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Home My WebLink About2030 CAPELLA CT - Building Permits(714) 754-5273 • Fau (714) 754-4856 • www.ci.costa-mesa.ca.us P FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT ,lob Address: 2030 N CAPELLA CT Suite: Vicinity: ROOF Primary Occ: R3 Parcel Number: 1394�204 Applicant: JOE SHULMAN Address: 7721 ETNA CL HUNINGTON BEACH, CA Owner: ORGILL, MARY J TR Address 2030 N CAPELLA CT COSTq MESA, CA Contractor: SHU�MAN ROOFING Address: 7727 �TNA CL HUNINGTON BEACH, CA Zip: 92648 Arch : Address: Phone: Type of Construction: V-N Zoning: R1 Phone: (714) 5365116 Zip: 92648 Phone: Zip: 92626 Phone: (714)536-5116 License: 690617 Eng: Address: Slatus' ISSUED Applied: O6/09/2005 Issued: O6/09/2005 ISSUED BY: T"�� Phone: Zip: �icense: License: SCOPE OF PERMIT RECOVER OVER EXISTING 1 LAYER OF COMP SHINGLES WITH 30# FELT, PIPE FLASHING AND PRESIDENTIAL SHINGLES ON ATTACHED HOUSE AND GARAGE. Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $a.00 $139.25 $0.65 $0.00 $0.00 $0.00 $139.90 SETBACKS MAIN STRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Ezistina: o Rear 0- 0 Rear 0- 0 Re uired: 0 FEE SUMMARY Calc Valuation: Ss,as2.00 Claim Valuation: Ss,asz.00 PLANNING & ZONING Lek 0- 0 Right Left 0. 0 Right Proposed: 0 ao NOTICE: The work aulhorizetl by this permit shall compty with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 1241-92) EXPIRATION: This permit shali 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 requlred Inspections and final epproval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of this permit. FOR INSPECTIONS CALL: (71q) 7545626 zaas-ae �a�oo� WORKERS'COMPENSATON DECLARATON: " I hereby ettirtn under penelry of per�ury one of the tollowing tleclaretions: ❑ I heve antl will melntein e certllicate of cansent to seli-Insure for workers' compensation, es provide0 for by sec�ion 3700 at the LeDor Code, for the pertormence of �he wark for whlch thl5 permit i5lssued. �1 have and wlll malntain workers' compenseGon insurance, as required by section 3700 oi ihe Lebor Code, for Ihe pertortnance of the work for which this pertnit Is Issued. My workers' c�ompeInsa on I reneIe carrler entl policy number ere: /,� �yy� Certier: � �FAr�K�tw,.d PWicy Number -- I% I y{T,(/ �{-✓VS— (ihls�sectlon need nat be crompletetl i! the permlt is ve/ued ef one hundred dollers ($100) or less.) �_.V--- � ❑ I certi(y ihet In the performence o e work for which t permit is issuad, I shell not employ any person in any manner so as ta become sub�ect to the workers' compensatlon lews of Celifornl , and egree thet If I uld be me sub�ect lo the workers' compensatlon pravlsions oi Sectlon 3700 0l the Lebor Code, I shell fort�with comply with these provisions. � ^� �D� ApplfceniSigneture: l Dele."'�-� � i WARNING: FAILURE TO SECURE ERS' COMPENSATION ODVERAGE IS UNLAWFUL AND SHALi SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES M1D GVIL FlNES UP TO ONE NUNDRED TFqUSANDDOLIARE�Et00,OW), ADDITIONTOTHECQSTOFq7A1PEN5ATION,DMMGESASPROVIDEDFORINSECfION3)OBOFTMELABORCODE,IMEREST,ANDATTORNEI^SFEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm Ihat.l em Ilcensed under roNsions oi Chapter 8(commencing with Section 7000) of Divlslon 3 of the Busineu antl Professians Coda, end my license is in tull �force end ettecl LJc. N G,�i� rn ��7 . rClass p� �'.. a�7 �Contrector's S�gnewre: � / ioate: � in-9 ^O � i _� CONSTRUCTION LENDING AGENCY: ❑ I hereby ettirtn ihet there is e consVuc�ion lentlinp agency tor the peAormance of the work for w�ich t�is permit Is issued. (Sec. 3097, Civll Code). Lentlers Neme: Lendefs Address: Signature: OWNER-BUILDER OECIARAT10N5: Date: I here6y eftirm t�et under penelry of per�ury t�et I em EXEMPT FpOM T1E CONTHACTORS LICENSE WW for Ihe fallowing reason (Sec. 7031.5, Business entl Professions Code: Any ciry or counry which requires e pertnit to wnsWct, alter, improve, demolish, or repair any strudure, pdor to Its Issuance, also requires the a{rplicant tor such pertnit ro file e signed stetemem that he or she is IlcenseA DursuaN to Ihe D�ovisions af ihe Contractors License law (C�apter 9(commenGng wit� Sedion 7000) of Dlvision 3 oi Ne Business end Prafesslons Code) or thet he or she is exempt Ihereirom and ihe basls for the alleged exemption. Any Woletlon of Sectlon 7031.5 by any epplicant for e pertnil sublects the epPlicent to e civil penelry ol not more lhen �Iva hundred tlollars (5500).): ❑ I, as owner ot Ihe property, or my employees with weges es iheir sole compensation, WILL DO THE WORK, end the structure is not Intendetl or ofleretl tor sale (Sec. 7044, Business entl Professions Code: The Contractors License Lew does not apDty lo an owner oi property who builds or improves thereon, and who does such work himself or herself or ihrough hls or her ov.n employaes, provided ihat such improvemenls ere not Intended or ottered lor sale. If, however, ihe building or improvement is sold within one year of complation, ihe owner-builder will have tha burtlen of proving �hat he or she did not build or improve for purpose ol sale.). ' ❑ I, es owner ol the pro0erty, em E%CLUSIVELV CONTRACTING WI7H LICENSED CONTRACTORS to construct the praject (Sec. 7044, Business antl Pratesslons Code: The con�rectors Llcense Lew does not appty lo en owner ol praperty who builds or Improves thereon, and who contracts for such pro�ect with e contractor(s) license pursuant to the Contractors License Lews.). ❑ 1 am exempt unCer sec. Business and Professions Code for this reeson: SignaWre: Date: Owner ID verilied by drivera license. ❑ Yes ❑ No Drivefs License No. Verificatian oi Ownership by (type of document, I.e. - pmpeny tes hill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: Expires: ❑ I �ereby certily Ihai no excevetion Iive (5) or more teet in tlep�h into which e person is requirad to descend, will be mede in wnnectlon with work euthoAzed by Ihis pertni�, and Ihet no building strucWre, scaHolding, talsework, or demolition or dismantling �hereot, will be more ihan thirty-six (38) leet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Ttle e, Callfornle Administretiva Cotle). ❑ As owner-bullder, I will not employ enyone to do work which would raquire e pertnit trom the Division at Industrial Sefery, as notetl ebove, unless auch person hes e pertnit to do such wark tram the division. SignaNre: Date: Division of Industrial Setery Pertnit Number: CERTIFlCATE OF COMPLIANCE IWD AUTHOR¢ATON OF EMRY: I certify under penalty o1 per�ury that I have read this epplication and stete that the intortnetion given is wrtect. I egree to comply with flll slete laws end ciry ottllnences relating to building constructlon, and eut�onze represenlatives of the Clty of Costa Mese to enter upon the ebove-descnbed proper�y tor inspection purposes. I agree not to occupy or ellow occupancy oi eny 6uilding authorizetl by this permit until Mal inspection. 