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Home My WebLink About1002 CANNONADE CIR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 1002 CANNONADECI Suite: Vicinity: ROOF Parcel Number: 41237116 Applicant: HARTMAN, HEIDI Address: 2626 NEWPORT BL COSTA MESA; CA Owner. KAMPH, THOMAS -F Address X1002 CANNONADE'CIR �SMIPRes: -COSTA MESA, CA .� SMTP Com: $0.00 Contractor: PETRONELLXROOFING Address: 2626 NEWPORT BL ' Total: COSTA MESA, CA Zip: 92627 Arch Address: - Phone: Zoning: R1 R1 Phone: (949)548-1645 Zip: 92627 Status: ISSUED Applied: 04/20/2004 Issued: 04/20/2004 Phone: - ` - Zip: 92626-1607 Phone:_ (949)548-1645 License: 460707 Eng: Address: Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF. INSTALL 1/2" 66X,30# ASTM, CERTAINTEED CLASS A PRESIDENTIAL SHAKE COMP ROOF SYSTEM. 1,600 S.F. INCLUDES ATTACHED GARAGE. - - "- -I - I " - - ` - Plan Check: $0.00 Permit: $125.25 �SMIPRes: $0.56 SMTP Com: $0.00 Other: $0.00 Inspection: $0.00 ' Total: $125.81 SETBACKS MAIN STRUCTURE, Front 0- 0 ACCESSORY Front 0-0 PARKING Existing: o FEESUMMARY Calc Valuation: $5,600.6o' Claim Valuation: $5,600.00 Rear . 0- 0 Left 0- 0- Right 0-.0 ; - Required: -0 - Proposed: '0 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 this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections 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) 754-5626 2446-46 (6/00) WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued, - lI have and will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. —�-�My workers' compo sation Insurance carrier and policy number re: / (Garner: ��C{utPE/J�4T.a�)�NSO/t-H+..C� �NJ� Policy Number:_ I4 �g��8'�� `(This sect/on need not be completed if the permit is valued at one hundred dollars ($100) or less.) ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that it I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with thesgg p visions. -AppucanLSignawre/�aTAlEt1.A �W.. MNO: FAILUgE.TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED JHOUSAND'DOLLARE ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37W OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I herebys3ffi[m.mat.I.am.licans d under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is in full �1orcdeffect.l:Icrtt O - ass'x 9 Co`t�ctor s.Signeture:-� e0%/.J r'sDaM;;— P/L/� ;ZOO e2 L7' CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lenders Name: Lender's Address: Signature: Date: OWNER -BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of 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 offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such project with a contractors) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑ Yes ❑ No Driver's License No. Expires: Verification of Ownership by (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will be made in connection with work authorized by this permit, and that no building structure, scaffolding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, California Administrative Code). ❑ As owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the California Health and Safety Code requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). ............................................................................................................................................................................................................................................................................................................................................................................................ 