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HomeMy WebLinkAbout2042 CAPELLA CT - Building PermitsJob Address: 2042 S CAPELLA CT Suite: Vicinity: BEDROOM #2, OFFICE AND LAUNDRY ROOM Parcel Number: 13940114 Applicank SALSER.4, ROSA Address: COSTA MESA, CA 2042 S CAPELLA CT Zoning: R1 R1 Phone: 714-5466277 Zip: 92626 Owner: REED, WILLIAM B AND BALSERA, ROSA Address 2042 S CAPELLA CT COSTA MESA, CA Conlractor: Address: Phone: 714-546-6277 Zip: 92626 Phone: Zip: � License: Arch : ROSA BALSERA Eng: Address: 2042 S. CAPELLA COURT Address: Phone: 714-546-6277 Slatus: ISSUED Applied: 01/28/2003 Issued: 111t 3/2003 ISSUED BV: � Phone: COSTA MESA, CA Zip: 92626 License: 20211 License: SCOPE OF PERMIT CONSTRUCT 107 SF ADDITION TO AN EXISTING SINGLE-STORY SFD. RELOCATION AND EXPANSION OF BEDROOM #2, ORIGINAL AREA OF BEDROOM #2 TO BECOME AN OFFICE. ALSO INCLUDES NEW WINDOWS AT OFFICE AND EXISTING BATH AND A NEW DOOR AT EXISTING GARAGE. REMOVE (E) TRELLIS ON WEST SIDE OF HOUSE. Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total $136.01 $209.25 $1.14 $0.00 $0.00 $0.00 $346.40 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Ezistinq: 0 Rear 0- 0 Rear 0-0 Re uired: 0 FEE SUMMARY Calc Valuation: $i�,386.80 Claim Valuation: So.00 PLANNING & ZONING Lek 0-0 Right Left 0- 0 Right 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, 12-27-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work Is suspended or abandoned for a period of 780 days. INSPECTIONS: In ortler for the work authorized under ihis permit to ba considered legal, such work must comply with all applicable codes, and all required Inspectlona and final epproval must be obtained. Failure to obtain inspections and (inal approval will result in the expiration of this permit. FOR INSPECTIONS CpLL: (714) 7545626 zmc�ae lvoo) WORKERS' COMPENSAT�ON DECLARATION: % I hereby attirm untler penalry ol perjury one ot the following deGarations: ❑ 1 heve and will maintein e certiticate of consent to selt-Insure for workere' compensation, as provided �or by saction 3700 of the Labor Cotle, for Ihe peAartnance of Ihe wark tor whith Ihis pe�i� is issued. ❑ I have arW wlll Carrier. insurance, as requiretl by section 3700 ot the lebor Code, for Ne paAortnance ot the work for which this pertnii is issued. od policy number are: Policy Number: . . one. . . . _ .- or /ess.J certily Ihat in �he pedortnance of Ihe work tor which tliis pertm( is issueC, I shall not employ eny person in eny manne so as to become subject lo the workers' compensatlon laws ot Cali/omla, arW egree �het'f I shouid becollv subject to the workers' compensation provisions o Section 3�p of ihe Labor Cotle, I sheil fotlhwllh comply with Ihese pro�A�R.� � i�� �3 �o,� Applicant SignaNre: � Date: �_ WARNING: FAILURE TO SECUR �'OFKERS' COMPENSATION COVERAGE IS UNLAWFUL ANO SHALL SUBIECT AN EMPLOVER TO CRIMINAL PENPLTIES AND CIVIL FlNES UP TOONE HUNDRED THOUSAND DOILARE (5100,000)� IN ADDITION TO THE WST OF CAMPENSATIIXJ, DAMAGES AS PROVIDED FOF IN SECTION 3]OB OF THE LABOR CODE, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTOqS DECLARATION: I hereby eflirm thet I am licensetl under pmvlsions of Chapter 9(commencing with Section 