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Home My WebLink About1005 CANNONADE CIR - Building PermitsPROJECT ADDRESS: 1005 CANNONADE CI UNIT: OWNER'S NAME: SHARON LONG ' - 'ADDRESS: 1005 CANNONADE CI PLAN—CHECK COSTA MESA CA -92626 (714')978-7970 'ARCH/ENGINEER: TERMO.: ADDRESS: UNIT: PERMITTEE: SANTIAGO AIR CONDITIONING (71"4)998-1600 ADDRESS: 231 BLUERIDGE ORANGE CA 92665 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 in full force and effect. CITY UC.: 0.1. 5 2 6 4 sTATE • c-:269 4 96 SS: — 20 Date: _ Signature: WORKER OMPENSATION DECLARATION: hereby affirm that a We co e of consenre or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Section 380f b. C). POLICY NO.:W-0732051 EXP. DATE: 07/01/9 COMPANY: PACIFIC STATES ❑ Cerfifie copy is hereby fur had ® Certified copy is filed theyiD Building Division. 1 Applicant: ,EMPTION FROM WORKERS' COMPENSATION DECIAL4TMN: (This section Mail not be completed i e mut a for one hundred (5100) or less). I certify that in the performance of the work for which this permit is issued, I shall not employ y p son in any manner so as to become subject to the Workers' Compensation 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, 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 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 fiver hundred dollars S500). I, as owner of the property or my ainvloyees with wages as their sole compensation, will do the work, and the 0 structure is not intended or offered for safe(Section 7044, Business and Professional Code : The Contractors' State License Law does not apply to an owner at 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. 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 prope , am exclusively contracting with licensed contractors to construct the project (Section 7044, Business and Professions Cade: The Contractors' Stale 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' State License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. - ❑ I am exempt under Section: I B. & P. C. for this reason: Date: - Owner: I do hereby certify 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 requirementsfor a permit for construction or modification from the AIr�Management District. Residential construction applications are exempt from these provisions. i Date Applicant: I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned Probeinspection puryo5as. i a Dale:, Signature: Driver's License or Social Security x: 164146 White—Building: Grean—Ccde Enforcement; Canary—Applicant; Pink—Revenu ' Gold rod—Assessor CITY OF COSTA MESA —'BUILDING PERMIT PERMIT NO: EM 048406 PLAN CHECK NO: N PERM NO: EM 048406 GOVT: N SUPP_: N CONSTRUCTION TYPE: 5—N PERMIT TYPE: ELE MEC . PURPOSE: OTH JOB DESCRIPTION ; NEW A/C,UNIT,& NEW FAU SQ FT: CLAIM VALUE: CALL—VALUE: GROUP OCC: R-3 / COMMENTS: yr+tityryt�tx�t**�t*mit*�t*�r�rx�t*�Eit�t�ryE+t*�tx**�r*�r�E*�Eit�E*iE**�t�ryt*��t**�E�t*it**x**�E�E�t� *it�k�t�Eitir**�t+tx* Z 0 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: 41237118 ZNE: REF NO: PLANNING N TES> 1f iE9t 9E it 4t 4tx9t 9E ie 9E iE it ik iE ie ie iE if it iE 9FilkiE iE ie*iE iFk*il ik iEit,9t iE 9t**iE ik iE iE 9klt 3E 9e iE iF iE et iF ie iE it ie ie eE ie ee iE 9E*ie*itk9E ae 9E**iEkiE ib 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; DATE: DATE- APPLICATION ISSUED B i(-iE ie 1E iE 9Eie iF iE 9e iF aE It 9F