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Home My WebLink About954 CAPITAL ST - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.��LDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 954 CAPITAL ST Suite: Vicinity: MASTER BEDROOM & BATHROOM ADDITION Parcel Number: 42238118 Applicant: FABER, MIKE Address: 39 ASHFORD IRVINE, CA Owner: TRENTO, THERESA Address 954 CAPITAL ST COSTA MESA,CA Zoning: ISSUED BY: Phone: (714) 396-0896 Zip: 92616 Phone: Zip: 92627 Contrector: BEACH CITIES CONSTRUCTION Address: 39 ASHFORD Phone: (714)396-0896 Status: ISSUED Applied: 04/03/2001 Issued: 06/04/2001 IRVINE, CA Zip: 92618 License: 580586 a.rch : Eng: STANGER, CRAIG, S.E. Address: Address: Phone: Phone: Zip: License: License: S3893 SCOPE OF PERMIT CONSTRUCT NEW 587 SQ FT MASTER BEDROOM AND BATHROOM ADDITION ATTACHED TO FRONT OF EXISTING SINGLE FAMILY RESIDENCE (PHASE I). _ ORIGINAL PLAN CHECK SUBMITTAL INCLUDED 185 SQ FT KITCHEN & LIVING ROOM EXTENSION, WHICH WILL NOT BE DONE AT THIS TIME. WORK TO BE DONE AS PART OF PHASE II, AND PLANS FOR THAT PORTION OF WORK WILL BE SUBMITfED AT THAT TIME. - - � Plan Check: $418.76 Permit: $644.25 SMIP Res: $4.97 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $1,067.98 SETBACKS MAIN STRUCTURE Front 20- 0 ACCESSORY Front 0-0 PARKING Ezistin : . NOTES: Rear 34-6 Rear 0- 0 Required: 2 FEE SUMMARY Calc Valuation: Claim Valuation PLANNING & ZONING Left 5- 0 Right Left 0-0 Right Proposed: 0 8- 0 0- 0 $49,675.50 So.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. 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 Inspeetions and tinal approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit. , j FOR INSPECTIONS CALL: (714) 7545626 ri 2446-061C✓00) WORKERS' COMPENSATION DECLANA710N: I hereby aHirm unaer penelty ol perjury One of the tollowing declaretlons: ❑ I heve end will maimain e certificate ot wnsent to setl-Insure for workers' compensetion, as O�ovided for by section 3700 of the Labor Cotle, lar the pertartnance of the r-�-wark far whic� i�i5 permii is issued. 0I.have and will maintain workere' cOm ensatlon insurance, as re mretl D sectlon 3700 of the Lebor Code, for ihe edormance of �he work tor which ihis ,_.l P Q� Y P permit is Issued. My workers' compensatlo s rance rri policy number�: �,, • �� I� Certler: � �� C�L � Pollry rvumber� � � �, (Thissection neetl not be crom�efed i! the perm�f is valued ef one hundred dW/ars ($100) or Iess.J ❑ 1 cartity that in Ihe per compensetion laws ot compty with thesa pro Applicent Slgneture� WARNINO: FAILURE T SECUF Tl/OUSPNO OOILARE (S10U.00( IICENSED CONTRACTORS DE I herebyaHirm Ihel�l�am�licensed force and ettect�.lJc: M— � / CONS7qUC710N LENDING AGENCY: !R this pertnit is issuetl, I s�all not employ any person in eny manner so as to become subject to the workers' should become su6�ect to the workere' wmpensetion proWsions of Sactlon 3700 of the Lebor Code, I shall forthwith — � --- (� ,S/c� 1 Date: COVERAGE IS UNUWFUL AND SHALL SIIBJECT AN EMPLOYER TO CRIMINAL PENAL ES AND VIL flNES UP TOONE HUNDRED � WMPENSAiION, DMNGE$ A$ PROYIDED FOH IN SECiION 3'fW OF THE I.qBOR OO�E.IMEREST, AND AiTORNEI"5 FEES. (commencing wlth Section 7000) ol Division 3 obthe.Business end Fyo{f�6e(pns COUe, end my license is in tull � Class�p-�� . �� _.. _ ❑ I hareby eHirm that there is e cons��+ction lending agency far the pedormance of iha wark far which ihis pertnit is issued. (Sec. 3097, Civil Code). Lentlar's Name: Lender's Address: Signeture: Date: OWNER-BUILDER DECLARATIONS: I hereby ettirtn Ihet untler penalry oi Derjury Ihat I am EXEMPT FROM 7ME CONTRACTORS LICENSE LAW for the following reeson (Sec. 7031.5, Business end Profeulons Code: Any ciry or county whic� requires e permit to wnsiruct, alter, improve, demalish, or repair eny strucWre, pnor to its issuance, also requires the epplicant lar such pertnit to file e signetl statemeM Ihat he or she fs ticensatl pursuant to tha provisions N ihe Coniractors Llcense Lew (Chapter 9 icommencing wlth Sectlon 7000) oi Didsion 3 ot ihe Busineu end Proteuions Code) or Iha� he or she is ezempt iherelrom and tha Desis lor the ellegad e:emption. Any violation ot Section 7037.5 by eny applican� for e permi� subjects the epplicant to a civil penalry d not mwe ihan live hundred dollers ($500).): ❑ I, as owner of Ihe properry, or my employees with wages as t�eir sole compensation, WILL DO THE WORK, and Ihe strucWre is not Intendetl or oMeretl for ule (Sac. 7044, Business and Professions Code: The Coniractors License Law does not apply to an ownar of property who builds or improves thereon, and