400E �. INSPECf10NTYVE 1616 Fixetl System Finel Flre Preventlon 1266 Pool Spa Finel 200 Finel Re-Roo1 201 FIna181ocWRetalning Well 202 Final Fedory Fire Place 203 Finel Sign 204 Finel �emolltlan PAg It�L£ COOE I INSPELTION TYVE 206 Final Mechanlwl 208 Final Plumbing 210 Final Electdcal 212 Flnal Fire Preventlon 220 Final Plenning Approval 222 Flnel Site 250 Flnel BulltllnplOccupency QAg 1N� (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ELECTRICAL PERMIT n FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suite No Vicinity: Parcel Nunmber: Applicant: Address: Owner: Address 2030 N CAPELLA CT 13940204 PUIG, ALLEN 747 W KATELLA ORANGE,CA ORGILL, MARY J TR 2030 N CAPELLA CT COSTA MESA, CA Phone: 714-633-8892 Zip: 92867 Phone: Zip: 92626 Contractor: ALPS AIR CONDITIONING & HEATING Address: 747 W KATELLA ISSUE FEE Temp service test Res. a/c package New Res (1-2 unils) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to t000a Service over 1000a. Motors to 1hp Motors to 10hp Motors to 50hp Motors to 100hp Motors over 100hp Communicatlon drops Sub panel to 200a Pole Light Pkg ORANGE,CA Phone: 714-633-8892 Zip: 92867 License: 667953 SCOPE OF PERMIT REPLACE FAU AND ADD AIR CONDITIONING FOR AN EXISTING SFR. $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ao.00 $0.00 $12.30 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 Quantity 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 FEE SUMMARY Temp Dist System / Lighting Busway /100 ft Standing Section Misc Electrical Equipment Transformers up to 1 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 Syslem / Ckt Misa Conduit Misa Conductor Circus ( gen or ride) Circus (mech nde or IighLs) Christmas Tree Stand Fireworks Stand Other Eleclrical Fee Investigation Fee Plan Check Fee Reinspection Fee Status: ISSUED Applied: 09/03/2003 Issued: 09/03/2003 ISSUED BY: 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 50.00 0 $0.00 0 $0.00 0 $18.20 1 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 $0.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 9248, § 1, 12-21•92) EXPIRATION: This permit shall automatically expire and become void it work Is not commenced within 180 days, or it work is suspended or abandoned for a period of 1 BO days. INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inspectlone and flnal approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. POR INSPECTIONS CALL: (714) 7545626 zeaesa �aoo7 WtlAKERS' COMPENSATION DECLARATION: � I hereDy eHirm under penalry of perjury one ot the following decleretioos: ❑ 1 heve flnd will malntain e certificate ol cansent to setl-Insure for workers' compensatlon, as provitleG �or by section 3700 of ihe LeDor Cotla, for the pertortnance ol the work tor which this Dermit is issue0. �heva arW will meintein workers' compensation Insurerwe, fls raqulretl by section 3700 of Ne Lebor Code, for the peAortnance of Me work fw which Nis pertnit is issUetl. My w ers'c/p/n�pensatlon Insurence cerrler end pdiry number ere: �"' / Carrier. �r1T � /n.-.4 � �.