ieiE9e9kltie9FiF9E9Ffe9e4e9eiESEiEia*it 4F**yE4teeiF9tae9E9eieiFseiF*iEieiFikiEik9fat9E 9fiF*9e♦E*iFiFiFaeiF9E**iEii9FiEitik9eif9F9tiFieit9EiF*iEeE9t LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT PLAN' . ISSUE FEE BUILDING—DIV—> PERMIT TOTALS ---- > 21.00 3.00 18.00 50% 25% 1SMIP/NON—RES 15.00 15.00 ISSUE PLAN—CHECK TOTAL PAID DUE 30.00 0.00 51.00 51.00 1.00 REVENUE DIVISION TOTALS--> COLLECTED: 51.00 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 18.00 33,00 ie iE*fF9leelEfFiFlElflf i69k 9E if*ie 9Fir 9t 9e*iE 9e ie 9E iE ie*iE**kiE*iF it iE if*9k 9F ee**it iF ilkk if if ieiE 9E aE*IEif ilk**eE*9E iE 1E eF ie iE lF iE IF iE 9e 9e 9E ie 9E 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 ELE 1 MOTOR/POWR APPARATUS 0.0 — 1.0 HP 3.00 3.00 MEC 1 INST FORC—AIR/GRAV FURN <= 100 K BTU 9.00 9.00 MEC 1 REFRIGERATION SYSTEM <= 100 K BTU/H 9.00 9.00 END OF FEES 01 00066716-00066717 TCLT DATE: 08/02/90 TIME: 09:�1 D 51.00 CONSTRUCTION AND PLANNING POOL & - APPROVALS Permit # Date - Inspector- APPROVALS Permit # Date Inspector r z , 1. Temporary Electrical Serv'+c� or Pole:,- 52.'Pool & Equipment Location .,. , 2: -Soil Pipe-Undrgrnd -i ;�-., _.; a f 53. Steel Reinforcement =' 3�.Electrical Conduit'Utility-Undrgrnd!! - 54. Forms' .. - 4'.. Electrical CondUiDUndrgrnd � - _;,1 1 55. Electrical Bonding 5.`$teel%Reinforcement 56. Rough Plumbing & Pressure -Test -„6. EI'ect,ical LIFER Grnd. •- 57. APPROVAL TO COVE R-GUNITE •� 7.*Footings _ ,. 58. Electrical Conduit-Undrgrna. 8. Foundation '� - + 59. Gas Pipe, 0 Undrgrnd., Test - -- g.1 Water Pipe-Undrgrnd. `- .. 60. Backwash Lines, P -Trap, ❑,Undrgrnd. t 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer'.Line_& House'Connection - 62. Backwash & Receptor -Final- 12. Sewer Cap?� �,� '�� 63. Heater& Vent -Final 13. Roof Drains - --� �`�-'�• 64. Plumbing System; Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical-Conduit66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access,Approval I - 17. Rough Wiring Sign - 68.`APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling - 69. POOL%SPA SYSTEMS FINAL 19. -Rough Hating &,Air Conditioning _ ,�} ,,. ,,,+ , FIRE.DEPT. REQUIREMENT -APPROVA LS.t�i Permit # 20.oRo6-gh Factory Fireplace 21.ecy, • - n 21.:Duct's, in Stru`eture Undergro nd'Hvdio M _70. 22. __Duds,Vent ilatingt4 F r'. c71. Prod uctPipingOGas 0Oil 23. Gas',Pipe`-Rough & Test�, . [' J, r: k ,72. Undergroun,d�Flush� y 24.;5odf'Framing•y' _ .: y� •- -73.-Undergrnd.Storage'Tank E) Gas ❑Oil 25. Roof'Sheathin 9 t 'D* x 74.'Overhead Hydro_ x _ T l 26.-J-Bac Ceiling (Structural) & Monocoat _ I..f • * x i' 75._Dry Chemical C' m 27. -Frame ah -d Flashing �'� �; ' -• �' 'J-� 76.• Dry Standp'i`pe ,M. Lathing &Siding � _ _ ,- ^ + 77.^FIXED SYSTEM RINAL ul % n 29. Insulation" 7B,`FIRE PREV. FINAL' 30. Drywall,Nailing HEALTH'DEPT:REQUIRE_MENT l ^FINAL X31. Plaster Brown,Coat- �. '- v .79. INSPECTION,✓' t'� r. M ; : ✓ Y : - C i 3 ,32.rElectrical-Power Meter-'F.inal � _b 80.'FOOD CERTIFICdTE ISSUED %33.*in4hElectric� '= �Cf �. v,' Notes:-- 34.`.F.incl'Heating& Air Coniiitioning' gQ 1 64W 7 35..Final Gas -Pipe -Test O . . `36..Hooc:or Canopy 37. Final•Factory Fireplace = C L %38. FinaI Plumbing :T. 1 •'J J V 39. Water Service -Final i . x.:: - r , - 40. GasService-Fin21 •-' -• ! �: " `="' --"` '` '�' d 141. Solar Domestic -Final - ,:. -- j `r . ;c 7.4 - r ^� 42. Backflow Preventer 43. Backflow Irrigation' •r , ` r l44. Landscape Irrigation System �• �" - " ° '"'"" _tA 45. 