who tloes such work himself or hereelt or through his or her own employees, provided thet such improvemenis ere nat Intended or ottered lor sale. If, however, ihe building or improvement is sold within one yeer of completion, the owner-builder will �ave ihe burden ol pmving t�at �8 or 5he did not �uild or improve for purpose of saloJ. ❑ I, es owner ol the property, em EXCLUSIYELY CONTRACTING WITH LICENSED CONTRACTORS to construct the prolect (Sec. 7044, Business antl Protessions Cotle: The wntrectors License Ww does not apply to an owner ot pmpeny w�o 6uiltls or Improves t�ereon, and who contracts lor such projea with a contwctor(s) license pursuant to the Contractor4 �icenu Laws.). ❑ 1 em exempt untlar sec. Signature: Owner ID ventied by drivefs license. ❑ Ves ❑ No Business end Professions Code for this reason: Vedficetion of Ownership by (type ot document, i.e. - propeny tex bill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMI7 CERTFICA710N: Orivefs License No. Data: Ezpires: ❑ I hereby certify that no excavation five (5) or more feei in dep�h into which e person is required to descend, will be matle In wnneciion with work authonzed by this permil, end Ihet no building siructwa, scaflolding, talsework, or tlemolition or tlismantiing lhereof, will be more than Ihiriy-sia �36) feet high. (Chep. 32, Gry 2, Ari 2, Sec. 341, Title B, Celtlomla Administrati�e Code). ❑ As ownerDuilder, I will not employ enyone to do work whlch woultl require a permit Irom the Division oi Industnal Safery, es noted ebove, unless such person has a permit to do such work from ihe tliNsion. Signatura: Data: Division oi Intlusirial Sefery Permit Number: CERTFICA7E OF COMPLIANCE AND A�17MORIZA710N OF ENTRY: I certify untler penalry of perjury that I have read this epD�ication and state that the information given is correct. I egree to comply wlth ell te la and city ordinances relaling to 6uilding consimction, and authorize representetives of �he Ciry o� Costa Mesa to enter upon ihe ebove-descnbed property fyvins tion�pases. I agree not to occupy or allow occupency of any building authorized by ihis permit un�il tinal inspectlon. COUE I. INSPECTIONTYPE 1676 Fiaed System Final Pire Preven�ion 7266 Pool Spe Final 200 Final Re-Root 201 Final BIocWRetaining Well 202 Final Factory Fire Place 203 Finel Sign 204 Final Demolition l.C�/�/�_/ ate -' �i �- ate--- - P� 1NIIDA6fl CO�E I INSPECTION TYPE 206 Final Mechanical 208 Final Plumhing 210 Final Electncal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy �F � � (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 954 CAPITAL ST Suite: Vicinity: Parcel Number. 42238118 Applicant: FABER, MIKE Address: Owner: TRENTO, THERESA Address 954 CAPITAL ST Zoning: Phone: 774-396-0896 Zip: Phone: COSTA MESA, CA Zip: 92627 Contrector: BEACH CITIES CONSTRUCTION Address: 39 ASHFORD IRVINE, CA Zip: 92618 Arch : Address: Phone: 714396-0896 License: 580586 Eng: Address: Phone: ISSUED BY: Status: ISSUED Applied: 05/15/2001 Issued: 05/15/2001 Phone: Zip: License: License: SCOPE OF PERMIT DEMOLITON WORK IN PREPARATION FOR ADDITION AND REMODEL TO SFR. REF: 801-00429. Plan Check: $0.00 Permit: $83.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $83.75 SETBACKS MAINSTRUCTURE Fronl 0-0 ACCESSORY Front 0- 0 PARKING existinq: 0 NOTES: Rear 0- 0 Rear 0- 0 Re uired: 0 FEE SUMMARY PLANNING & ZONING Left 0• 0 Left 0- 0 Pr000sed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0-0 $z,soo.00 $z,soo.00 NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements undar California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 1 BO days. INSPECTIONS: In order for the work authorized under this permit to 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 2d4646(W00) t 1 WORKERS' COMPENSATION DECLARA710N: � — I hereDy effirm under penalry oF periury one ot the following declarations: ❑ I�e ve end will mainta�� a cenificate of consent to self-Insure for workers' compensation, es provided for by section 3700 of the lebor Code, for Ihe pertormance of ihe _ ,�4ork for which this permit is issued. ��. / �� I have antl will maintain wo s' compensatjoR in�s�rQa �, as required by section 3700 of the Labor Coda, for Ihe peAortnance ot ihe work for which this permit is issued. 