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). ....................................................................................................................................................................................................................................................................................................................................................................I....................... 3 Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. ............................................................................................................................................................................................................................................................................................................................................................................................ 4 If an RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑ Yes ❑ No .........................................................................................................................................-................................................................................................................................................................................................................................................. 5 Does or Will the applicant or present or future building occupant require for the work which is the subject of this a plication akPermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes U No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). ......................................................................................................................................................................................................................................................................................... ....................... ...................... ................. 6 Will any par of the facility 10 be constructed under this permit be within 1000 feet from the outer boundaries of a school? [I Yes ❑ No (If "yes", the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). .................... ......................................... ............. ....................................................................................................................................... .................................................................. ......................... .......................................... ............ I......................... 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application, have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No .......................................................................................................................................................................................................................................................................................................-................................................................................... 8 (If'j�es", attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this Permit until final inspection. Sin Of (s) APicr� ao°aa,2 And/Or AuthorizedAppiicarit \, Date CODE INSPECTION TYPE PATE INTRIALS CODES INSPECTION TYPE PAIS Imo¢ 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re -Roof 210 Final Electrical 201 Final BlocklRetaining Well 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy PROJECT ADDRESS: 1029 CANNONAD E CI UNIT` OWNER'S NAME: RODRIGUEZ, PABLO R ADDRESS: RODRIGUEZ, MERCY S 1029 CANNONADE CIR COSTA MESA,CA 92626 ARCHIE NGINEER: 641-1078 CHARLES STR EY REc.No.: C 4 '� & 6 2 ADDRESS: N/A N RIVERSIDE CA 92718 PERMITTEE: SIERRA ROOFING/A.R.D. (909)270-1084 ADDRESS: 1663 COOMERCE ST CORONA CA 92718 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code. and my license is full force and effect. CITY LIC.: f _ sraTE Llc.: g'p\�\0 5 3 8 /J c Date D_Z5 : sig as N WORKERS' COMPENSATION DECLARATION: I hereby atfirm that I have a certificate of consent to self -insure cr a certificate of Workers' Compensation Insurance or a certified copy thereof (Section 3800. Lab. C). POLICY I P 8 01 9 5 5 9 A EXP. DATE: 0 1 / 0 4/ 9 4 COMPANY: CAL INDEMNITY ❑ GertiCetl copy Is hereby furnished. C Ifled copy u flletl with to uj di Div cion. `ate: Appli :XEMPTION FROM WORKERS' COMPENSATION DECLARATION: is sec ion eel not