0 Sink, Floor $0.00 0 Water Service $0.00 0 Gas (1-4 outlets) $0.00 0 Sink, kitchen $0.00 0 Water Sokener $0.00 0 Gas (Over 4 outlets) $0.00 0 Sink, service/mop $0.00 0 OTHER $0.00 Gas Repipe $0.00 0 Spa (pnvate) $0.00 0 VIOLATION $0.00 Gas Service $0.00 0 Spa (public) $0.00 0 PLAN CHECK $0.00 Interceptors (Grease, Oil) $0.00 0 REINSPECTION $0.00 0 Interceptors (Sand Auto ) $0.00 0 TOTAL CALCULATED FEES: E35.80 � COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically ezpire antl become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period ot 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 required Inepeetions and tinal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of lhis permit. FOR INSPECTIONS CALL: (714) 7545626 Yl��afY(:La)] WORKERS'COMPENSAnON DECLARAnON: � - I hereby aMirtn under penalry ot perjury one oi the following declarations: � . ❑ I have end will maintain a certificate of consent to setl-Insure for workers' compensation, as provided for by seclion 3700 oi the Labor Code, for the peAormance oi the ��work tor whiCh �his pertnit is Issuetl. pp / I have end will maintain workers' crompensation insurance, as required by section 3700 oi the La6or Code, for tha peAormence of Iha work for which ihis pertnit is issued. � iMy.wprker5' compensation Insurance carrier end policy number are: Carner. /�TA'r C�a r � Policy Numb� I� I �J Z�J V v�-' (Thls section need not be comD�eted I! fhe permif is valued et one hundred dollars ($100) or less.) ` k ❑ I certiy ihat in the pe rtnanca of th woA for which this pertnit is issued, I shall not employ any person in any manner so as to become subject to the workere' compensation la s Califomi , nd gre that it I should become subject to the workars' compensetlon provisions of Section 3700 of the Labor Code, I shell iorthwith �omply.wiih.lhes ovisioas. / ' ApplitanlSignature� Dat� �-'1 y� � `J-� WARMNGi FACURE TO 5 RE W FKE PENSATIqJ COVERAGE IS UNLAWFUL PND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDFED TiOU$AND WLLARE (5100,000�. IN ADDITION TO THE C0.ST OF COMPENSATION, OAMAGES AS PROVIDED FOR IN SECTIIXJ 3]O60F THE LABOR CODE, IMEREST, AND ATTORNEI"S FEES. LICENSED CONTRACTORS DECLARATION: of C�apter 9(commencing with Sec�ion 7000) of Division 3 of1he�Busjness antl Professions Code, and my licanse is in full and eHect. Llc. N CONSTRUC710N LENDING AGENCY: ❑ I hereby a%irm that ihere is a consWction landing agency for ihe peAormance of Ihe work for which this permit is issued. (Sec. 3097, Civil Code). Lenders Name: Lenders Address: Signature: - Date: OWNER•BUILDER DECLARATIONS: I hereby ettirm Ihat untler penalry of perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Professions Code: Any ciry or county which requires a pertnit to coretrua, alter, improve, demolish, or repair any strudure, prior to its issuance, also requires the epplicant tor such permit to file a signed statement that he or she is licensed pursuent to the provisions of the Contractors License Lew (Chapter 9(commencing wilh Section 7000) of Division 3 of �he Business antl Professions Cotla) or thal he or she is exempt theretrom end the basis tor ihe allegetl exemption. Any violation of Section 7031.5 by any applicant for a permfl subjects the applicant to a civil penalry ot not more than five hundred