7�� My workers' compens rance carq6r an li num6er ere: Carner. (This si Policy Number: ❑ I certify that in tha performa� g e�ior/c f ic this pertnit is issued, I shell nol employ any pereon in eny manner so as to become subject to ihe workere' wmpensation laws ot C��4 nd ag(e ,t i shoultl become wbject to the workers' compensatbn prorisions of Section 3700 of ihe Labor Cotla, I shal{ forihwith comply with ihese pr —, �/ p� Applicant Signeture: Dale: � WARNING:FAILURETOSECUpEWOFKERS WMPENSATIONCOVERAGEISUNLAWFULANDSHFLLSlIB1ECTPNEMPLOYERTOCRIMINALPE TIESAND�CIVILFINESUPTOONEHUNDFED THOUSAND DOLLARE ($100,000). IN ADDITION TO TME COST OF COMPENSATION, DAhNGES AS PROVIDED FOH IN SECTION �Ofi OF THE UBOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS I hereby eHirtn that I am licen; force end eflecL Lic. k Contrectors Signeture:� 9(commencing wiih SSction 7000) of Division 3 ot the Business antl Prolessions Coda, and my license is in full Class N Date: / r1/ CONSTAUCTION LENDING .e.GENCY: � I hereby aRirm ihat the�e is a consiruction lending agency for ihe peAormance ot Ihe work for which ihis pertnit is issued. (Sec. 3097, Civil Code). Lendefs Name: Signeture: _ OWNER-BUILDER DECLARATIONS: Lendefs Atltlress: Date: I hereby ettlrm that under penelry of perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business and Professions Cotle: Any ciry or counry which requires a pertnit to consiruct, alter, improve, tlemolish, or repair any siructure, prior to its Issuance, also requires ihe applicant tor such permit to flle a signed statement thet he or she is Ilcensed pursuent to ihe provisions oi the Coniractors License Lew (Chepter B(commencing with Section 7000) of Divisian 3 of the Busine55 end Prof855ion5 Gode) or ihat ha or she is exempt lherefrom end tha besis for the elleged exemption. Any violation of Section 7031.5 by any epplicant for a permit subjects the appliwnt to e ci�il penelry of not more than five hundred dollars ($500).): ❑ I, es owner of ihe properry, or my employees with wages as Iheir sole compensation, WILL DO THE WORK, end the struc�ure is not intended or offered tor sale (Sec. 7044, Business and Professions Code: The Contrectors License Law does not apply to an ownar of property who builds or improvas thereon, and who does such work himselt or harsetl or ih�ough his or her own employees, providetl Ihat such improvements are not intendatl or oHered for sale. If, however, ihe building or improvement is soltl within one year oi completion, the owner-builde� wiil have ihe Durden ot proving that he or she did not build or imp�ove for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct ihe project (SecJ044, Business and Professions Code: The coniractors License Law does not apply to an owne� of property who bullds o� Improves thereon, antl who coniracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I em ezempt under seC. Business antl Professions Code for this reason: Signature: Date: Owner ID verifiad by tlriver's license. ❑ Ves ❑ No Driver's License No. Expires�. Verification of Ownership by (�ype of document, i.e. - property taz bill or deed): DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATION: ❑ I herehy cenify thet no excavetion five (5) or more feet in depth into which e person is required to descend, will be made in connaction wlth work authonzad by ihis permit, and that no bui�ding structure, scaHoltling, falsework, or demolition or tlismantling ihereof, will be more ihan ihitly-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Tltte 8, Califomia Administretive Gotle). ❑ As owner-buildar, I will not employ anyone to do work which would require a permit from ihe Division of Industriel Sefety, as noted above, unless such person has a permit to do such work from the division. Signawre: Date: Division ot Industnal Satery Permit Number: ICERTIFICATE OF COMPLIANCE AND AU7HORIZA710N OF EN7RY: I certify under penalty of perjury that I have read this application and state ihat the intormation given is I correct I agrea to comply wUh ell state laws and city ortlinances relating to builtling construction, antl authoriza representatives of the Ciry of Costa Mesa to enter upon the ebove-described propetly tor inspection p�ose�5. I aqree not to occupy or a�low occupancy of any building authorized by ihis permit until final inspection. CQOE �. INSPECTIONTYPE 1616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Flnal BlocklRe�aining Wall 202 Final Factory Fire P�ace 203 Final Sign 204 Final Demolition DRTE IN7ITIRLS /�,/ !D@'te i � D ;l CODE� INSVE TIONTYPE 206 Final MeChanical 20B Final Plumbing 210 Final Electdcal 212 Final Fire Preventian 220 Final Planning Approval 222 250 Final Site Flnal BuIldinglOccupancy PLIE wTRIALS Motr�o Sa° (714) 754-5273 • Fax (774) 754-4856 • v+ww.