be completed if the permit is for one hundred(510D) or less). I study that in the performance of the work for which this permit is Is , I shall not employ any person in any manner sa as to become sublect to the WorkersCompensation Laws of California. Date'. Signature: NOTICE: If, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Cry. C), LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter. improve, demolish, or repair any structure. prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 701 of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the ❑ structure Is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractors' State License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own employees. provided that such improvements are not intended or shared for sale. If, however the building or improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business .� and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a central license pursuant to the Contractors' State License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B. It P. C. for this reason: Cate: Owner I do hereby drunk that I am aware of and understand the requirements of Calilornia Health and 25534 and that I or any future building occupant will/will not (circle one) need to comply with s permit for construction or modification from the Air Quality Management District. Residential these provisions. Safety Code Sections 25505, 25533, and aid state codes and the requirements for a construction applications are exempt from Date: Applicant: I hereby pertly that I have read this applitabo and state that the above information is correct I agree to comply with all city and county ordinances and state laws relating to building in truchon and hereb uthen Sent- of this city to enter upon the above-mentioned property for rinspection npppurpposes. Date'. Driver's License or Social Security x: 164146 Winte—Building, Green—Code Enforcement: Canary—Applicant, Pink—Revenue; Goldenrod—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 069622 PERMIT NO: B 064622 PLAN CHECK NO: 04181-93 S GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH JOB DESCRIPTION : T/OFF SHEATH 6 REROOF W/TILE ICBO#4660 SQ FT: 7,196 CLAIM VALUE: 7,196,00 CALC—VALUE: 7,196.00 GROUP OCC: R-3 /M-1 COMMENTS: REROOF RESIDENNCE I/NILE, SMOKE DETECTORS REQ[ � R �� Q U I R E M E i� S E T B A C K S REO tI *� ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RIGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 41237124 ZNE: REF NO: PLANNING NOTES> iE iE if iE ff 1e ie iE !E iF fE 1e fElE iE fEle k �E iE # ik ie 1(- ak iE ie * * ik jElelE iE iE 1E * iF iE iE 1E eE lE * * iE iE if ae iE fE * 1Elf #F aF if ie feie iE 1E * of ie # if ie iE iE * aE eE ff ieRf i4 jE i! D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N:T S ZONING APPROVED BY DATE: BUILDING APPROVED BY : DATE: APPLICATION ISSUED BY: > H( DATE: Nq hEiliEiflfieifieielEiritlfilic�fefEfEiEiP7tiFlEiFiEiFii+Eielele*iEaFie?F1FaE*lEifiE*1klf EhfaferiElEieMieieie*ifiPiFiF*iiEiEiFieieiElEiF?EieiEiE*ie4k#` iE iE iE iE M if if ie �E it iE 1ElEaE if iE if ft iE if iE it*kiE fE 1E 1F 4e iE fE k iEif iE he ie iF 7f**ia iE aF iElfkMlE iE ie fF ie iE ie*1E iE iE i4 iE if le if iE *iE ie it**1F if iE iE iE iE 1E 4E LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 99,00 ,72 SMIP/NON-RES PLAN 64.35 ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 99.72 0,00 64.35 164.07 164,07 .00 REVENUE DIVISION TOTALS--> COLLECTED: 164.07 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 99.00 .72 64.35 iE iE ae fe if ie i! iE iE iE if iE iE 1E 9E Tf eE aE ii iE i4 fE 4E #e if ie iE iF j( -if ie if iE iE * if iE 4E if if #' 1E * ii iE if K iP * iE ie if aE ie iE ff if if is iE ie * * ie if iE ie iP iE # 9e jE ?FTE if ie iF * is I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 7196 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 7,196.00 END OF FEES s'. 