dollars ($500).): ❑ I, as owner oi Ihe propeny, or my employees with wages es Iheir sola compensetion, WILL DO 7HE WORK, and the siructure is not intendad or otteretl for sale (Sec. 7044, 8usiness antl Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves ihereon, and who does such work himself or herself or ihrough his or her own employees, provided tha� such improvemen�s are not intended or ottered for sale. If, however, the building or improvement is sold within one year of completion, ihe owner-builder will have ihe burden of proving ihat he or she did not buiid or improve tor purpose of sale.). ❑ I, as owner ot the pro0eny, am E%CLUSIVELV CONTqACTING WITH LICENSED CONTRACTORS to construct the prqect (Sec. 7044, Business end Professions Code: The contracrors License Lew does not apply to en owner of property who builds or improves thereon, and who coniracts for such project with a contractor(5) license pursuant to the Comractors License Laws.). ❑ I am exempt under sec. Business and Protessions Code tor this reason: SignaNre: Date: Ownar ID veritied by dnvers license. ❑ Ves ❑ No Driver's License No. Expires: Verification of Ownership by (rype ot documen6 i.e. - pmperty tex bill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify ihat no excavation five (5) or more feet in depth in�o which a person is required to descend, will be mede in connection with work authonzed by this permit, and that no building stmcture, scaflolding, falsework, or demolition or dismantling thereof, will be more than thirry-six (36) teef high. (Chap. 32, Gry 2, Art 2, Sec. 341, Ttle 8, Calitornia Administrative Code). ❑ As owner-builtler, I will not employ anyone to do work which would require e permit irom ihe Division of IntlusMal Satery, es noted ahove, unless such person hes e pertnit ta do such work from ihe tlivision. Signalure: Daie: Division of Industnal Safery Permit Number: CERTFlCATE OF COMPLIANCE AND AUiHORIZATION OF EHTRV: I certify under penal�y of perjury ihat I have read this epplication end state that ihe information given is correct. I agree to comply with all s;ate laws and ciry ordinances relating to building consimction, and authorize representatives ot the Ciry ot Costa Mesa to enter upon Ihe above-descnbed propeyy.�pr inspection puryoses. I agree not to occupy or allow occupancy of any building authorized by this Dermit until final inspection. COUE 1, INSVECTIONTYPE Qe�. INTITIILS 1616 Fixed System Final Pire Preven�ion 1266 200 201 202 203 204 Pool Spe Final Final Re-Roof Final BIocWRe�aining Well Final Factory Fire Place Final Sign Final Demolition CODE� INSPECTIONTVVE 206 Final Mechanical 20B Final Plumbing 210 Final EledriCal 212 Final Fire Prevention 220 222 250 Final Planning Approval Final Site Final Building/Occupancy I_�1:\I�I:_unl_1b'j �� ✓ ' ADRiE550FBNLqNG: 33Z�. CALIFORNIA ST u"T: owr+E"s"+�"E"'P'°�'T':WARREN, CHARLES R FLOOD; AE-37 �0P�3321 CALIFORNIA ST COSTA MESA,CA 92626 �vv�.rwuao nooxess: APCNRECT OR ENdNEFA: L1C. HO.: AIICN OH FN0:5 ADDHESS: UNT: coNm�craasxu.