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 954 CAPITAL ST Suite No ViCinity: Parcel Nunmber: 42236116 Applicant: FABER, MICHAEL Address: 39 ASHFORD IRVINE, CA Owner: TRENTO, THERESA Address 954 CAPITAL ST COSTA MESA, CA PLUMBING PERMIT Phone: 949-722-1791 Zip: 92618 Phone: Contractor. BEACH CITIES CONSTRUCTION Address: 39 ASHFORD Arch / Eng : Address: IRVINE, CA Zip: 92627 Phone: (714)396-0896 Zip: 92618 License: 580586 Phone: Zip: License: ISSUED BY: Status: ISSUED Appl ied: 06/OS/2007 Issued: 06/05/2001 SCOPE OF PERMIT REF:BOt-00429. PLUMBING FOR 581 S.F. MASTER BEDROOM AND BATHROOM ADDITION ATTACHED TO FRONT OF DWELLING. TO INCLUDE: 1 BATHTUB, 1 SHOWER, 2 WASH BASINS, i TOILET. ISSUE FEE Backflow irrigation BackFlow Preventer Bathtub Clarifer System Connect (Ice,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oip Interceptors (Sand Auto ) AMT $23.50 $0.00 $0.00 $9.80 $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 Qn FEE SUMMARY AMT Laundry Tub / Washer $0.00 Landscape Irrigation $0.00 P-Trap $0.00 Pressure Regulator $0.00 Process Piping (per 10 R) $0.00 Receptors $0.00 Septic Tank $0.00 SewerCapforDemo $0.00 Sewer Connect $0.00 Sewer Private Line $0.00 Shower $9.80 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor $0.00 Sink, kitchen $0.00 Sink, service/mop $0.00 Spa (private) $0.00 Spa (public) $0.00 QTY 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 COMMENTS / SPECIAL CONDITIONS SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr Bkflow(1-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION AMT $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $19.60 $0.00 $0.00 $9.80 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES: E72.50 QTY 0 0 0 0 0 0 2 0 0 1 0 0 0 0 0 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, 7241-92) EXPIRATION: This permit shall automatically ezpire antl become void it work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be consideied legal, such work must comply with all applicable codes, and all requlred inspeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 244&48 (N00) WORKERS' COMPENSATION OECLARATION: � I hereby eHirtn untler penalry of perjury one oi tha following tleclarations: ❑ I have and will maintain e certifcate of consent to self-Insure for workers' compensation, as pmvided for by section 3700 of the Labor Cotla, for the pertormance of the work for which this permit Is issuetl. ❑�I have antl wlll rtfeimain co pensaNc insurance, a requrted by section 3700 of the Labor Code, for ihe pedortnance of the work tor which ihis pertnit is issued. My workers' compen6GMK�ner policy n ber are: � T W Cr n�� L� Carrier. : Policy iJumber. (This section need not be completed il the e it ' lued et one huntlred dollers ($100) or less.) ❑ I certify that in ihe pertormenc rk r whic it is issued, I shall not amploy any Oerson in any manner so as to become subject to Ihe workers' compensation laws of Calif n gr that I 6ecome subject to ihe workers' compensation provisions of Section 3700 of the Labor Code, I shall torthwith comply with these provis s �/`_/O I ApplicentSignaWref ^ Date: J WARNING`. FAILUFE TO S RE ORKERS' COM NSATION CAVERAOE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENA� IES NND�CIVI� FINES UP TOIXJE HUNDRED THOUSAND DOLLARE (E100,000), IN ADDITIIXJ TO THE COST OF COMPENSATION, OAMAGES AS PROVIDED FOF IN SECTION 31O80F THE LABOR CADE, IMEREST, AND ARORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirtn that I am licansed u � i force and etlect Lic�M CONSTRUCTION LENDING AGENCY: with Saction 7000) of Division 3 of ihe Business and Professions C antl my license is in full Class x Date: ❑ I hereby aHirm that there is a construction lentling agency for ihe performance of ihe work for which ihis permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Adtlress: Signature: OWNER-BUILDER DECLARATIONS: Date: I hereby ettirtn Ihat under penalry of perjury ihat I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW tor the following reason (SecJ031.5, Business and Professions Code: Any ciry or county which requires a permii to construct, alter, improve, tlemolish, or re0air any structure, prior to its issuance, also requires the applicant for such permit b file a signetl stetemem that he or she is Ilcensetl pursuant ta the provisions af the Comrectors License Lew (Chepter 9(commencing with Section 7000) of Divislon 3 at ihe Business and Professions Code) or that he or she is exempt therefrom and the basis tor the alleged a:emption. Any violation oi Section 7031.5 by eny applicant tor a permit su6jects the appllcent to a civil penalty of not more then tive hundretl tlollare ($500).): ❑ I, as owner of the property, or my employees