01 00144534-00149536 TICET 164.07 DATE: 19/25/93 TIME: 13:28 CONSTRUCTION AND PLANNING APPROVALS Permit # Datspector e In POOL &. APPROVALS Permit # Date Inspector i. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2, Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Updrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd' ' 55. Electrical Bonding 5. Steel Reinforcement 56, Rough Plumbing & Pressure Test 6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE .� 7. Footings 58, Electrical Conduit-Undrgrnd. B. Foundation / 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. I ,e J 60. Backwash Lines. P -Trap, 0 Undrgrnd. 10. Structural Floor System " '; 61. APPROVAL TO DECK 11. Property Sewer Line & House -Connection -' 62. Backwash &Receptor -Fina! ' 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains - 64, Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16, Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18, Rough Electrical -T Bar Ceiling 69. POOLISPA SYSTEMS FINAL 19, Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71, Product Piping OGas 00il 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 25. Roof Sheathing 26. T -Bar Ceiling (Structural) & Monocoat ffD� -73. Under9rnd.Storage Tank O Gas 0011 74. Overhead Hydro 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL ' 29. Insulation 78. FIRE PREY. FINAL - 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34, Final Heating & Air Conditioning 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45- Sound Attenuation 46. Handicap Regulations- _ 47. FINAL STRUCTURE &', ILDING 48. FINAL PLANNING . 49. Electric Release to Edison ' 50. Gas Release to Souttlein California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date I _J PROJECT ADDRESS: 1002 CANNONADE CI UNIT: OWNER' $ NAME: LOGUE MICHAEL F ADDRESS: 1002 CANNONADE CIR COSTA MESA,CA 92627 ARCHIENGINEER: REG.NO.: DEBORAH LAI -MASON C47J�6 ADDRESS: 1332 N MILLER ST ° 201 y PERMITTEE: ANAHEIM CA 92806 d� ADDRESS: TANAKA NURSERY INC. (714)777-3842 18542 YORBA LIADA BL YORBA LINDA CA 92686 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am license under provisions of Chapter 9 (commencing with Section 7003) of Division 3 of the Business and Professions Code. and my he t in lull force and effect. CITY LIC' 9 STATE UC.£] 69964 i Signature'. %WORNE ' COMP ISATION DECLARATION: hrm that I nave a certificate of consent to self -insure ora certificate of Workers' Compensation Insurance. or a certified copy thereof (Section 3800. Lab, C) POLICY NO.: 12556713-93 EXP. DATE:0 1/94 COMPANY:STATE FUND ❑ Cernfie copy is reby furnished. k(] Certified copy is file he uud Division. ate: Applic E%EMP ON FROM ORKERS' COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred (S10 b I cerci that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the WorkersCompensation Laws of California. Date: Signature: NOTICE: If, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civ, Q. LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason (Section 7031 5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish. or repair any structure, prior to its issuance. also requires the applicant for such permit to file a signed statement that helshe is licensed pursuant to the provisions of the Contractors' Slate License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the ❑ structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractors' State License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himselfhorself or through his or her own employees. provided that such improvements are not intended or offered for sale. It, however the building or improvement is sold within one year of completion. the owner will have the burden of proving he/she did not build or improve for the purpose of sale). I, as owner of the property, am exclusiI contracting with licensed contractors to construct the project (Section 7044, Business ❑ and Professions Cotle'. The Contractors' Slate License Law does not apply to an owner