-. _ 1v� � ?./✓/ � Policy Number: I�� ll�y ^/ (m!s secdon need�`not�ed u e perm Is va ued��lred dol/ars (S�oO) or iess.) ❑ I certity Uat in Ihe peAormance W Ihe compensatlo� laws oi Califomla, end comply with t�ese provislons. qppllcant Slqnature�. WqpNINO: FAILURE TO SECURE WORKE ' CC LICENSED CONTRACTORS DE I �ereby eHirm Ihai l em Ilcensed iorce entl efleCl. Lic. M Contractors Slgneture: �,� CONSTRUCTION LENO � I hereby aflittn that Lenders Name: _ Slpnature: OWNER•BUILDER DECLARATIONS: issued, I ahall not employ eny person in any mennar so es to become subject to the workere' i sub�ect to Ihe worken' compensatlon proNsions of 5 lan 3 00 at t�e Lebor Gode, I s�all torthwith oa,a: `��3 � 03 � .'UWFUL AND SHALL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND GVIL FlNES UP TO qJE HUNDRED I, OAMAOES AS PqOVIDED WR IN SECTION 37080F THE LABOR CO�E, INTEREST, AND ATTORNEV'S FEES. with Section 7000J of Division 3 at Ne Business and Prolessions Cotle, and my license Is In full Class N (�70i1�� Date: !�. (�Z. agency for the perfortnance af the work for w�ich Ihis pertnit Is iuued. (Sec. 3097, Civil Code). Lentler's Adtlress: Date: I he�eby aHlrtn that under penalry at perjury that I em EXEMP7 FROM THE CONTRAC70RS LICENSE LAW tor the tollowing reason (Sec. 7031.5, Business end ProFessions Coda: My ciry or counry which requires e pertnit lo consiruct, alter, improve, tlemolish, or repair eny atrucNre, prior to Its Issuance, elso requlres the applicant tor such permit l0 lile e signeE alatement Ihat he or ahe is IlcenseA pursuam to t�e provisions ot the Cantrectors License Law (Chapter B(commendng wilh Sectlon 7000) 01 Dlvislon 3 ot ihe Business end Professions Code) or Ue� �e or she is exempt theretrom and ihe basls tor the alleged axemp0on. My ddatlon oi Sectlon 7031.5 Dy any applicem for a pertnit subjects the epplicaM to a civil penalry W not more then iive huntlretl dollars (5500).): ❑ I, es owner ot �he properry, or my employe9s with weges as Neir sole compensatlon, WILL DO TME WORK, antl t�e struMure Is no� intenEeO or aHeretl for sale (Sec. 704d, Business and Professions Code: The Contraclore License Law does no� epply to an owner of Droperry who builds or Improves thereon, end who does such work himself or herself or Ihrough his or her own employees, prodded ihat such Improvemenis era nm Intended or ottered far sele. li, howaver, ihe builtling or improvement is sold within w�e year of comp�etion, lhe owneo-builder will heve the burden of Droving lhat he w she did not build or improve tor puryose of sale J. ' 0 I, es owner ot the properry, am EXCLUSIVELV CONTRACT�NG WRH LICENSED CONTAACTORS to construct the pro�ect (Sec. 7044, Business and Professions Code: The coNrectore License Lew does not epply Po en owner of properry who bullds or impmves t�ereon, and who comrects for such pro�ect wlth e conirenor(s) Ilcense pursuant ta Ihe Conirectors License Lews.). ❑ I am exempt untler sec. Business end Pmfesslons Cotle tor this rea5on: Signature: Dete: Owner ID venfletl by dnvefs Ilcense. ❑ Ves ❑ No DriveYs License No. Veri}ketlon of Ownership by (rype o1 document, I.e. - property tan DIII or deed): DIVISLON OF INDUSTRIAL SAFETY PERMR CER7IFICATION: 6cpires: ❑ I hereby certify that no exwvation iNe (5) or more feet in dept� into which a person Is requireA to descend, wlll be made in connection with work autho�ized by this pertnit, entl ihat no builtling siructure, scettolGing, lalsework, or demolltion or tlismantling Ihereot, will be more Ihan ihirty-six (3fi) leet high. (Chap. 32, Grp 2, Art 2, Sec. 341, 