with waqes as iheir sole compensation, WILL DO 7ME WORK, and ihe simcture is not intended or oHered for sala (Sec. 7044, Business and Pmfessions Code: The Contracrors License Law does not apply to an owner of OroPerry who builds or improves ihereon, antl who does such work himself or herself or ihrough his or her own employees, provided ihat such improvements are not intended or oHered tor sala. It, however, the 6uiltling or improvement is sold within one year of completion, the owner-builder will have ihe burden of proving that he or she tlitl not build or improve for purpose of sale.). ❑ I, es owner of the property, em EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct ihe project (Sec. 7044, Business and Prolessions Code: The contractors License Law does not aDPly to an owner of property who builds or improves ihareon, and who contracis for such projact wlih a contracmr(s) license pursuant to the Contractors License Laws.). ❑ I am e:empt under sec. eusinass antl Professions Code for this reason: Signature: Date: Owner ID venfied by drivels license. ❑ Ves ❑ No Dnver'S License No. Vedticetion of Ownership by (type of documen6 i.e. - properry tex bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Ezpire5: ❑ I hereby ceriity ihat no excavetion five (5) or more feet in depth into which e person is requiretl to tlescend, will be made in connec�ion with work euthonzetl by �his permit, and thet no building sirudure, scaftolding, talsework, or demolition or dismamling thereol, will be more than ihirty-six (36) teet high. (Chap. 32, Gry 2, Ah 2, Sec. 341, Title B, Calitornia Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit Irom ihe Division ol Indusinal Setery, as noted ebove, uniess such person has e permit to do such work from �he tlivision. Signature: Date: Division oi Indus�nal Safery Pertnit Number: CERTFICATE OF COMPLIANCE AND AUTHORI N OF ENTRY: I certify under penalty ot perjury iha� I have read ihis applica�ion antl sta�e tha� �he intorma�ion given is correct. I agree to comply with all stat§.� s ordinances relating to building constmction, and authorize representatives of the City of Costa Mesa to enter upon the above-described Omperty fgr�Speytibrydu se . I agree not to acupy or allow occupancy oi any building authorized 6y fhis permit until final inspection. COOE Y• INSYECTIONTYPE 1616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Final BIocWRetaining Well 202 Final Fectory Fire Place 203 Final Sign 204 Final Demolition /p �j ^ pate � 7 / �� - ' � �� Dare DRTE INTITIpLS CODE� INSGECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Elacirical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy P9SE INTRIRLS Io_�3_ya � (714) 754-5273 • Fax (774) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: Suite No Vicinity: Parcel Nunmber: 954 CAPITAL ST 42238118 npp�icant: FABER, MICHAEL Address: 39 ASHFORD IRVINE, CA Owner: TRENTO, THERESA Address 954 CAPITAL ST COSTA MESA,CA Phone: 949-722-1791 Zip: 92618 Phone: Contrector: BEACH CITIES CONSTRUCTION Address: 39 ASHFORD ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over t000a Motors to ihp Motors to 10hp Motors to SOhp Motors to 100hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole IRVINE, CA Zip: 92627 Phone: (774)396-0896 Zip: 92678 License: 580586 ISSUED BY: Status: ISSUED Applied: 06/OSI2001 Issued: O6/OS/2001 SCOPE OF PERMIT REF:801-00429. EIECTRICAL FOR 581 S. F. MASTER BEDROOM AND BATHROOM ADDITON ATTACHED TO FRONT OF DWELLING. TO INCLUDE: 8 LIGHT FIXTURES, 12 OUTLETS, 7 SWITCHES, t SERVICE TO 200 AMP. $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $8.80 $7320 $7.70 $0.00 $0.00 $30.50 so.00 $0.00 ' $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity 0 0 0 8 12 7 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY Temp Dist System / Lighting Busway /100 ft Standing Section Misc Electriral Equipment Transformers up to 7 kva/kw ................up to 10 kva/kw .................up to 50 kva/kw � .