'Sound Attenuations r c - -Handicap 'r r y l `'= 46. Regulations �. _ •� `' FINAL STRUCTURE & BUIL`DING > ^ .474 48. FINAL PLANNING+ - Electric Release to Edison •'. ;:, ,49. 50. Gas Release to Southern California. Jas Co 51. CERTIFICATE OF OCCUPANCY " No. Date J ADDRESS OF BUILDING: 1005 CANNONADE CI UNIT: OWNERSIUMEIF KNOWN MYERS, KEITH W FLOOD: X L38 ADOREn: MYERS, BONNIE 1005 CANNONADE CIR COSTA MESA,CA 92626641-8654 APPL. WIUM(I ADDRESS: ARCNffECT OR ENGINEER: ACN.OR ENG.'S ADDRESS: Uc. W.: UNIT. _CONTRACTORSNAIM WEATHERLINE ROOFING (714)748-9707 CONONACTOWS NNUNC 2810 PORTOLA DR ADDRESS. COSTA MESA CA uGNo_ 626955 92626 LICENSED CONTRACTORS DECLARATION: I hereby affirm under penalty of perjury mo I am licensed under pwiebew of Chapter 9 (commencing with Section 7000) of Division 3 of the Bueirron and Prdeesbns coda, and my noway is in fun fora erd elect. CITYLIC.No.: 002810 uc.cLAss: C39 uc�o: 6 6955 EXP: 06/98 oma: F-��—/% Common., �� OWNER BUILDER DECLARATION: I hereby affirm under penalty of Mr uq that I an exempt from IM CaNradon U.. Lew far the following reason (Section 7031.5 Business and PMassiona Code: Any Cry or count' whidr rewree a permit to mnmrun. an n, improve, demolish, or repair any structure, prior to its ivaummm, who requires the applimm fa each permll to NO a signed statement thin he or she e licensed pursuant to the povisiwre of the Conlractore License law [Chapter 9 (commanding with Section 7000) of Derision 3 of he sinew and Rdenias Curial w the he or site is exempt tharahan and the base fa the alleged asemptim. Arty videlim of Section 31.5 by any applicant for a permit subjects the applicant to a civil penalty of n91 more than Me hundred dollars IMD L] I. as owner of the property or my employees with wages as their sort compensation, will do the wsmk, and the mu sur, is riot intended or Mend for seat (Section 7(44. Bual. and Pmfsaeions Code: The Capture. License Law does, nd appy to an owns of property who builds or improves thereon, and who does such work himself or herd or through he or her owe employees, provided that such 'mpwenams me not intended or offered! for sets. X, however, the Wilding or inpmvemem is sold within one year of completion. the owner -W ileler will have the When of proving M or she did nal build or improve fa the pupae, of sats). ❑ I, as owner of the property, an, exdusively ouhadig with licanad comacdors to coumuct the proleol (Section 70aa, Business wad professors; Code: The Conlrecto s Licsnss law does not appy to an owners property who builds or improves thereon and who wntrects M such protects with a comrtlon(e) Irenxd pursuam to the Contractors License Lew). ❑ 1 am wa mpt under Section: B. A PC.. far Ne reasm: Case: Cenen I do hereby unify that I am aware of and understand the requirsmears of Canons. lfsalth and Safety Cade Sooi ins 25506, 25533, and 25534. and that I or any hilum Wilding awupenl will / wil not (circle one) need to oompy with saN nae code end the raquiramems ler e peonfacasmxtion a rriodifimlbn homthe A'raueTityy�aregament DMrict. Reeitlenlel canatrdion appkatkroeare exemptfmm those povisane. Doe: Appticam: WORKER'S COMPENSATIM DECLARATION: I hereby affirm under penalty of perjury aro d the following declarations: ❑ Chew the meimainac 0 the whirtoediasure iswaken'cornrpematbn,upovldnd