of property who builds lir improves thereon and who contracts for such projects with a contractor(s) license pursuant to the Contractors' State License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B. 8 P. C. for this reason: Date: _ Owner I do hereby cemfy that I am aware of and understand the requirements of California Health and Safety Code Sections 25505, 25533, and 25534 and that I or any future building occupant will/will not (circle one) need to comply with said state codes and the requirements for a permit for construction or modification from the Air Ouabty Management District. Residential. construction applications are moral Uom these provisions'— Date: _ -Apo icanL hereby certify that I have read this application' and state Ihat the above Infbrmaho tact. agree to comply with all city and county ordinances and ate laws rel ing to building construction and hereby authorize re se roes of this city to enter upon the above-mentioned properly/y,r pection pu bees. a of i Cover's/License /Social Secumy a " 164 b46 White—Building: Green—Code Enforcement: Canary—Applicant, Pink—Revenue: Goldenrod—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: BE 062728 PERMIT NO; BEP 062728 PLAN CHECK NO: 02240-93 S GOVT; N SUPP; N CONSTRUCTION TYPE; PERMIT TYPE; ELE PLU STR PURPOSE; NEW JOB DESCRIPTION GUNITE POOL & SPA SQ FT: 16,500 CLAIM VALUE: 16,500.00 CALC—VALUE; 16,500,00 GROUP OCC; R-3 / COMMENTS' GUNITE POOL & SPA Z O N I N GS E R T E B Q A U C I K R S E M E N T 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 RE • PROV: PARCEL: 41237116 ZNE: R1 REF NO: PLANNING N TES> NEW POOL AND SPA IN REAR OF EXISTING SINGLE FAMILY RES, > BE 1k 8F lE iE iF iE iE k k * iE Lt iE * iE BE Bf IF iE * BL iERt it * iE iE iE iE * iE * BE iE it iE iEiF iE iE * iEiE iE iE iE iE iE iE iF iE * iE iE iE iE%iF rt OE iE iE BE RP iE iE DE 3f k Be iE iF 8k iE fE if iF iF D E V E L O P M E N T S E R V I C E S R E Q U I R E M E// N T`/ S' ZONING APPROVED BY G ' �L DATE: (O 2 7 l �l 3 BUILDING APPROVED BY : DATE: APPLICATION ISSUED BY: sF� DATE• iE**iE iE iF iE*8F 1Ek*1F BF BF iE iE iF il•iE iE iF3F3fiF'iF3F if iF7FTf±FiFiFiFiF BE iFiF if3f3i iFiF7iiiTFiF iF it it iF BE iE 3f iE iE iE i(1E **4ik �E ik BE iE atiE*iE ikiE iEiE x BE fE iE rtlE fE it*BE*iE iE iE kiE*****iE iE BE itit BE*it BEiE BF DE*BEiE iE BE iE iE iE iFiEiE iEiE iE iFiERt iEiE *iE it iE lEiE iE BE iE iFiE LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 180,00 7,00 30,00 1.,65 258 508 SMIP/NON—RES PLAN 117.00 ISSUE FEE 20.00 11'5,00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 218.65 35.00 t/j 117.00 370.65 370.65 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 370,65 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PIAN—CHECK 180.00 27.00 45.00 5 1.65 117,00 �1 8E BE iE if iF * BF BF BF * if 1E 1E BEiF BE 1E iE iE iF iFiFiE BE iE iE iFiF BE BE ik 1EiEiE1E iE if iE iE 9E iE iE iFiE iEiE 9E iEitiE aE iE TE ik iE iE IF DERE iF iE iFiE BE df DE dL- * iE IEdE iE Bt iEdL-9f .x. �. # I N D I V I D U A ,Li F E E B R E A K D O W N 4 TYPE QTY D E S C R I P T I O"N UNIT COST TOTAI. COST SFR 16500 POOL & SPA %/ 1,00 16,500,00 ELE 1 SWIMMING POOL — IN GROUND — NEW EA. 30.00 30.00 PLU 1 SWIMMING POOL " 7,00 7,00 END OF FEES 'n 01 00141575-00141579 T CET 3370.65 `.r DATE: 06/24/93 TIRE: 10:20 J4 ' CON _i7TrOR IC�ND PLANNING POOL & _ A Date In .-�" APPROVALS :Permit # Date •,- Inspector APPROVALS Permit # 1. Temporary Electrical Service or Pole - 52. Pool & Equipment Location . 2, Soil Pipe-Undrgrnd. - 53. Steel Reinforcement Il 3. Electrical Conduit Utility•Undrgrnd. 54. Forms 4, Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test J _ 1q� ' G. Electrical,UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7, Footings _ ' 58. Electrical Conduit-Undrgrnd. _ ,, 8. Foundation • " ,' �-• 59. Gas Pipe, U UndrTest {//ll - � IIIYYY///��Vgrnd., ' 9. Water Pipe-Undrgrnd. r �,: 60. Backwash Lines, P-Trap, ?D Undrgrnd. 