�:SENTRY ROOFING CO ( 719 ) 751-7663 carn,croxswuuxa 3364 NEVADA aooxFss:COSTA MESA CA uc.r�o: 678801 92626 uxr: LICENSED CONffl4CTOR5 DECLANITION: I �eroby eR4m under pneYy d pa�ury thet I em IicenaaE undx prwiabns ol Chepter 9 (wmmer�riiq wilh Seclbn ]000) ol Divieon 9 M i�e Businea end Prdeeebns Cade, end my licensa u in lull b e eM eHed. cmuc.wo.060429 uc.cuss:C-39 ��9� 67880 ER : 10/96 o�,: s =/�- 9G �o�u�a: OWNEP BUILUEP OECIANRTION: I henb/ alfirm under peneYy d parjury Ihat I am emmpl lmm tM nvedon Licanee Lew Ip tM Idbw'uq roemn (SeQbn 1031.5 Bueiwee eM Proleniona Code: Any cdy a oounty Mfiich repulres e permil �o mmVUU, Mx, imqv», dsmdeh, ar rapei any s�ruclure. prbr b Xa eeuerice, eleo raquiroe ihe eppliranl br euch permil to fils e eipned eWmmeM ihet M a aM a lipneed W�� a �� Y%+��s a Na �^^ireqoro Lianae law �Chepler 8(mmmenprp with Seaion ]000) of Divibn � d IM Buaineae enE Profeubne Code� or ihel M or ehe h mcamq Iherehom eeM iM bmie fa �he elbpaL waemplion. Mry vbletbn IN Seqon 'A1.5 by eny eppliunt lor e permX wbjeds iM eppliceM lo e dvil perielly d nq mas �hen Iws huiMrad ddlan �E500f). , I, u ovrtwr ol �he peopany or my ampbyeea xilh wepp n Ihai eob opmpenee�ion, will do IM vrork, end IM elructuro e nM intentleE w oflerad br eele (&xibn ]oa. Buvrow vM Profneiona Code: TM Conlreape Lianee Lew doee nrn epplyto en ownerof propery w�o budEs a improvea Ihereon, aM wfio doee auM wak NmesM or henetl a IMaph he or her ovm amployaee, pmviJeE t�et euch impwemenls are mt in�ended w oHereE lor eele. M. haxever, iha buiNirp a'unpovemaM ie aald wilhin ma yaer d oompblion, tM owne.biriMer wi�� nev. ine wnd.n a v�'irro ha or ehe dia na nuim or imvp�. �w ine wmaa a.del. � I. es owner d IM properiy. em e.�duaivey mmreuin9 �h lieansad wnVacbn to canstrucl iM pqetl (`�� ]046. Bueirisa eM Prdauions Coda: The Lomredon L'canx Lew doea nrn epply ia an owner d prope�y who Witla or impovea �he�eon vM who mnvecn for wM O�M�s �� a wniredorts) I'KensaJ Wrsuanl lo Ne Canveqora Liranae Lew). . ❑ I em eRemq under Seciion: B. d P.C., for this reawn: oda: � rn.,�a.: i eo n<renr =en�y mm i� a.�,e.e a�,e �,eeRw,a ma rea��,�am. d c��o"�a r�m �e s�ero coea sea�o�a zssos, usaa, �d 25530, arM thei I or eny lulure buildinv �+P�� II / wll nm (arcb me) need lo cwnply wih aeid ewa ootlee eM �M reQuiremenh br e permil iwcanavuniona moEificetionhan�he Re 0-a iTy�apement Oizna. Heaitlenliel wn9iutlion epplraliomera exemptran thwa ww;sbns. oma: AowKem: WOFKEfl'S COMPENS�TION DECL�NATION: I M1ereby �rm uMx penelly d perjury me d �In /dlowi�g Eetluetom: � I heve end xil maintein e cerUlicele d ooivant �o aetl�inwro br woMere' cwnpenaalion, es povieetl lor by SMion 3]00 d tha leEar coaa. �a me rono�d,w o� ina �� io, �:�n m�a p,�n �, n,�,e. ❑ I heva end xil meiman woMers compenation inaurarim, aa required by Seclim 3)W d �he Labor COAe. M the peNormence d IM work br which this partnn ia isvueE. My workers canpenaetian inwraze ainer eM pdiry number ere: c�.: adkvN�mn«: �This secYion neeC � 6e canple�e� / tM perml is M one huntlreE dWlars /5�OJ1 w hss.l ] I cenily �hel in iha pe�lomwrce W tM wak br whch thia permX is bsued. I ahdl mi empby vry pa in eny mennn w m io becoma wb'ed lo IM workna' canpenaelion lewe M CalAomia, end egree IM1p ' I eM1ouk beca wbjep to iM wwkers �va�s. � wa+s s a sm� mao a�na �« coaa. i: i i nn mv nn mo� o� � s. �6ate: � Applicenl: Wamin . Fallun 1 sxuro workwi rompeiueHon rovsreps Is vn/ewNl, entl MsII �uD/xt an e loyer fo eAM�ul penaltlss anJ clvll /Ines iq ro aro hu�drstl fhouxnJ Ldkn (5100,000), M a!