IcaMSection 3700dthe lobar Cade, for the pedamerce d the work la wh.h the pend . .sued. C7 I have and oris maintain workers' compensation iruurence. as required by Seaim700 d Nbo 3e Lar Code, ler the P,dormmd moe the w YC ork for whkim Ihis permit a issued. My warless' cam nasion insurance carrier and polio, number are: Caslen: STATE FUND EXPIRES Panay Number: — 07/01/98 Tis section need nil be completed n the perm. ler one hundred dollen ISIOWI or len.) I ninny that in the performance of the war for winch this peok is issued, I Oust we employ any person in my manes so as to become subject Io the waMms' compensation lawn of California. and spree that If I should become abed to the worms' v/g��tion pr/ov`isens d Section 37M d the Labor Code, l at h campy wM tlmue pwmoro. D. Cco ^ hit -P: % Appticum: Wem/ng: Fallun ro ueun worrtm' eonpersadon poverag, Is uAIa , antl shell sWfecl an erryrloysr ro alsr6rml psnaltlu end clsil Bites up so one hundred theusend dalkn ($100,000), M w1dlden W the cost of damages u proyded ler In Sscgon 37M of the Labor Code, hrt,nal, and whomay'a leu. CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a oonmrMim lending agency, for the pedormmce of the wale fa whidm the peon .'issued (Sedan 3097. civ. C). LENDER'S NAME LENDER'S ADORE%: I certify thin I have reed this epplicmion and mate that the above informaion is ooneat. I agree to comply with ml city and count' nonmember and state leve relating to Wilding consyuctbn end hereby authorize reptesentoivee of this c y to Omer upon the aWve-menlioned Property for inspection purpeeas. KEN LARUE Print Name Data: Si9nmure d Owner/Agent/Appllunt/Dumraew (515146.WP) Whilo-BOildig S Sefery: Green -File: Canary-AppRrant: Pink -Revenue: Goldenrod-Asxma CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 08913' PERMIT NO: B 084132 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V -N PERMIT TYPE: STR PURPOSE: OTH JOB DESCRIPTION : T/O SHEATH 5 REROOF W/FIBERGLASS SHINGLE SQ FT: 4,900 CLAIM VALUE: 4,900,00 CALC-VALUE: 4,900.00 GROUP OCC: R-3 /U-1 COMMENTS: REROOF 1900SF RESIDENCE W/FIBERGLASS SHINGLES, SMOKE DETECTROS RE MMM MM M MMMM MM MM M M M M M MMM M 2222nd M M MM M M M MMM M MM MM M MMMM MMMMMMMMMMM MMM M MM M* M MMMM M M MM M M M Z 0 N I N GS ERTEBQAUCIKRSE 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 REQ: PROV: PARCE �s � #loff /a RQC EF NO: PLANNING NOTES_>, HJT(® G M M MM MMMM M M M 2222222 MMMM MMMM M M MM M MM M MMMM M MMMM��.T �E�M M M MM M MM MM M,M iF dE'M MM M M M M M M D E V E`L 0 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- DATE:.-=F�Ii� MM Milts MMM MM MM MMM3EMMMMMMiF7FiFiF'iFiF'iF3FiFiFiFifif�FiFiF� iFit�FiFiF3FMM MM MMIirMMM MM LEGALIZATION:Nnm F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 99.75 50 SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 100,25 0.00 0.00 100.25 100.25 .00 REVENUE DIVISION TOTALS--> COLLECTED: 100.25 OVER/SHORT: 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 99,75 ,50 MMMMMMMMiEMifMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMIEMMMMMMMMMMMMMMMMMMMMMi:MMM 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 4900 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 4,900.00 END OF FEES 08-11-1997/11:58 AMA100.25 R0THAI-0011,521 PERMIT:084132 le POOL CONSTRUCTION AND PLANNING APPROVALS Permit # - Date Inspector APPROVALS Permit # - Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement - ', 3. Electrical Conduit Utility-Undrgrnd. 