7000) ot Division 3 of the Business and Pmfessions Code, end my license is In full force end eHect LIc. N Class tl Comraaofs Signature: Date: CONSTRUCTON LENDING AGENCV: ❑ I hereby aHirm that thore is a cons�ruction lending agency tor the pedormance ol �he work for which Ihis permit is issued. (Sec. 3097, Civil Cotle). Lende/s Neme: Lendefs Atltlress: SignnWre: Date: OWNER-BUILDER OECLARAnONS: I hereby etllrm Ihat under p�nalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business end Professions Code: Any ciry or counry which requires a permit to construct, alter, improve, demolish, or repair any strucmre, prior to its issuance, also requires the applicant br such pertnit to file fl signed statemeni that he or she Is Ilcensetl pursuant to the provisions ot Ihe Contrectors Llcense Lew (Chapter 9(commencting with Section 7000) at Divislon 3 of the Business and Proleuions Code) or Ihat he or she is eaempt theretrom and the basls tor Ihe elleged ezemption. Any violation oi Section 7031.5 by any epplicant for a permit subjects ihe applicent to e d��� penalryof not more than five hundred dollars ($500)J: ❑ I, as owner of Ihe property, or my employees with weges es their sole compensation, WILL DO TNE WORK, and the structure is not Intended or oHeretl for sale (Sec. 7044, 8usiness end Plofessions Code: The Contractors License Lew does not apply to en owner ol properry who builds or improves thereon, anA w�o does such work himsell or �erself or through his or her own employees, provided Ihat such improvemen�s ere not Intendetl or offered for sale. If, however, Ihe building or Impmvement Is within one year ol completion, ihe owner-builder will have ihe burden of proving ihet he or she tlid not build or improve for purpose of sele.). I, as owner ol tha property, em EICCLUSIVELV CONTRAC7ING WITH LICENSED CONTRACTORS to consiruct the projed (Sec. 7044, Business end Professions Code: The contrectors License Law does not eppty �o an owner ol proparty who bullds or Improves thereon, end who coniracts for such pro�ect wlth e comrector(s) license pursuant to t�9 Contrectors License Laws.). ❑ I em eaery er SeC. Business and Professions Catle for this reason: Signalure: � . Date: Owner ID ver ied by dnvafs license. es ❑ No Driver's License No. E:pires: Vedfication ol Ownership by (rype oi daument, i.e. - property ta< 6ill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATON: ❑ I hereby certity ihet no escava�ion five (5) or more feet in depth in�o which e person is requlred to descend, will be made In connection wi�h work euthonzed by this permil, antl Ihat no bui�ding sWcture, scattolding, talsework, or demolition or dismantling i�ereo(, will be more ihan ihirty-six (36) feet high. (Ghap. 32, Gry 2, Ar12, Sec. 381, Tlle e, Califomia Adminisiralive Code). ❑ As owner-builder, I will not employ enyone to do work which would requira a pertnit Irom the Division of Intlustrial Safery, es noted above, unless such person has a permit to tlo such warU <<om ihe tlivision. SignaWre: Date: Oivision ot Industnal Safery Permit Number: CER7IFlCATE OF COMFLIANCE AND AUfHORVA710N OF ENITiY: I cenify under penalry of perjury that I �ave read this epplication antl state ihat