71t1e 8, Califomla Atlministrative Cotle). ❑ As owner-builder, I will not employ anyone ta do work which would reQuire e pertnit irom ihe Division ot Industriel Satery, es noted ebove, unless such person hes e permit to do such work irom ihe divislon. Signeiure: Date: Divis�on of Industrial Sefety Permi� Number: CERTFlCATE OF COMPIJANCE AND AU7HORIZA710N OF ENfAY: I certily under penalry o1 perjury that 1 have read this apD��etion and sfate that Ne Informetlon given is correct. I egree lo comply with ell ste�e lews entl Ury orElnences relatl lo bullding canstructlon, end authotlze representetives oi Ihe Ciry of Costa Mesa to enter upon Ihe ebovadescribed property tw inspection puryoses. l agree not 4000c � rntallw occupa�cy ot any building authnrtzed 6y lhis pertnit u�W flnel inspeccion. SlgnaNre COOEL INSPECTONTYPE 1616 Flxed System Final Fire Preventlon 1266 200 201 202 203 20C POoI Spe Final Finel Re-Roof Finel BIocWRetaining Well Final FeMory Fire Place Finel Sign Final Demdition 1ti�L$ � � ... : .. : CODEt INSPECTIONTYPE 206 Finel Mechanlcal 208 Final Plumbing 210 Final Elecirical 272 Finel Fire Prevention 220 Final Planning Apprwal 222 FinalSite 250 Final Builtling�Occupancy PAff II4�Lfi � . . �'. �1 .lob Address: 2030 N CAPELLA CT Suite No Vicinity: Parcel Number: 13940204 Applicant: PUIG, ALLEN Address: 747 W KATELLA ORANGE,CA Owner: Address: Contractor: Address: ORGILL, MARY J TR 2030 N CAPELLA CT MECHANICAL PERMIT ISSUED BY: Phone: 714-633-8892 Zip: 92867 Phone: COSTA MESA, CA Zip: 92626 ALPS AIR CONDITIONING & HEATING 747 W KATELLA ORANGE,CA Phone: 714-633-8892 Zip: 92867 License:667953 SCOPE OF PERMIT REPLACE FAU AND ADD AIR CONDITIONING FOR AN EXISTING SFR. ISSUE FEE Inst FAII <100 k BTU Insl FAU >100 k BTU Repair / Alt Cooling/Heat Inst / Rep. Recess Wall Htr Refrig Sys <100 k BTU Refrig Sys >100 k BTU Gas Piping Factory Fireplace - Hood w/Mech Exhaust VAV Box Vent Fan / Single Duct Appliance Fire Dampers� � , Smoke Dampers Insl or Relocate Appl Vent Air Handlers < t0000cfin Air Handlers > t0000cfm Floor Furnace Floor or Suspend Heater $23.50 $14.80 $0.00 $0.00 $0.00 $a.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 Quantity 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY Repair / Alt Absorbtion Unit Repair / Alt Refrigeration Unit Venlillation System Evaporative Cooler Commercia l I nci nerator Domestic Incinerator Compressors / Absarption Syslems Upto3hp/100kBTU 3To15hp/500kBTU �5 To 30 hp / 1,000 k BTU 30 To 50 hp,/ 1,750 k BTU Over 50 hp / Over 1;750,BTU Boilers Upto3hp 3Tot5hp 15to30hp 30 to 50 hp Over 50 hp Other Mechanical Fee InJestigation Fee Plan Check Fee Reinspection Fee TOTAL CALCULATED FEES Status: ISSUED Applied: 09/03/2003 Issued: 09/03/2003 Quantity $0.00 0 $0.00 0 $0.00 0 $0.00' 0 $0.00 0 so.00 o . $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $14.70 1 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 $53.00 NOTICE: The work authorized by this permit shall comply with all applicabla 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 requlred inspectiona 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 zaasee �aroo� WORKERS' COMPENSATION DECLARATION: � � I hereby efrirtn under penelry ol per�ury oneiol Iha following tlecleretions: ; 4 I heve enA will maintein e Fsrtlli�8 of wnsent to self-Insure br workers' compensatlon, es provitled for by secl�on 