54. Forms . '• 4- Electrical Conduit-Undrgrnd. 55. Electrical Bonding - 5. Steel Reinforcement,- 56. Rough Plumbing & Pressure Test 6:' Electrical UFER Grnd. - 57. APPROVAL TOCOVER-GUNITE - 7.'Footings ^ - - - 58. Electrical Conduit-Undrgrnd. 8. -Foundation `- -• 59. Gas Pipe, C)Undrgrnd., Test 9. Water Pipe-Undrgrnd. - - 60. Backwash Lines, P- Trap, O'Undrgrnd.., . 10. Structural Floor System 61- APPROVAL TO DECK 11. Property Sewer Line &House Corinection62. Backwash & Receptor -Final -r - 12. Sewer Cap '• 63. Heater &Vent -Final 1 13. Roof Drains -.64. Plumbing System .Final 14. Rough Plumbing 65. Electrical -Final F 15. Rough Electrical-Co6duit, - 66. Solar System -Final .' 16. Rough Electric Wiring 67. Fencing '& Access Approval - • ! 17. Rough Wiring Sign • • -68. APPROVED FOR- PLASTER ING ' 18. Rough Electrical -T Bar Ceiling - 69. POOL/SPA SYSTEMS FINAL ' - 1.9.'Rough Heating & Air Conditioning - -• - - FIRE DEPT. REQUIREMENT APPROVAL -,S! P`eimit # - 20- Rough Factory Fireplace 1' ' a " = •'J -1 � 2' - 21.'Duets, in Structur�e ;t ... _ 1' ;. • -.1 _- � J r T 70. -Underground Hydro i 22. Ducts, Ventilating i' - t i `; 71. Product`Pi ping O -Gas jDOil 23. Gas Pipe -Rough 9 Test - ` .j _ 72, Underground Flush. i. 24. Roof. Framing: m , ; _� _Y 73. Undergrnd. Storpge Tank ❑ Gas D --Oil •' 25. Roof Sheathing��,2,.•q'��C�jb/%74..Overhead Hydro �. 26. T -Bar Ceiling (Structural) & Monocoat - ' i 75'.Dry Cherpicai 27. -Frame and Flashing' 76. bry Staridpipe:--- 28. Lathing & Siding,: a - - S- 77. FIXED SYSTEM -FINAL ^ 29. Insulation .•. • 7,8. FIRE PREY. FINAL r 30. Drywall Nailing '' + _ t _ .HEALTH DEPT. -REQUIREMENT -------------- 31. Plaster Brown Coat'. ,_ _ ._ * 1 ;. 79. FINAL INSPECTION + ' 32. Electrical Power Meter -Final N 't 80! FOOD CERTIFICATE ISSUED 33. Final Electric t ' ' `y Notes: . 34. Final Heating & Air Conditioning= • r. 35. Final Gas.Pipe.Test i - ' _ ' •' ` - ,� 36. Hood or Canopy - 37. Final Factory Firepf7ace t J 38. Final Plumbing • -- Jr S 39, Water Service -Final • "' -r 40. Gas Service -Final.: 41. Solar Domestic -Final 5' 42. BackflowPreventer� -43. Backflow Irrigation* _ -•`-'- - 44. Landscape Irrigation Systemr'.j,; - 45. Sound Attenuation 46. Handicap. Regulations - = i Vit:• i 47'. FINAL STRUCTURE & BUILDING 48:. FINAL PLANNINGj. 49'. Electric Release to Edison 50. Gas -Release to Southern California,Gas Co -- - 51_i CERTIFICATE OF OCCUPANCY No. Date City of Costa Mw ning Department Post Office Box 1. 77 Fair Drive Costa Mesa, California 92626 (714) 556-5245 REQUEST FOR OCCUPANCY (Single Family Residential or Condominium Units) Tract No. 9901 Date 40 Lot No. 16 Address 1009 Canno. 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 agreement, acknowledges that (he, she, they (was or wer 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 uncomple' -' ' RECEIVED CITY OF COSTA MESA -"T AM JUN 2 6 1978 7r8r9r�r11r�r1 r2rsr4r6r6 CMF 0569-26 By Developer and/or Authorized Representative By Lender w PROJECT ADDRESS: 1005 CANNONADE C! UNIT: 11WNER'S NAME: LONG, JIMMIE LEON TR ADdrtss: 1005 CANNONADE CIR COSTA MESA,CA 92626 ARCHIENGINEER: REG.NO.: ADDRESS: UNIT: PERMITTEE: ELECTRICAL SYSTEMS TEST, (714)898-5113 ADDRESS: 15573 COMMERCE LANE HUNTINGTON BEACH CA 92649 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 Cotle, and my license is in full force and effect. CITY LIC.: .322193TATE LIC.: 311709 Lass: CC I O !