t�e intormatlon given is correct. I egree to comply with ell stete laws end city ordinances relating to building cons�mction, end authorize representalives of Ihe City of Costa Mesa to enter upon Iha ebove-doscnbe mperty lo! inspection pu ses. g not to wcupy or allow occupency of eny building authon� � t�� rjnit un_ til finel inspection. ' lY� Signature Of le OwneQs) T le Antl/Or Aut�onzed Applicant Date 40�E �. INSPECTIONTYPE 7816 Fixed System Final Fire Preventian 7266 Pool Spa Final 200 Final Ra-Root 201 Final BIocWRetaining H'ell 202 203 Finel Fettory Fire P�ace Final Sign 204 Final Demolition PAIE It�L$ COOE� INSPECTONTYPE 208 Finel Mechanical 20B Final PlumDing 210 Finel Electrical 212 Final Fire Prevention 220 Final Planning ApDroval 222 FinalSite 250 Final Building/Occupancy PAIF %Ly ��f ItIIIDELi (�14) 754-5273 • Fax (714) 754-4856 • v+ww.ci.costa-mesa.Ga.uSCTRICAL PERMIT n FAIR DRIVE, COSTA MESA, CA 92826 tLt Job Address: Suite No Vicinity: Parcel Nunmber: Applicant: Address: Owner: Address Contrac[or: Address: ISSUE FEE Temp service tesl 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 1000a Service over 1000a Motors to 1hp Motors to 10hp Motors to SOhp Motors to �OOhp 2042 S CAPE�LA CT 13940114 BALSER,4, ROSA 2012 S CAPELLA CT COSTA MESA, CA REED, WILLIAM B BALSERA,ROSA COSTA MESA, Cq 2042 S CAPELLA CT Phone: 714-546-6277 Zip: 92626 Phone: Zip: 92626 Phone: Zip: License: Status: ISSUED Applied: 11/13/2003 Issued: 11/13/2003 ISSUED BY: `-��J v SCOPE OF PERMIT CONSTRUCT 107 SF ADDITION TO AN EXISTING SINGLE-STORY SFD. RELOCATION AND EXPANSION OF BEDROOM #2, ORIGINAL AREA OF BEDROOM #2 TO BECOME AN OFFICE. ALSO INCLUDES NEW WINDOWS AT OFFICE AND EXISTING BATH AND A NEW DOOR AT EXISTING GARAGE. REMOVE (E) TRELLIS ON WEST SIDE OF HOUSE. REF: B03-00133. ELECTRICAL TO INCLUDE: 9 LIGHT FIXTURES, 15 OUTLETS, 6 SWITCHES. $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $9.90 $16.50 56.60 50.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantiry 0 0 0 9 15 6 0 0 0 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 Eduipment Low Volt Wiring System / Ckt Misa Conduit Misc. Conduclor Circus ( gen or nde) Circus (mech ride or light5) Christmas Tree Stand Fireworks Stand Other Electrical Fee Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 S0.00 0 $0.00 0 50.00 0 50.00 0 50.00 ' 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 30.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 72•21-92) EXPIRATION: This permit shall automatically expire and become void if work Is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order tor ihe work authorized under this permit to be consitlered 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 expiration of this pertnit. FOR INSPECTIONS CALL: (714) 7545626 2408d8 (flN0) WORKERS' COMPENSAY�ON DECLAFiAT10N: I hereby aHirtn untler penalry ol perjury one of the following daUarations: ❑ I �eve and will maintain a certificete of consent to self-Insure br workers' compensation, es provided for Dy sedion 3700 of Ihe Labor Code, tor the peAortnance ot iha wark tor which ihis p9�it is issued. ❑ I �eve end will maintain workers' compensetion insurance, as requiretl by section 3700 ot Ne