10. Structural Floor'System, �i �r 61. APPROVAL TO DECK 'l 11. Property Sewer Line '& House Connection 62. Backwash & Receptor-Final 12. Sewer Cap _ 1 63. Heater & Vent-Final .i 13. Roof Drains .. 64. Plumbing System - Final 14. Rough Plumbing i 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67, Fencing & Access Approval 17, Rough Wiring Sign 68. APPROVED FOR PLASTERING '�_• ��j 18. Rough Electrical-T Bar Ceiling L 69. POOLrSPA SYSTEMS FINA71 '19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT .APPROVALS `Perdti2 #` _ 20. Rough Factory Fireplace ' - - ' ' 21. Ducts, in Structure - • - - 70. Underground Hydro ' 22.. Ducts, Ventilating - ' f *71. Product"Piping OGas O.Oil �: :� 23. Gas Pipe-Rough & Test _72. Underground Flush, t •' 24. :Roof Framing - . " '73.'Undergrnd.StoragerTank OGas OOil 25. Roof Sheathing - - 74..Overhead Hydro ' 26. T•Bar Ceiling (Structural) & Monocoat - - `. 75.;Dry Chemical 27. Frame and Flashing. 76. Dry Standpipe - 28. Lathing & Siding I I 77: FIXED SYSTEM FINAL ' 29. Insulation - ( I- 78:FIREPREV.FINAL - ' 30. Drywall Nailing ,r' '- - 'HEALTH'DEPT.REQUIREMENT -31. Plaster Brown Coat. 1 - I �. . 79. FINAL INSPECTION 32.' Electrical Power Meter-Final ' 80. FOOD CERTIFICATE ISSUED i 33.-Final Electric Notes: Q� 34, Final Heating & Air Co6clitioning 35..-Final Gas Pipe-Test, •36. Hood or Canopy r � 37. ,Final Factory fireplace. 38 ` Final Plumbing - 1 39. Water Service-Final` _ 40. Gas Service-Final 41. Solar Domestic-Final- � I 42. Backflow Preventer 43. Backflow Irrigation-- , 44. Landscape Irrigation System - -- 45.-Sound Attenuation :46. Handicap-Regulations l 47. FINAL STRUCTURE & BUILDING .48. FINAL PLANNING 49. Electric Release to Edison ! 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date 0i -.y col Costa Mesa Planning Daparimant -- Post Office Box 1200 77 Fair Drive J IJ P } 56-5245 s4ifornia 92626 CE j� t IJ REQUEST FOR OCCUPANCY 1E;q (Single Family Residential or Condominium Units) AN AUG 7 0 1978 a 1819;3Jall'92y�� `�r3�4�5i��1 Tract No. GU / Date 5 —/D Lot No.—/ a Address �/)�7 7 i�iz n -�Gt_� C �• 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 executing this..agre�?ment, acknowledges that (he, she, they) (was or were)_JOLACt,� advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the City at the time the final tract map was approved. The City assumes no liability for the enforcement of the conditions necessary for approval 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 personal injury to the undersigned by reason of the aforementioned uncompleted condition By Purchaser By Developer and/d Author Representative By Lender PROJECT ADDRESS: 1002 CANNONADE CI UNIT: , OWNER'S NAME: LOGUE, MICHAEL F IiADOREss:1002 CANNONADE CIR COSTA MESA,CA 92627 ARCNIENGINEER: REG,NO.; ADDRESS: UNIT: PERMITTEE:TANAKA NURSERY, INC. (714)777-3842 ADD BESS:18542 YORBA LINDA BL YORBA LINDA CA 92686 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) o1 Division 3 of the Business and Professions Code, and my license is in full force and effect. CITY tic.: . TE uc.669964� Date, _ Signature: WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure or a certificate Workers' Compensation Insurance, or a certified Copy thereof (Section 3800. Lab. C). IOLICYN:OMPAo.:125671FUND EXP. DATE: 04/011,94 •omPAxr:STATE FUND Nv/� J Certifieddi Is reby furnished. R( Certified copy is filed with the ng Ian Date'. ` APPllcan,� �� E%EMP ON FRO WORKERS' COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred ($100) or less). I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the WorkersCompensation Laws of California. Date: Signature: NOTICE: If. after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civ. C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, Complier, or regal any structure. prior to Its issuance. also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500). I, as owner of the property or my employees with wages as their sole compensation. will do the