/� (I�/,�� / —0i/ Signature: �C. �/IL[VV� //G_. )e ✓"& `v 1) `WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure or a certificate of Workers' 'Condensationsda cg, c rlifie$ 1, thereof (Section 3800. Lab. ) OLICY NO.: �� z��—J� EXP. DATE: 7/01/91 COMPANY: STATE FUND r ❑ Certifle copy is hereby tarnished. Certified copy is filedd w//'p/h�the c/ittyy�8uildmg Divviiissi000nn..� 'Dale //�/ Applicant: 4 ' ✓' "�'� n/ r " -EXEMPTION FROM 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. Dale: Signature: NOTICE: If, atter 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, 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 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, stras owner of the properly, or my employees with wages as their sole compensation, will do the work, and the ucture 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 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). 1, 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 contractors) 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. & P. C. for this reason: Date: Owner: I do hereby certify that Pam 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 wJlaw dI not (cil Cla one) need to Comply with said state codes and the requirements for a permit for construction or modification from the Air Ouallty Management District. Residential construction applications are exempt from these provisions. .. Date'. Applicant: I hereby Certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above mentioned property for//inspection purposes. /%f // /�/ /�/n/J Signature: �r/I r//tA, 7/1_/"�/aQ Driver's License or Social Security p: 1641 46 White—Building: Green—Code Enforcement: Canary—Applicant: Pink—Revenue: Goldenrod—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 052251 PERMIT NO: E 052251 PLAN CHECK NO: N GOVT; N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: OTH JOB DESCRIPTION INSTALL'SWITCH FOR AC RADIO CONTROL SQ FT; CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3-'xx COMMENTS',SMOKE DETECTOR REgUIRED IN THE HOME, % Z O N I N GS ERiEBQAUCIKRSE M E N T S /------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR; FT IN FRNT: FT INiREAR: FT IN' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGIT: FT IN PARKING REO• PROV: PARCEL: 41237118 ZNE; REF NO: PLANNING Nt3TES> > iE 1E 1E iE BE aE lE �F 8F iE is iE OE JE iE iE iE iF iE * BF iE � * )F iE BE BE iE 9E iE TF iE iE BE aE BF 9E iE iE aE iF iF # 9E aE # lE 3E iE?E IE * * # 1C iF 9E iE+E iE # R BE iF 1E TE 1E iF iE iE #E 9E ih #? iE rt JE 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: DATE; 1E 94*BE*iE BF BE *IE BE BF iE K3E*)F 1E iE*iE iE . e iE BE aE JE 1E iE aE iE BF JE7i'��tBE aE TE iE iF JE iE iE BE1E*JF?E iE 9E iR***1E iF 3f 9EiF yE BE 9E iE Je iE iE aE iE i(3f 1E BE iE iE K?E BE iF iE iE TF 1E iFjE BE BE iF BE 1EiE 3E 9F iE iF iE OE*94 a6>'t aE i(. aE i("jE iE 3i 7F if ie �F 3F if LEGALIZATION:N FEE S U M M A R Y STRUCTURAL SEGMENT;N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT" 11.00 'PLAN 502 : S"MIP/NON—RES ISSUE FEE 15.