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misc. Conduit Misa Conductor , Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES E63.70 COMMENTS I SPECIAL CONDITIONS Quantity 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 NO710E: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 9248, § 1, 72-21-92) 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 780 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspeetione 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 244fi3fi �CY00) WORKERS' COMPENSA710N DECLARA710N: � I �ereby attirm under penalry o� perjury one of ihe following tleclaretlons: ❑ I heve end will maintain d certificate ot conseni to self-Insure lar workers' compensation, es provitletl tor by section 3700 of the Labor Code, tor tha pertortnance of tha wark for whic� this pertnU is issuetl. �� I have entl will malnWin workers' compensation insurance, as requiretl by section 3700 of Ihe Labor Code, tor ttie perfortnance of t�e work for whicli this pertnit is issueA. � My workers' compen lon nsuran e ce pollcy num � are: /�. Cartier. � n� ��C Policy iJumber. I�� Z�X� �„ y��1 (This secnon need nof be comp� etl �f the permrt �s valued f one �undred dollers ($100J or less.) d � ❑ I certity that in the pertorRiance e for is pertnit is IssueA, I shell not employ any person in any manner so es to become subject to Ihe workers' compensatlon laws ot Cb�if n ee should 6ecome sub�ect to t�e workers' compensatlon proWslons of Sectlon 3700 of Iha Labor Code, 1 s�all fonhwith comp{y with th050 provis � /�/� / �ApplicenFSlgneture:. - � Date: _ –�—�� WARNINO: FAILURE TO R WORKERS' PENSATION COVERAGE IS UNL4WFUL ANO SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENA ICT ES AND'QVIL FINES UP TOONE HIINDRED T/KK15AN� DOLLARE (5100,000�. IN MDRION TO iHE COST OF COM�ENSATION, DM44GES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CO�E, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS PECLARATION: I hereby aftirtn that I em licens6d und 's' `ELFtyyjky9 (commencing with Section 7000) of Division 3 0l ihe Business antl P, �efe�k5ions Code, and my licanse Is in full force antl eeect. Uc. a i )aS:yY Ciass a �� i Co�treCtb7s Signature: �a��r�; Date: � � � CONSTRUCTION LENDING AGENCY: � ❑ I hareby aNirm thet there is a canstruction lentling agency tor Ihe pedormance of ihe work for which this pertnit is issued. (Sec. 3097, Civil Code). Lentlels Nama: Lendefs Address: Signature: �ate: OWNEH-BUILDER DECLARA710NS: I hereby ettlrm Ihat under penelry of perjury that I em EXEMPT FROM 7HE CONTRACTORS LICENSE LAW tor Ihe following reeson (Sec. 7031.5, Business antl ProFessions Code: Any ciry or counry which requires e pertnit to construc4 alter, improve, tlemolish, or repair any sWcture, prior to its issuance, elso requlres the applicant for such permit to Ille a slgned statemant ihet I�e or she Is licensed pursuant ta tha provislons ol the Contrectars License Lew (Chapter 9(cammencing with Section 7000) of Division 3 of ihe Business end Prolesslons Cade) or that he or she is exempt therefrom and the basls for the alleged exemption. Any violation ot Saction 7031.5 by any applicent for e permil suDjecis ihe epplicent to e clvil penelty of not more than tive huntlred dollars ($500).): ❑ I, as owner ot Ihe pmperty, or my employees wi�h wages as their sole compensation, WILL DO TME WORK, and t�e structure Is not intended or otteretl for sale (Sec. 7044, Business end Prof@ssions Cotle: The Contrac�ors Licenso Lew does not apply �o an owner of property who builtls or improves ihereon, end who does such work himsell or herself or throU9h his or her own employees, provided ihat such improvements ere not intended or otteretl for sele. II, however, the building ar improvement is sold within one year of completion, the owner-builder will have the burtlen oi proving ihat ha or she tlitl not build ar improve tor purpose ot sale.). ❑ I, es owner af Ihe property, em E%CLUSIVELY CONTRACTNG WITH LICENSED CONTRACTOflS to construct Ihe prolect (Sec. 7044, Business and Professions Cale: The contractors LlCeose Law tloes not epply to an owner ol property who �uilQs or Impmves theaeon, and wha cootracts br sucti project wiN e contractor(s) license pursuant to ihe CPnirectors License lews.). ❑ I em exempt under sec. Business antl Professions Cotle for �his reason: Signature: Date: Owner ID verilied by dnveYs license. ❑ Yes ❑ No Dnver's LitenSe No. Expires: Vedfication ol Owners�ip by (rype of tlocument, i.e. - properry lex bill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CEPTFICA710N: ❑ I hereby certlfy that no excavetion five (5) or more laet in tlepih inlo whlch e person is required to descend, will be metle In connection with work authonzed by Ihis permit, entl ihat no builtliPg structure, scaflolding, lalsework, or demoli0on or tlismanlling Ihereof, wiil be more �han Ihirry-sla (38) feet high. (Chep. 32, Gry 2, Ari 2, Sec. 341, Title 8, Celifornia Atlminisira�ive Code). ❑ As ownervbullder, I will not employ anyone to do work which woultl require a permit irom the Division of Indusiriel Sefery, es notetl above, unless such person hes e permit to do such work IrOm Ihe division. Signature: Date: Division