�/Hon ro Ms roat ol comperueHon, tlamryp� es prov/Estl br /n Sxtlon 91p5 oI Me LWor Cotle, InMaaq antl ettomsy i bsi. CONSTflUCT10N IENDINO AGENCY: I hereby �rm unEer Po�eM ol per'ryry iMl Il�are n e mmt�uaion bMiip epenty br tM �IBI�IXIIIBfICB O�IhB N91F.IOfW}IIC111M1W pBf111�19 65UB.��$BCYUl1'.1031. CN.CI. LENDEH'S NPME: LENOEN'S RDDflE55: � aenM �nei � neve reaa mis epdKe�ion ane neu met ma enove In�«mmlon Is coirea. � eyiae m comW wim el� tltv �e couny adinenws ena s�e�e b.. mlmig �o anbi,e m�m��aion ena ne,aM dnnoriz<rewesemer es m mis mv �o ema, �ro� me ebwa.mm�onea omrero brinspxvion Durposes ,,_�LARRY SWORD� � _ _, __„ . _ .. .. ,.. , ____ � ��/�L �//' � �!/IL.�%�T� r� ��r%inrw.:.�.nrrernrr,a+vaaxra.•xn.r.-�� (5151-a6.WP) 8 Sefely; Greert-Fle; Canery-ApWirant: Fnk-ibvenue; Gddenm�faee�or CITY OF COSTA MfiSA - BUILDING PERMIT � PERM NO: B 077714 IT NO: B 077714 PLAN CHECK NO: N GOVT: N SUPP: N TRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: ALT DESCRIPTION : T/OFF REROOF W/ASPHALT SHINGLES SQ FT: 3,998 M VALUE; 3,998.00 CALC-VALUE; 3,998.00 GROUP OCC: R-3 /U-1 �*****�*�*��rD��*��*****�*�*�D****�*��B��*�*��+�r�******+�****��***�D***�** Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- 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: 13958209 ZNE: REF NO: PLANNING NOTES>, �� .. 1E iElf IE iElF it 1E 1E IE 1E IE 181ElE If 1f iE 1E 1E 1k 1F iE iE 1E IF 1k i(� if i41E 1E iFlE iF iE 1flE if ff iE 1f IE 1k IE 1E iE iE 1E fE 1E iE 1E fE iE IElE iE IE 1E 1F iE iE iE ik ifl81E IE 1E iF 1E fE 1E 1E'IP �E if �1E D E V E L O P M E N T S E R V I C E 5 R E Q U I R E M E N T'S ZONING APPROVED';HY DATE: ' BUILDING APPROVED BY � • DATE: �, �;16 ��6 �/ / APPLICATION ISSUED BY: DATE: J./6�/�� i6 iE if if ik 1f 1E 1E 1E 1E 1E iElE iE �E'lE 1E 1f 1f if 1f'1F 1E IE iE iE 3E 1E'lE if 1f-ifiF�'iFiFlF iE LEGALIZATION:N-' F S U M M A R Y STRUCTURP:I',iSEGMENT:Y HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES�� GRADING PERMIT 87.25 50 PL� SMIP/NON—RES ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 87.75 0.00 0.00 87.75 87.75 .00 REVENUE DIVISION TOTALS--> COLLECTED: 87.75 OVER/SHORT: .00 BLDG PMT PI,UMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 87,25 .50 +�*ieit*�t*�*�*��ititx*it�*ie*itiE*��tft�r*�it*it�iFatit�t�at��tx�at�rit***�etit*it�**ie****rtieieitit��et I N D I V I D U A L F E E B R E A K D O W N QTY._ D E S C R I P T I O N UNIT COST TOTAL COST 3998. REROOF BY VALUE RESIDENTIAL NOZONE 1.00 3,998.00 END OF FEES Oi �)03u:�,_:-u:-Lio��Fj 't''2` 'q`: ". �)fei'�: L'1 ,1,!;'-'Pi 7i'�1�' iii".7 �� CONSTRUC710N AND PI.ANNING , POOI & � . , Date Inspector Date inspector APPROVALS Permit # . APPROVALS . Permit # . . 1. Temporary Electrical Service or Pole � 52. Pool & Equipment Loca[ion , /' 2. Soil Pipe-Undrgrnd. ' , " 53. Steel Reinforcement • ' n ";.3�.,,ElectricalCo�dwi;�U",F�ity-Un`di�gr,nd. 5d. Forms � . � -��,4. Electrical Conduit�4Jrrcirgrnd. 55. Electrical Bonding � . �45 �$teei Reinforcerpep�� '� 56. Rough PWmbing & Pressure Test � . �•. =Lt��E)ectrical UFER:G`(�d. - � 57. APPROVAL TO COVER�GUNITE c '' � '_7,:=Footings =� ' � � 58. Electrical Conduit-Undrgmd. . "� �28i Foundation ' c 59. Gas Pipe, C U�drgrnd., Test ' ��97�'Water Pipe-Undrgrnd. � ., , , 60. Backwash Lines, P�Trap, C':�Undrgrnd. - � 10 Structurol Floor SVstem ,% 61. APPROVAL TO DECK �!