Labor Cotle, for the pertortnance oi Ihe work for which Ihis pertnil Is issued. My workere' compgn4atlon Insuren carnar antl policy number ere: n_i� carrler. \���� PolicyNumber. his sectlon need'nof be complefed the permit Is velued ef one hundred dollars ($100J or less.J I cenity that in Ihe performance of Ihe work for which ihis permit is issued, I shall not employ eny person in any menner so es to become subjact to the workers' compensetfon laws ot Calitomia, entl agree that If I s oultl become suh�ect to iha workers' compensation provislons of SecGon 00 oi the Lebor Gotle, I shall forthwith comply with these prd�si �i-� (�j� Applicam Signeture: � /d Date: � � �� � � v - J WARNING: FFILURE TO SEW WORKERS COMPENSATION VERAGE IS UNLAWFUT AND SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES AND GNL FlNES UP TOONE MUNDRED T/KK15AND DdlAflE (5100,OOOI� �N q�DITION TO THE C0.ST OF COMPENSATIIXJ, DMi4GE$ AS PROVIDED FOR IN SECTION 31080F THE IABOR CODE, INTEFEST, AND ATTORNEY'S FEES. IICENSED CONTRACTOHS DECLARATION: I hereby eHirm t�at I am lic�nsed under provisions ot Chapter 9(commencing with Section 7000) of Division 3 ot t�e Buslness antl Professions Code, end my Ilcense is in full torce nnd eftect. Lic. N Class q Comractor's SignaWre: Date: CONSTRUC710N LENDING AGENCY: ❑ I hereby aHirm ihat there is e cons�ruction lending agency tor t�e peAormance of �he work tor which this pertnit is issuetl. (Sec. 3097, Civil Code). Lendefs Name: Lenders Adtlress: Signature: Date: OWNER-BUILDER DECLAAATIONS: I hereby eHirtn Ihat untler panalry of perjury Ihai I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reeson (Sec. 7037.5, Business anA Protessions Code: Any ciry or counry wpich requires e permit to construd, alter, improve, demolish, or repair any simcture, pnor to Its issuance, also requires che e00�icaN tor such pertnit to ille o slgned stetemant tdat he or she Is Ilcensetl pursuent to tha pmvisions ot the Comrectors Llcense Lew (Chapter B(wmmencing with Section 7000) of Division 3 of ihe Business end Professions Gode) or that he or she is esempt Iherefram and t�e basis for Ihe elleged e:emption. Any violatlon af Saction 7037.5 by eny epplicent far e pertnit suh�ects the applicant to a ci�il penalty of not more than fiva huntlretl dollars ($500).�: ❑ I, as owner ot the property, or my employees with wages es Ihelr sole compensation, WILL DO 7ME WORK, en0 the structure is not intended or ofleretl tor sela (Sec. 7044, Busineu and Professions Code: The Contracbrs Licensa Law tloes not apply to en owner of property who builtls or improves ihereon, and who tloes such work himself or herself or tbrough his ar her own employees, providad that such impmvements are not intanded or oNered far sale. lt, howaver, the huiltling or improvemant is �Id wit�in one year of completion, the owner-builder will have the burden ot proving �ha� he or she did not build or Improva tor purpose ot sale.). es owner of the property, am E%CLUSIVELV CONTRAC7ING WITH LICENSED CONTRACTORS to consiruct Ihe proletl (Sec. 7044, BuS��ess end Profeuions Cotle: T�e conirectors License Lew tloes not epply to an owner ol property who Oulltls or impmves thereon, and who contrects br