3700 of iha Lebor Code, for Ihe paAormflnce of tha work lar which ih�s pertnit Is luued. � e arM will meintaln workers' mmpensetion insurance, es requiretl by secUon 3700 of Ne Lebor COGe, for the peAortnance of Ihe work for whkh this pertnit Is Iswed. My workers' mpen etion Insurence cartler end pollc�umber ere: Certiec � ' ' Policy Number. ��//%y �/ (Thls sectl need n0! be compl ted i( the pertnit Is ve u red dollare ($700} or less.) - ❑ I cartity that in ihe peAormance oi the wo or whic Is pertnit Is ued, I shall not employ any person in eny manner so es to become subject to the workers' wmpen5ation lews oi Celifomle, end gprae Ihel shoultl 6ecom sub�ect to the workers' compensation provis�ons of S lon 3700 ot the LabOr Cotle, I shall foR�with comply with these proNslons. /� .ApplicentSignaturB: ' / Date: "L �I � WFRNINO:FWLURETOSECUREWORK ' NSATIIXJCOVEM IS WFULANDSNALLSUBIECTANEMPLOVERTOCFllMINALPEWILTIESAN�GVILFlNESUPTOONEHUNORED TFIOUSANDDOl1ARE(4100.000),INMD ONT ECOSTOFCOMP ,DAMFGESASPqOVIDEDFORINSEGTON37060FTMEUBORCODE,IMEREST,ANDATTORNEI"SFEES. LICENSED CONTRACTORS DE I here6y aHirm Ihat I 8m licensed force and eHecL Lic. N ContrectaYs Slgnature: _ CONSTRUCTION LENDING AOENCV: ❑ I hereby ettirtn that there is a construction Lendefs Neme: SlgnaNre: OWNER-BUILDER �ECLARATONS: wlih Sa Iion 7000) af Division 3 ot lhe 9i Class e Da�e: Code. end my Ilcense Is in full lor the peAortnance oi Ihe work tor which Ihis pertnit is issueO. (Sec. 3097, Civil Code). _ Lender's AAdress: Date: I hereby eHirtn that untler Oenalry ol per�ury thet I em E7(EMP7 FROM THE CONTRACTOHS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business enA Protesslons Cotle: Any Ury or counry whic� requlres e permfl to consiruM, elter, Improve, demolish, or repair flny siructure, pnor �o its issuance, elso requires the ep011cant for such permit to tile e slpnetl stetement ihet he or she Is Iicensad pursuent ta the provisions oi the Contrectom Llcense Lew (Chapter 9(commendng wiN Sectlon 7000) ot Dlvision 3 0l Ihe Business entl Profes5�ons Code) ar tha� he or sha is exemp� therelrom entl ihe basis for the elleged ecemption. Any violatlon ot Sedion 7037.5 6y any epplicent for e pertnit sub�eds the epplicant to a GWI penalry af not more then live huntlreG dollars ($500).): _ ❑ I, fls owner of IPe property, or my employees with wapes es their sde compensalion, WILL DO T}1E WOBK, and the structure is not IntendeE of oflered for sele (Sec. 7044, Business and Prolessions Cotle: The Coniractors LJcense Lew tloes not appty to en owner of properry who builds or Improves thereon, entl who does such work �ImseH or herse�� or through his or her own amployees, D�ovlded Ihat such impravemenis are not intentletl or aNeretl for sale. If, however, ihe bulltling or Improvement is solA wit�in one yeer of campleUon, the owner-builder wlll heve the burtlen of proving that he or she did not Duild or improve tor purpose of sale.). ' ❑ I, es owner of Ibe praperty, em E%CLUSIVELV CONTRACTNG WITH LICENSED CONTRACTORS to construct the pmject (SecJ044, Businesa and Prolessions Code: The cantfec�ors Ucense Lew tlaes not epply to en owner ol properry w�a bullUs or Improves thereon, and who contracts for such project with e wntractor(s) license pursuanl to t�e Coniractors License Laws.j. ❑ 1 em exempt under sec. Busineu end Professions Code tor Ihis reason: Signature: Date: Owner ID verifetl by G��ers licensa. ❑ Yes ❑ No Drivefs License No. Expires: ' Vedficatlon o1 OwnerBhip by (rype of documenL I.e. - praperty tex blll or deed): DIVISION OF INDUSTA�AL SAFE7Y PERMR CERTIFICATION: ❑ I hereby cerlity ihet no excavetlon five (5) or mo�e feet In depth Into which e person is requlretl to descend, will be meEe In connection with work authorized by Ihis permit, antl ihat no building structure, scaffolding, falsework, or demolition or tlismantling �hereof, will be more ihen �hirry-six (38) teet high. (Chap• 32, Grp 2, Art 2, Sec. 341, Title 8, Ca111omia Atlminisiretive Coda). ❑ As owner-builder, I will not employ enyone to do work which wauld require e pertnit iram I�e Division oi Industrial Sefery, es noted ehove, unless suc� person has e pertnit to do such work Irom the division, . Signeture: Date: Division of Indusirial 5efery Pertnit Number: CERTIFlCATE OF COMPLIANCE AND AUiHOR¢A710N OF ENTRV: I cerUty untler penalry of perjury that I have reatl Nis epplication and stete thet Ne infortnallon given is wnecL I egree lo comp�y with all stete lews end city ordinences relatinp to builAln conslruction, and authorize representetives ot the Ciry ot Costa Mese to entar upon ihe ebove-described prop0hy tor inspection purposes. I egree not to occupy or ello ency of any Duilding authorized by this permit until Tinal inspecUo�. legal CQ�E1, INSPEC110NLYPE 1678 Fixetl System Final Fire Preventlon 1266 Pad Spa Flnd� 200 Flnel Re-Roo� 201 Finel BIacWRetaining Well 202 Finel FettOry Fire Place 203 Final Sign 204 Final Demolition /'� �Date vI Date �Q7�,j QISPECTIONTYGE 206 Final Mechanicel 208 Flnal Plumbing 210 Final Eledrical 272 Final Fire Preve�tlon 220 Final Planning Approval 222 250 Final Site Final BuildingiOxupancy PAg Q� 9-� � -03 � R�PS a Hesting s � D� E Y A R D C� ��.P� � _ � Air Conditioning & Heatinq Co.' ' ALPS PLOT PLAN A I API�i��'VED CITY OF COSTA I�1FSA PLAINING DNISION � SUBJECT TO BLDG. DEPT. RI I�� SINGLE FAMILY DWELLING NOTE: ADDITIONS, DELETIObd3"' OR CORRECTIONS SHALL BE APPROVED BY THE PLANNWG DIV. �_ �� -��,�� BY: �'�� DATE: � � �11,63 - �D�G25-- ALPS Air Cooditioniog & Heatiog 747 W. Kateila Ave. Suite 208 Orange, CA 92867 (B00) 994 2577 s � D E Y A R D 0 / L � 16542 COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 9f7 COBTA MEBA, CALIFORNIA For Applieanf to Fill In Complefely TYPE OR PRINT BUILOING Go 52 T�PA�'T434 9 COSTA MESA. CALIFORNIA � MAIL � BETBAGK LINE PROM FEE R�C��/�D �MAR � �� NANCE DEPT. CITY OF COSTfi MESA APPLICATION FOR PERMIT BUILDING For Office Use Only RECEIPT NO. PEqI.�K�y� � �� 4 BY DA REC D TE I65UED �—i�i�- f�aez �ss> BUILDING ADORE66 COSTA MESA. CALIFORNIA �H .Dz, zoNeN� �A ZONE/J NO.OF �j I16E OF NEW � I�LI F q�I I PLANB L I BUILDING WIQ� TEL. NO.��/� �0�� DESGRIPTION �O� SZ T/4 Y3Y NO. OP BLDOB. -- NOW ON LOT�/A�E w e.... YARDS EVES APPROVED ALLO fCENTER LINE BTJ I L6� G I RIGHT y DESCRIPTION OF WORK APPftOVED WORK TO BE S 6 ys 1 HEREBV ALKNOWI.CDGE THAT 1 XAVE REAO TH19 APPLIGTION THE AMOIINT BXOWN UNUER VqLUATION 16 FOR THE AN� 6TATC THAY THE ABOVE i6 CORREGT AND A�PEe TO COM- PLY WITH qLL C�TY OPDINANCE9 AND BTATE UW8 REGULATIN6 PUAPOSE OF EBTABLISHING A PERMIT FEE ONLY. eu1LDING CON6YRUCT1oN. VALUATION /�� 81 ATURE OF PERMIT FEE �%`C"/ P M�� '!'��j��6� �� $� /��-- PLAN CHECK $�yf�'—' � ORIZED AGE 7 /�/�/`� LiC�%�-�� / 0 TOTAL PEE � 4