oi Indus�riel Sefery Permit Number. ICERTIFICATE OF COMPLIANCE AND AUiHORIZATION OF ENTRV: I certity under penalty ol perjury that I have read this application antl state ihat Ihe information given is correct. I egree t� c Pmp� wit� sta}q laws an orCinances relating to Euilding construction, and authorize represantatives of the Ciry of Costa Mesa to enter upon the above-deSCnbed ro ert tor i �� Purp 1 egree not to occupy or ailow acupancy of any building authorized by ihis permit until final inspection. COOE I. INSPECTION TYPE 7616 Fiaetl System Final Fira Prevention 1266 Pool Spe Final 200 Finel Re-Raof 201 Final BIwWRetaining Wall 202 Final Factory Fire Place 203 Finel Sign 204 Finel Demolition BAIE iN*mn�s COpE 1 INSPECTION iYPE 206 Finel Mechanicel 20B Finel Plumbing 210 Final Elet�ncal 212 Finel Fire Preven�ion 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy nT � 1t�L5 (774) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 .lob Address: 954 CAPITAL ST Suite No Vicinity: Parcel Number: 42238118 Applicant FABER, MICHAEL Address: 39 ASHFORD IRVINE, CA owner: TRENTO, THERESA Address: 954 CAPITAL ST COSTA MESA, CA MECHANICAL PERMIT Phone: 949-722-1791 Zip: 92618 Phone: Zip: 92627 Contractor: BEACH CITIES CONSTRUCTION Address: 39 ASHFORD IRVINE, CA Phone: (714)396-0896 Zip: 92618 License: 580586 ISSUED BY: Status: ISSUED Applied: O6/OS/2001 Issued: O6/OS/2001 SCOPE OF PERMIT REF:BO7-00429. MECHANICAL FOR MASTER BEDROOM AND BATHROOM ADDITON AT FRONT OF RESIDENCE. 581 S.F. TO INCLUDE: 1 FAU IESS THAN t00K BTU, GAS PIPING AND FACTORY FIREPLACE. ISSUE FEE Inst FAU <100 k BTU Inst FAU >100 k BTU Repair/Alt CoolinglHeat Inst / Rep. Recess Wall Htr Refrig Sys <100 k BTU Refrig Sys >100 k BTU Gas Piping Factory Fireplace Hood w/Mech Exhaust VAV Box Vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000cfm Air Handlers > 10000cfm Floor Furnace Floor or Suspend Heater $23.50 $14.80 $0.00 $0.00 $0.00 $0.00 so.00 $6.15 $10.65 $0.00 $0.00 $0.00 so.00 $o.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity FEESUMMARY Repair / Alt Absorbtion Unit Repair / Alt Retrigeretion Unit Ventillation System Evaporative Cooler Comme rcial I nci nerator Domestic Incinerator Compressors / Absorption SVstems Upto3hp/100kBTU 3 To 15 hp / 900 k BTU- 15To30hp/1,OOOkBTU 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 Mechaniwl Fee Investigation Fee Plan Check Fee Reinspection Fee Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES 355.10 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Cali�omia statutes 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. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inapections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration ot this permit. FOR INSPECTIONS CALL: (714) 7545626 zaaars �woo� WORKERS' COMPENSATION DECLARATION:� � I hereby aflirtn undar penalry ot perjury ona oi the following tleclerations: ❑' I heve antl wiil maintein a certiticate of consent to self-Insure for workers' compensation, as provitlad for by section 3700 of ihe LaDor Code, for the pertortnance of the work for which Ihis pertnit i5 i5suetl. 0' rl heve end will maintain workers' compensation insurance, es requiretl by sectlon 3700 of the Labor Code, for the peAortnance of the woAc for which this palmit is issued. � M workers' n tion In urenc�°�'� r �and oli m6ar are: (�,/ n �j,.�� Carrier:Y �Q rfTA/�� PolicyiJumber: _ I Tl0 G��/)-- (JV not one or /ess.) ❑ I certify that in the peAorma o wor� o ch this pertnit is issued, I shall not employ eny person in any manner so es to become subject to Ihe workers' compensation laws of C li i, tl a if I should become subject b the workere' compensetion pmvisions ol Section 3700 of the Labor Code, I s�all forthwith comply with Ihese Or e s /�/D � ApplicanlSigneWre:— •Date: �� WARNINO: FAILURE URE ORKERS' COMPENSRTION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PE TIES D CIVIL FlNES UP TO ONE HUNDRED THOUSAND DOLLARE (5100,000), IN ADDfTION TO THE COST OF COMPENSATIQY, DAMAGES AS PROVIOED FOR IN SECTION 3106 OF THE L400R CqDE, INiEREST, AND ATTORNEI^5 FEES. LICENSED CONTRACTORS DECLARATION: I nereby a%irtn that I em licensed ypdqry�ody5'�p force and aflect Lic. N �XL ) 7� with Section 7000) of Division 3 of the Busine tl Professions Code, antl my license is in full Classx._ _.._ / i� GONSTRUC710N LENDING AGENCY:' ' ❑ I hereby aflirm that ihere is a consiruction lending agency Por the peAormance ot ihe work for which ihis pertnit is issuetl. (Sec. 3097, Civil Cotle). Lentler's Name: Lender's Address: Signeture: Date: OWNER•BUILDER DECLARATIONS: I here�y aHirtn that untler penalry of perjury Ihaf I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the foliowing reeson (SecJ031.5, Business entl Pmfessions Cotle: Any city or counry which requires e permit to constmct, elter, improva, demolish, or repeir any simcwre, prior to its issuance, also requires ihe applicant for such permit to lile a signetl stetement Ihat he or she is Ilcensed pursuent to the pmvisions of the Contractors Llcense Lew (Chapter 9(commencing with Seclion 7000) of Division 3 of the Business end Professions Code) or thet he or she is e:empt iherefrom and ihe besis for the elleged exemption. Any violation of Section 7031.5 Dy any epplicant for e permit subjecis ihe eppliwnt to a civil penalry of not mora than five hundred dollars ($500).): ❑ I, as owner of Ihe properry, or my employees wlth wages as Ihelr sole compensation, WILL DO TXE WORK, and tha stmcWre is not intentletl or oRered tor sale (Sec. 7044, Business and Professions Cotle: 7he Contractors License Law does not apply to an owner ot property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or oHered br sale. If, however, the building or improvemem is sold within one year ot completioq the owner-builder wiil have ihe burden of proving that he or she did not buiid or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITM LICENSED CONTRACTORS to consiruct the prolect (Sec. 7044, Business and Professions Code: The conirectors License Law does not epply to an owner of property who builds or improves thereon, end who contracts for such project with a contractor(s) litense pursuant to lhe Contrac�Ors License LawsJ. ❑ I am exempt under sec. Signature: Owner ID ventied by driveYs license. ❑ Ves ❑ No Business end Professions Code for this reason: Venfication ot Ownership 6y (type oi document, i.e. - properry tex bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: Drivefs License No. Data: Expires: ❑ I hareby certity that no excavation five (5) or more taet in depih into which a person is requirad to descend, will be made in connec�ion with work authonzed by t�is permit, and Ihet no 6uilding siruclure, sceHolding, talsework, or demolition or disman�ling �hereof, will be more than ihirty-six (36) feat high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle B, Califomia Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit irom ihe Division of Industrial Safety, as notetl a6ove, unless such person has a permit to do such work from the division. Signature: Date: Division of Industnal Safery Permit Number: CER7IFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTAV: I certiy under penalty of perjury ihat I have read this epplication antl state that the information given is correct. I egree to comply with all state la entl ciry inances relating to building consimction, and authorize representatives of ihe Ciry of Costa Mesa to enter upon the abova-descrihed proparty tor in�tio ases.� not to xcupy or ailow xcupaocy of any building authorized by this permit until tinai inspection. COUE M. INSPECTIONTYPE � QgjE IN AL 1616 Fized System Final fire Prevention 1266 200 201 202 203 204 Pool Spe Final Final Re-Rooi Final BIxWRetaining Well Final Factory Fire Place Final Sign Final Demolition COOEN INSVELTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Finel Building/Occupancy g/'��'ti: Z NS�.� . _., � 5�6� COSTA MESA BUILDING DEPARTMENT P.O. BOX 31� COSTA MESA. CALIFORNIA FOR qs MAIL ADDRE55 D CITY / �Iry// ARCHITECT _ CONTRACTOR AO�FE55 LEGRL OESCRIPTION A.P. NO. 'PLIC T TO FILI. IN � 1. STA MESA. CALIFORNIA �vs�-�« o�s ��st-S 7U.r7�- 5 1� • � �7Y T��4/=7—//5, LIC. NO. �� CITY NICO. �170� , TEL. A'ti!� NO. /�j� I fyTL Y/ OLOCK TRACT�i(/�l X IVZ • SGJ' IMOW ON LOTS USE OF � E%ISTING BLOG. $ETBRCN LINE FROM <[rvi[n oF srnEEr � REAR / SIOE YARD RIGHT � LEFT / DESCRIPTION OF WORK NEW ALTERATION AODITION REPAIR MOVING DEMOLISH BUILDING )//� g NO.OF SIZE ( Y' ROOMS S STORIES E%TERIOR W. COVERING USE OF NEW BUILDING FEE R�CEfV�� IOAY 21 1951 `ji fINANCE DEPT. A P P I�(j$ PQF I CASf PFE�i$A P E R M I T BUILDING FOR OFFICE USE ONLY flECEIPT NO. IECEIVED BV DAiE HECEIVED DRTE ISSUEO ,_ _�/ , r—ori-.r7 ntAY 3 1 �� FIRE ZONE ZONEA- I p0.10fF TYPE / x a; �= APPROVED BY DATE CORRECTIONS �� Jf� "� `� I MEPEBV ACRNOWLEDGE THwT I MaVE flEAD TMI6 .�VPLIC/TION RNO $TATE TM4T THE �BOVE I$ CORRECT ANp 4GREE TO COMPLY WITH 4LL CITY ORDINRNCES eND ST.�TE L�W NEGUTATING BUIL�INGjQNSTRUC� TION. � ) VALUATION \ PERMIT FEE S � SIGNATURE OF _� �ri�� PERMITTEE y//'� / , � / �/ 6 .� PLAN CMECK D^ / a� — 5 J/ AUTHORIZE� AGENT TOTAL FEE S J6 — �0��