such pmject wit� a contracror(s) license pursuant to ihe Conirectors License Laws.). ❑ I am exem nder sec. Business and Protessions Code for this reason: SignaWre: � '/ Date: Owner ID verif�ed by tlnvefS license. es ❑ No Drivets License No. Expires: Vedticntion of Ownership by (rype of tlocurtTQnt, I.e. - property tex bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certiy ihat no e:cavetlon flve (5) or more teel in dep�h imo which e person is requiretl �o tlescend, will be metle In connection with work authodzed by Ihis permit, end that no building sirucWre, scaflolding, talsework, or demoli�ion or tlismantling thereof, will be more than ihirry-six (36) feet high. (Chep. 3.2, Gry 2, Art 2. Sec. 341, Title 8, Calitomia Atlminisiretive Code). ❑ As ownar-builder, I wi�� not employ enyone to do work which woultl require e pertnit from the Division ol Intlustnel Safery, as noted abova, unless such person has a pertnit ta do such worK <<om �he diNsian. Sipnature: Date: Division of Intlusirial Safery Permit Num6er: CERTIFlCATE OF COMPLIANCE AND AUTHORVA710N OF ENTRV: I cenity under penalry of Derjury that I have read ihis epplication and state ihat the information given is correct. I egree to comply with all ste�e laws end city ordinances releting to building cons�ruction, and authonze representetives of the City of Cosia Mesa Io enter upon Ihe ebove-descnbetl azq� tor Inspection puryo � s I e ree not to occupy or allow occupancy ot eny building authorizetl by thi�p�rtnit until f�al'�ion. � � 3 V SignatweOlLeg OwneQs) ate Antl/Or AuthoriZed ApDlicant Date COOE �. INSPECTIONTYYE 1676 Fized System Final Flre Preven�lon 1286 Paol Spe Final 200 Finel Re-Roof 201 Final Block/Retaining Wall 202 Final Factory Fire Place 203 FinalSign 204 Final Demolition ,\� Qd� It�dLfl COUE� INSPECTONTYVE 206 Final Mechanlcal 208 Final Plumbing 210 Final Eleciricel 212 Finel Flre Preventlon 220 Final Planning Approval 222 Final Site 250 Final Building/Oaupancy � 1!� n� /�I, � � Pfl0.1ECTR00NES5: ZO42 S CAPELLA CT awxex�sxune:_MARSHALL TFiOMPSON noosEss: SAME � FPCHIENGINEER: RODflESS: 1 � REO.MO.: UNIT: UNR: PEflMiTTEE: ALUM ROOFING SPECIALISTS ('719 ) 558�-0678 nooxess: ,t529 E MCFADDEN S.A, CA 92705 ' IICENSEU LONTHIICTOP OECUMTION: 1 hereGy aHirm Ihat I a licensetl un r provisions of C�aO�er B(commencinB ��h Section 7000) of Division 3 ai the Business and Pmtessions CaAe, antl m icense is i ulliorce an0 eifect. cmu� 337•p��0 Oate: � SignaWre: � WONR BS'COMPENSATIONOECLRIUTI N: I�erebyaifirmt�atl aveacenificateoiconsenitoself-insurearacetlificateolWorkers' Compenution Insurance, or a certifieE copy thereoi (Section 3800, La�. C�. roucr No.: 06 6 2 fi X 9 9 A 9 E%P. ORTE: O 9/ O 1/ 9 O carnrexr: STATG Ceni/ied copy is he2�y lumi Aetl. � Certife0 capY is led wi the ci sion. � Oate:� � � � APDlicanC . . �/ F%EMPf10N FIIOM WOBKEflS' COMPENSRTION UECIAMTIOX: (ihis sectiw nee0 not Ge complete0 if che permit is tar one hunOrW (5100) or lew). I certity ihat in the pedormance ot tAe work for which this permit is issueA, I shail not employ any person in any manner so as to 6ecome su�lect to the Workers' Compensation Laws at Califamia. ' Oate�. SiAnature: NO710E: If, afler makinp