work, and the F] 1. is not intended or offered for sale (Section 7044, Business and Professional Cade: The Contractors' State License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however the building or improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the Project (Section 7044, Business ❑ and Professions Code ' The Contractors' State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a ContraCtor(s) license pursuant to the Contractors' Stale License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B. 8 P. C. for this reason: Date'. Owner: I do hereby certify that I am aware of and understand the requirements of California Health 25534 and that I or any future budding occupant will/will not (circle one) need to comply wi permit for construction or modification from the Air Quality Management District. Resident these provisions. and Safety Code Sections 25505, 25533, and wit said state Codes and the requirements for a ial construction applications are exempt from Date: Applicant I hereby certify that I have read this application and state that the above information is coggi I agree to comply with all city and county ordinances and state laws relating to building construction and hereby authorize repress of vies of this city to enter upon the above-mentioned property/for inspectiurp/yos+es Date'. �+ �/on p / Signature' Driver's License or Social Security sr 164146 White-13miding-, Green—Code Enforcement. Canary—Applicant; Pink—Revenue: Goleenrotl—Assessor CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 062657 PERMIT NO: B 062657 PLAN CHECK NO: 02168-93 S GOVT; N SUPP: N CONSTRUCTION TYPE; 5-N PERMIT TYPE: SIR PURPOSE; ALT JOB DESCRIPTION 240SF 'POST & TRELLIS" PATIO COVER SQ FT: 240 CLAIM VALUE; CALL -VALUE: 3,552,00 GROUP OCC; R-3 /M-1 COMMENTS: SMOKE DETECTORS REUIRED ***,E BEiFk,Eifll9E*9Eif9E9E9EiE*9E,EttiEBEikikiF,EiE,EiE*9E,EBEBEiF#ikiFBE9EiF4EBEjEiF g PER THE 1991 EDITION OF THE UBC, EiE1EiFifRElEiFBE1E 6TOR Z O N[� IN GS �f [� 1=, M M E N T S ERTEBQAUCIKRSE ------------ MAIN BUILDING ---------- --------- PEQUIRED ACCESSORY BUILD NG --------- FRNT: FT IN REAR: 25 FT IN FRNT: FT IN REAR: FT IN LEFT: 50 FT IN RGHT: 5 FT IN LEFT: FT IN RGHT: FT IN PARKING RE&p PROV: PARCEL: 41237116 ZNE:.R1 REF NO: PLANNING NOTES> 240 SQ. FT, PATIO COVER AT SIDE AND REAR OF EX. SFR. iE * k iE RFiF * iE if k iE k iF 1F kBF BE iE iE iE iE iE iE * iE iFRE iE iE BE BE iE * if RElE iF >f iE BE iE iE iE k iE 1E iE JE JE iE iE BEit iE iE iE iE iE iE !E iF 9E iE aE * iE DE BE.lf.iE lE rt * iF iE 9F 9F iE iE D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N._.T. S ZONING APPROVED BY e cc DATE: ` , S BUILDING APPROVED BY : DATE: 17 A 11 1_ APPLICATION ISSUED BY: DATE: 6 �� BE iE iE RE iE iEBE iEitiE fE lE iF BE iE iE iE iE lE iE iE 1k iE 9E iE k BE iFREk iE iE iE 9F BE kiE SE iE iE iF 1E 7Elf iE 9f iE kiE fE*lE lE BF iEfE iE iE 9F jF*iE iE if iE iE fE if MlE iE iF-)f 3E BE iF if *if iF 9E iE iE iE iF iF iE if*iE JE iE JF iF iEiE iE BF 9E BEBF 9E iE fE lE 1E JE JE iFiE dF LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 63.00 50 PLAN 40,95 SMIP/NON-RES ISSUE FEE BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE TOTALS ---- > 63.50 0,00 ' 40.95 104,45 104.45 ,00 ,n REVENUE 00 BLDGDIVISION PLUMB NG ELECTRIC OMECHANDIC FIRE 4�SMIP45 O/TOT/$GRADING PLAN -CHECK 63,00 11 ,50 40,95 BE 1E iE BE 1E RF iE**BE k�E 9E 1E JE BF JE iE*iE iE iEl Bt iE iE iE BE 9F BE iE iE#k*BE**iE*fE iE 9E k iE iF 9E**iE*RE iE iE iFik iE iF*iE iE RF*iE iE****�E iE 1F iE iE 9E lE if iE Rt I N D I V I D U A L "'F E E B'R E A K D O W N r TYPE QTY D E S C R I P T I O N:17 UNIT COST TOTAL COST � z, SFR 240 RES -PATIO COVER -POST &/:TRELLIS 14,80 3,552.00 .,-END"OF FEES TJUN 1 8 1993Gil . CITY OF COSTA MESA MMA CONSTRUCTION AND PLANNING P & SPA- - APPROVALS Permit # :��teTlpector APPROVALS Permit # Date Inspector 1. Temporary Electrical Serviceor Pole - - 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd., 53. Steel Reinforcement .4. 