� ' 1L 2'coperty Sewer Line�& Hous�Con ection - 62. Backwash & Receptor-Final �' 12 5ewer Cap :' y� " 63. Heater & Vent-Final `' � 13. Roof Drains � � � 64. Plumbing System � Final "' � � � ,4,4. Rough Plumbiny= '' �' � 65. Elecuical-Final T5. Aough Electrical,Coaduit �'`:. . 66.� Solar SYstem-Pinai -' 16. Rough Electric 6Virirtg -' 67. Fencing & Access Approval � .77. Rough Wiring Siqn ;, - � �66. APPROVED�FOR P�AS�ERWG �• 'i �18. Rough Electricat-T Bar Ceiling � 69. POOLISPA SYSTEMS FfNAC 79: Rou�h Heatir�g,& Air.Conditfoning� �; . �,; �' ��, - c FfR6DEPT;REQUIREMENT n: " ' '-n:�G m r r• 20. �Rou�[� F3Cto�"1. Fi�'eptace -:f - f c `- _ = ;APPiipV�{'�S"'F' Pt;�rtnit �k '� 'T - F-+ .-f. �:e� %S- . r ` >_ `•� ��. 1�. ' 1-+>' • .. .. � a �.. ^ `.l Y' . u ✓ � J :. 2L �,ucts, in�Structure=.� �. Y i;, -;��;: + 70. ilJnderground tt4dro �F 22. D'ucts, Venti�atingc�'k � T' � �' G �` �� H� ;� 77, produc'�'Piping'�;6as Lp Oil - 4 .�1 f m r-� n. Uf ' �� Hi,..:, r- r� i 23. Gas Pape=t�oug?� &„T�'st ��; n. �� a. ��, 5;�: ;, 7z, Underground Flush[� � . - �. _ . _ 24. Roof Framing " '� = �' �"j'' ' 73? Undergrnd. StoFB�Tank`:� Gas ❑ Oil �. ^..r. x� � m, .� r�. T l C {- i: L, r' J... 25. [3oofSheathing * _ 'S��/ ,-. 7�.tOverhead Hydr��^ y �: / / _ 26. �T�Ban�Ceiling (Structural) & Monacoat Y v '� L�� 7�'�-Dry Chemicai `'� r• �.� - ;k �r,.� �: �x, nr r.. O' .27.Framearfd`FlashirtT' -'':^ :�- " �x �""' �"'�= ` ,,, , > �;,-�; �r „� 76. Dry Sxanip�pe ��, . r, .28. Lathing $rSiding r� �. ~� =- _ _ � � 7Z"- FIXED SVST�i!FFINAL - _ _ 29. Insulation� � '`* 5 - �� 7 <� ; �i 7� fIRE PREV. FINA� .+ r� � � � �� 30. Drywall 1�3iling +� �- � 1_ � S ONEALTH DEPT. REQUIR^EMENT - ' + m rl c r ; 31. Plaster 8towr�Coa,t,#: j , F`, i: �� ;' 79. FtNAL IFJS�QECL['ON i- _- - y a � J . � � '.• �L - - 32. �lectricatPower MererF(rial � :� �y � 80: FOOD CERTIFiCATE ISSUED-• �- �� „ .. - '; 33. Fina�Electric�� ` "� e � s. - ; '��. NQjer. ,=�' ;; �' �' , :�� ,�. �•. G' t H�- 'S'. r 34. FinarJie�in9.& AiC�onditioning` �:: ,i: � i {; ,; ;=� i F+r' i. � i�� 1 (' t n A T' C, 35, ftnal Gas�Pipe�Tesi"` R " X"' '� =' �''� �- " y` r �"�' ^ �. t � � Cq •� ., i.. . =� 36. Hood,�or Fanopy ,! `' . ,�. y ` � � FA. ;.y `' � . n; F ;r - _ .�.' .�, - � -�,, ::37. Ffnal'FactorY FirePiaceS•t .. . ; ti ' � - �, r _ - -38. Fina�-P�umbin9�- t r:-.� o �. ` �.' r� .^ + �: - n ;:rr ro C 39. Water Ser�vice•PinaC ��' � `" �; ` r" , � * 2 �� ♦ ri - 'r :;' � in �40. Gas Service-Finai "��r'�' t r,F• :, ! y .,,� e�.,. - � F�_ � �+41. Solar pomestic�Final" �> I + �' = '� �" � =' r ' �* � �42. Backflow Preyente� �� . �: ,...� r .r ;yC�,� :� ' _ - n.c_C^. 43. Backflow Irriqatiornx �� t L c� � N !� c _� y ��i .- „�I ~ .. 44. kandscapelrriqatipn-SYstem-�r„ �, « �� j�� i ::, n�r - - - .4 � 1 U .45.SoundAitenuatioF�" '= •• �� r- c' c a;i :-.� Y _ � r r. 45. Nandicap�Regulatio'ns :'. F.- . r:7ti�� "� .. _' ,., 47. FINRL STRUCTURE & BLIILDING 13' !�/ �/U ' '-- rt' F n• �- � �> r• ,: r� t � � 48. FINk,IPLANNING�. -t fi:� i"�i - t-; _ � � 49. Electric Release to°Edison r - j- •= -. �' r � • :r - - �i' .. _ Y , _ v �50. Gas Release to Southern California Gas Co � � �, � � . . �,; : Y•r 57. CERTIFICATEOFOCCUPANCY No Date CITY,OE' COSTA MESA REQUEST FOK OCCUPANCY TRACT NO o . � � DATE �� ,S � / LOT NO._�__ ADDKESS 3 � Z I .