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 11,00 15,00 0,00 26,00 26.00 .00 REVENUE DIVISION TOTALS-->GOLLEC.TED; 26,00 OVER/SHORT: 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE'SMIP%TOT GRADING PLAN—CHECK 26.00 ' IEIE IF IF TE 9E iE 3E aE iE iETF*1E?ERlElE BE iE iE BE OE 9E BE*iE xi4 iE 3E iE 3E iE±E iE 9E 3E 9E TE iE 1F BETETE JE aE 4E 3E!E BF iElE 9E 9E 1ElE iE 9E aE aE aF iE BE iE iE aE de 9E 1F+E iE 9F iE iE iE aF aF BF 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 ELE 1 MI`SC APPARATUS NOT LISTED REQ PERMIT 11.00 11.00 END OF FEES D1 aac�9sr�-1�aQ�ys7e � k:E"(' ?a.au DATE: 06/14/41 'iIlTE: n :ltl CONSTRUCTION AND PLANNINt> APPROVALS Permit # '- Date ,, Inspector - .OL & SPA APPROVALS Permit # Date Inspector 13Temporary' Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement , 3. Electrical Conduit Utility-Undrgrnd: 54. Forms 4. Electrical Conduit-Undigrnd. 55. Electrical Bonding ,. . 5',Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings _ 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test , 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 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. POOL/SPA SYSTEMS FINAL _ 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT *PROVALS' _ Permit # 20. Rough Factory Fireplace - 21 .'Ducts, in Structure: 70. Underground Hydro 22. Ducts, Ventilating • 71. Product'Piping 0Gas 0Oil 23. Gas Pipe -Rough & Test 72. Underground Flush ,- 24. Roof Framing _ - 73. UndergrnB.Storage _Tank 0 Gas 0 Oil 25. Roof Sheathing '74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat _' 75. .Dry Chemical - 27: Frame and Flashing, 76. Dry Standpipe 28. Lathing& Siding > - 77. FIXED SYSTEM FINAL 29. Insulation • . 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH -DEPT-. REQUIREMENT 31. Plaster Brown Coat' .li'. , 79. FINAL INSPECTION 32. Electrical Power Meter -Final � � .� FOOD CERTIFICATE ISSUED _ 33. 'Final Electrica` tes: } `, -34. Final Heating & Air Conditioning i 35._ Final Gas Pipe -Test !7„ _ 36. Hood or,CanopY • i•1 •^") . > 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 Irripation System 45.. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE&BUILDING - 48. FINAL PLANNING ' ` .49. -Electric Release to Edison I • 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date n 44`� 1 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O.BOX1200 COSTA MESA, CALIFORNIA 92626 F or Applicant to Fill in Completely —TInkDINGRESS BOO ER FOLEY FAMMY TRU L TEL. CITY Santa Ana, CA 92705 No. 543-9471 CONSTRUCTION BUILDING ADDRESS TRACT QCT 21 77PAItCfISA4001085* ***308.51 FOR STRUCTURAL PERMIT PERMIT NO. tEA BRANCH -1010 N. Maul St. ER ADDRESS ARCHITECTOR ENGINEER Hales—Iangstion NOL'547-USE,'1' ADDRESS 777 S. Main, #105, Orange 92E T PE GROU CONTRACTOR FOle COnStrUCtlOn CO. ROVED ,,ft DAT (J ADDRESS Same as above TEL.E%� NO. OF USE OF NEW CITY NO.�[ / PLANS Z BUILDING STATE CITYARDS APPROVED YARDS APPROVE LIC. NO. LIC. NO.MAIN BUILDING ACCESSORY BUILC SIZE NO. OF SLOGS.M C/L STREET) OF LOT NOW ON LOT NT FT. FT. USE OF ,(EXISTING BLDG. N/A DE J` FT. FT. Separate permits are required for DE FT. FT. electric, plumbing and beating work.R FT. FT. USE OF BUILDING AND WORK TO BE PERFORMED mcren�rc vcT vcr neem, n. VAR.# DATE New construction, Single family C.D.P.# APPROVED detached lan 2, 4 BedroarS AvPROVEDC�� __/b -.20- 77 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 Code D' Islonn 3, CChJa^ptter�9. Signature of�!// �.�— Permittee FOR SP THE AMOUNT SHOWN UNDER VALUATION IS F THE PURPOSE OF ESTABLISHING A PERMIT FEE ON[ VALUATION PERMIT FEE $ OW e� PLAN CHECK $ ' v V TAX $ , O I! TOTAL PAID $,3,0 j