'Electrical Conduit Utility-Undrgrnd. 54. Forms 4, Electrical Conduit-Undrgrnd. 55. Electrical Bonding - -5. Steel Reinforcement - 56. Rough Plumbing & Pressure. Test G•;Elejctrical UFER Grnd. 57.APPROVAL TO COVER-GUNITE „7.. Footings 58. Electrical Conduit-Undrgrnd. 1 -8.rFoundation 59. Gas Pipe, 0 Undrgrnd., Test ' 9. Water Pipe-Undrgmd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor'Systern 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cat 63. Heater & Vent -Final 13, Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68, APPROVED FOR PLASTERING ' 18. Rough Electrical -T Bar Ceiling 69. POOLISPA SYSTEMS FINAL i 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT s _ .APPROVALS Permit # _ 20. _Rough Factory Fireplace 4 y ;' 21. Ducts, in Structure - =70. Underground -Hydro I l 22. Ducts, Ventilating.` 9- _ '•'' ° x - .71. Product Piping 0 Gas ❑bil 23. Gas Pipe -Rough & Test r � 1: , -_72. Underground Flush: L. a 24. Roof Framin- g `' e 'Undergrnd. Storage Tank 0 Gas 0 Oil .;� .73. 25. Roof Sheathing * .. - - 74: -Overhead Hydro-_ J 26. T -Bar Ceiling (Strpctural) & Monocoat 75..Dry Ctiemical _27. Frame and Flashing �. 76. Dry Standpipe 28. Lathing•& Siding,, ,'I 77. -FIXED SYSTEM FdNAL' 29. Insulation 78:%FIRE PREY. FINAL 30, Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat - - � �.I. " t I r79"FINAL INSPECTION - �-32.-Electrical Power Meter=Final •- ; I ( :80. 'FOOD CERTIFICATE ISSUED. _ X33. Final Electric- ',.• ` _jir < Notes: (Jovisee-lG�9y .34:- Final Heating& Air Conditioning ..� i 4�0 35.,Final Gas Pipa-Test- -s .r 36. Hood or Canopy • . I I Imo.` • 1 .S 37. `F. inal Factory Fireplace T 38. Final Plumbing i r 39.*Water Service -Final' 40. Gas Service -Final - '41. Solar Domestic -Final - 42. Backflow Preventer 43. Backflow Irrigation: - - 44. Landscape lrrigatloni..System- .^. ? y s 45: Sound Qttepuationr.. 46. Handicap Regulatitirts; ; r• .- i �• - - 47. FINAL STRUCTUF;, &`BUILDING sJ(�( i i • I - 48. FINAL PLANNING 49. Electric Release to. Edison, 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF•OCCUPANCY i No. + Date 'c- n rl$ COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUILDING ADDRESS R FOM FAMILY TRUST MAIL ADO CITY ADDRESS TEL. CA 92705 NO. ARCHITECT OR ENGINEER Hales-LangstonNOL'547-086L ADDRESS 777 S. Main, #105, Orange 92668 CONTRACTOR Foley Construction 'C0., Inc. ADDRESS Same as above TEL. CITY NO. STATE CITY LIC. NO. LIC. NO. SIZE NO. OF BLDGS. D OF LOT NOW ON LOT USE OF EXISTING BLDG. N/A Separate permits are required for electric, plumbing and heating work. - USE OF BUILDING AND WORK TO BE PERFORMED I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all laws regulating building construction, and I shall not employ any person in violation of the workman's compensation laws of the State of California. I hereby certify that I am properly licensed as a contractor under the State of California Business and Professions Code, Division 3, Chapter 9, and that such licenses are in full force and effect, or I am exempt from the provisions of the State of California Business and Professions CodeDivision 3(, Chapter 9. Signature of['�.Ai1'.!%/�� Permittee OCT 7.1-77PAIB001076* *** chSA 317.71' A JL/C4T[ON FOR STRUCTURAL PERMIT RE I E pV L-7-77-�o D 6 JE RECEIV DATE ISSUED ?� A.P. NO. ¢D' D.S/� PERMIT NO. BUILDING ADDRESS 1002 Cannonade Circle TRACT qqnl I LOT 14 1 BLOCK W I ADD I ALTER REPAIR TOTAL PAID $ X na,rc /D-�O^'77 OWNER OLt;� US u SE `J ALUE$640 pV APPROVED DATVO ',-Al � ZONE ,r•aJ (PLANS Z BUILDING NO. OF USE OF NEW g YARDS APPROVED YARDS APPROVED J DISTANCE BET. PLAN CHECK BET. MAIN & MAIN BLDGS. n LL u ACCESS. SLOGS. VAR.+ / DATE C.U.P.# APPROVED + TOTAL PAID $ APPROVFl5/ Zdrte na,rc /D-�O^'77 N n m i e 2216 SQ. FT. a THE AMOUNT SHOWN UNDER VALUATION IS FOR D THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY; VALUATION PERMIT FEE $ a N m $ (pV PLAN CHECK $ D n LL u TAX $ / TOTAL PAID $