� �_ / G�_ 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 undersigned, by exer,�+i!:g this agreement, acknowledges that ($�-they) (� wereZ 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 ior the enforcement of the conditions necessary for approval other than those conditions protected by surety bond, The undersigned agrees to indemnify and hold the city harmless from any claim resulting in damage or oersonal injury to the undersigned by reason of the aforementione�ncompleted condition. � � � �� , 2— �� `7 7 �� J?,�E — Developer and/oj�' autl5orized representative» BY en er � AP No. LOT INSPECTIONS SOIL GAS WATEft i/ � �, `y�G. •.� vi� ROUGH PLUM6ING PROP. SWR. LINE QJMUSE CON. SPRINKLING SVSTEM MISCELLANEOUS ROUGH HEATING FNO AIR CONOITIONING UNOERGROUN❑ ROUGH wIRING TftENCHES � FLOOR SYSTEM BON� BEAM � SHEATHING POWER FORMS � STEEL REINF. STEEL REINFORCE n FRAME ANO FLASHING LATHING - IN ( PLASTER. BROWN COAT HEATING, VENT., REFRIG. ANO A.C., FINAL PLUMBING, FINAL AN� GAS TEST ELECTRIC. FINAL FI L•1�11 � �7 G ICl J.7 [/'ul � I ��G�� SUBCONTRACTOR z . aU � Z ZQ ON am J � J U1 Q W m J J m Q U N za W � aw W Z J � m Z J � W w � _ Z � W � �o c-i � 3p0 5 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA. CALIFOHNIA 92626 PAIO P,PR24-69crisnQ�1279� �+�*137.25 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely REC E V DA RECEIVED DATE ISSU D BUILDING �/ "� i ��/�� ADDRESS � � � J�� OWNER Hermes 1%BV. (i.0� .4.P.N0. `— PJuI� MAIL BUILDING ADDRESS 1104 E. 1 th Street ADDRESS�� `�` li�L�1� TEL. TRAC'W � ZY � LOT BLOCK CITV Santa Ana No� 51+7-7044 LENDER�IONU171t8fI StQtC9 N&i1ional Bank W ADD a BRANCH 1 W -Broadway Avenue ADDRESS gan Die o California OWNER �Q/�,ytLt_y VAL �/ ARCHIT�T K. �Y.1.U8 NEL 6 1164 SE 5 '�'f7�'� FIRE �y ADDRESS Z71Z E. COfi9t. HW • Corona D M Z�N TYPE GROUP APPROVED CONTRACTOF Owner ' av DATE ADDRESS TEL. ZON NO.OF USE OF NEW CITV NO. � P�NS � BUILDING STATE CITV �'AROSAPPROVED VARDSAPP VED ��. No. 25256o LIC. NO. MAIN BUILDING ACCESSORV BUILDING SIZE NO.OF BLOGS. (FFOM C/L S EET) OF LOT lOO 'S NOW ON LOT O FRONT FT. FT. USE OF /' EXI5TING BLDG. S V FT. FT. NEZWBLDG. '1 V2 9. fLROOMS STORIES 1 LSIDE �� FT. FT. EXTERIOR WALL ROOF C.ompo or COVERING 'tUCCO COVERING �:OOd REAR FT. FT. USE OF BVILOING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & MAIN BLDGS. ACCFSS. BIOGS. VAR. # DATE . Residence w attached ara e �.�.P.# V�3S-L� MFROVED �-7a-{� APPROVED J I hereby acknowledge thei I have reatl this application antl state HOLD FOR SPE :IAL RLO F that the above intormation is correct antl agree to comply with all laws regulating building construttion, and I shall not amploy any person in violation of the workman's �ompensation laws of the State ot California a � u I hereby certity that I am properly licensetl as a conttactor untler �SQ. FT. � the State ot Calitornia Businass and Protessions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, antl that such licenses are in full force antl effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONIV: a am exempt from ffie provisions of ffie State ot Calitornia Businew � VAIVATION antl Professions Co Divi 'o epter 9. � PEflMIT FEE $ �• O SiBnature ot %j�% � '% ? a Permittee - - $�� 1,.� PLAN CHECK $ E � 7 u Authorized Ageni TOTAL FEE 5�• /, ��