this Aeclaration, yau shoultl become subject to [he WOM1ers' Compensation provisions of the Labor Cotle, you must forthwith comply witA sucA DmNsions or t�is permit shall Oe tleemeE rewked. CONSiNUCTION LENOING R6ENCY: I hereby attirm that there is a consimction IenOing aAency for ihe petlormance of the work for w�ich Ihis permit is issuea (Section 3097, Civ. C). LENDEfl: ' RODflE53: - . OWNEP BUILDEB OECIAMTION: I here�y aliirm that I am exemD� ��om the Coniractors' State License Law foi the follawinp reason (Sectian 7031.5 Business an0 Pmfeulonal CoGe: My ciry of counry whicA reQuires a permit to constmct, alter, imD�ave, tlemoiish, ar repair any stmcture, pnor ta its issuance, atso requires ihe aDPlicant lor such permit to tile a signetl statemem that he/sh¢ is licens¢E pursuant to the provisions of the Cantracrors' State License Law (Chapter 9(commencinA w��� Section 7000) at Division 3 of Ihe Business ' and Pmfessions Code) or tAat he/s�e is exempt iherelmm antl Ihe basis for the allepea exemption. Any violation of Section 7031.5 6y any applirantfor a permrt su�jects ihe applicant ro a ciNl penalry oi nat more t�an fve �unUretl Dollars (5500). I, as owner of ihe properry or my empfoyees with wages as Iheir sole compensation, will tlo tha work, an0 tha ❑ slmcNre is not inlenGeE hr ottered for 5aie (Section 70dd, Business an0 Protessional Code: The Coniractors State License Law tlaes not aD0lyto an owner of a proDerty who Lmlds arimprovestherean, antl w�o tloes such woM �imself/herselfor ihrouqh his or her own employees, provided t�at such impmvemenis are not inten0etl or offere0 for sale. If, however Ihe builtlinp or �imDmvemen� is soltl within one year o� compleiion, tAe owner will have �he DurOen ot Orovinp he/she tlitl noi Oui10 or improve for tAe Ourpose of sale�. I, as owner of the pmperly. am exciusively contracting wit� Iicense0 contractors to constmct the pmlect (Section 7044, Business ❑ antl Pmfeuions CoOe: Tha Contracto7 S[a[e License Law Oces not ap01y to an owner of pmcehY w�o �utlJs or improves tAereon anA who contracis tor such prolects wiN a contractoqs)license pursuant ro t�e Coniractors' Stata Licensa Law�.l am aware t�at proof of their Worker's Compensatmn insurance shoultl be Drovitled to me. � I am exempt untler Sectlon: B. d P. C. lor ihis reason: � Oate: � Pxner. I Oo �ereGy ceniry that 1 am aware ol ana un0erstanA tAe requiremenis oi California Healih anU Safety Catle Sections 25505, 25533, an0 . 25534 an0 tAat I or any future builtlinp oauDant will/will not (circle one) need to comply with saiG state codes anC the requiremeNs for a permtl for cansimction or maAification /mm ihe Hir Oualiry ManaBement Oisinct. Nesitlential constmction aDPlications are exempt from �Aese pravisions. , ' Date: ApplicanC _ � I hereby cerlity tAat I hava reatl this aDDlication ana state that ihe ove inlormati t. I agree ro comply wit� all ciry antl counry ortlinancesantlsta�elawsreW�ingtoOuiWingcons�mctlonanOhe y uthon preenU�ivuo�thisdryloenteruponlheahovemenioneU pm0e� �or inspectionyurposes. / Date: � � SignaNre: �nver's License or Socia� Secunry x: 1601-46 W�ite—Buildina: Green—COEe EniorcemanL Canan—ApDlicflnt Pink—Revenue: oltlenroE—Assessor— CITY OE COSTA MFSA — DUILllING PERMIT PERMIT NO: D 04507.3 PLAN CFIECK NO: N CONSTRUCTION TYPE; FERMIT TYPE: STR JOB DESCRIP'TION : REROOF O/SfiAKG W/1/2 PLY. PERM NO: A 045U1J GOV'C: 'M SUPP� b] PORPOSE: UTIi SSJ FT: 6, SOQ� CLAZM VALUE: 6,500.00 CALC—VALUE: 6,500.00 GROUP OCC: R-3 / COMMENTS: �c**�t�t�t**�t�t*�*�r��t****��*�t**�t*�t***�t�***�r**�*�t***�t�t�**�t�t��***�r***********x**�x***** Z O N I N G R C Q U I R E M E N T S � S E T B A C K S --- ------- MAIN BUILDING ---�------ -------- ACC£.SSORY BUILDING --------- FRNT: FT IN RIiAR: FT IN ERNT; FT IN REAFt: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING RE4• PROV: � PARCEL: 13940114 ZNE: REF NO: .PLANNING NC3TES> . � 9E iE iE iE iE if 1f if if iE iE iE iF if 1E iE it iE �E ft iE iE �E iE iE 1E 1E !f if rt 1E iE iE iE fk fE 1E iE iE if !E if iF 1E if iElE iE iE iE iE �f if iF fE iE iE 3f if iE iE �f �f dt 1f iE iE iE IE iF # if 3t fE �E �f fE iP iE D E V L L O P M E N T S fi R V I C E S R E� U I R E M E N T 5 ZONiNG APPROVED BY DATE: BUILDING /APPROVED BY,: DATF.; _ APPL'IC�r3`IC�N ISSUED BY: ' DATE: �� 3EiliF�EfEiE3EiF�1EiElEiE�FiE1FiEiEif3EiFlfiF jfiEififikiE�E�EiFiE ��If iE ik 1E!(� if iE 3E �E iE iE 3E 1E iF jElE iE iElf iE 1k 1E 1ElE iE iE �E!! IE * i! iE �E iE 1ElE �)f iE iE �lE 1@ If �! ff !E 3E �E iE iE IF %� it 1E N� iF iF�E if �!F ik 1f if 1k IE 1E iE 1E iE if 1E 3E iE fElE IE 1E iE �)E �E �� LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMGNT:Y IILDG PMT PLUMHING ELECTRbC MECHANIC FIRE SMIP/RES-' GRADING PERMIT 90.00� .5p�' PLAN ' %". ''' SMIP/NnN-RES . i }. ' ISSUE FEE � ' DUILDING—DIV—> PERMIT ISSUE PLAN=CHECK TOT'AL PAID - DUE TOTALS----> 90.50 0.00 • 0.00 90.50 90.50• .' .00 REVENUE DIVISION TOTALS--> COLLECTED: 90:50 O[�ER/SHORT: .00 DLDG PMT PLUMBING ELECTRIC MECHANZC FIRE SMIP/TOT GRADING:PLAN—CIiECK 90.00 , .50 if iE iE if iE iE iE 3E iE it �! iE if 3E !f if if if iE �E 1F ik iE �E iE �IE if iE 3E iE iE iE �lE k �E iP if iF if 1E iE 1E ik iE if iE iE df IE iE 1E 3ElF iE 3F if iE if !E K� iE i4 iFjf 3! jE iE 3E iE iE iE dE iE iF if iF * iF iE I N D I V I D U A L' F E E f3 R E A K D O W N .t; �„ TYPE QTY D E S C R I P T I O N UNIT CO,T .•' +'1TC�TAL COST SFR 6500 REROOF BY VALUE RESSDF_NIAL NO'LONE , 1.00 ' G,500.00 END OF FEES . . r .'��' : NOV l� 1989 ��_ CITY Of COSTA MESA P a CONSTRUGT.{ON AND�PLANNING P�� 'PA 1 APPRaJALS Permit# - Date Inspector qppROVALS h���nit# Date Inspector i. Temporary Electrical Service!or Pole� : ". � 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. :. � _ . 53. Steel Reinforcement 3.`Electrical Conduit Utility-Undrgmd. 54. Forms ��4. Electrical ConduibUndrgrnd' 55. Electrical Bonding - 5. Steel Reinforcement � 56. Rough Plumbing & Pressure Test � c '�.6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE , :7. Footings c' 58. Electrical Conduit-Undrgrnd. � 8. Foundation . 59. Gas Pipe, O Undrgrnd., Test - 9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P�Trap, O Undrgrnd. 10. Structural Floor System `I �j '_/��•� 67. APPROVAL TO DECK . '' 11. Property Sewer �Line & House Connection 62. Backwash & Receptor-Final ! � 12. Sewer Cap i . 63. Heater & Vent-Final 13. Roof Drains - 64. Plumbing System - Final 14. Hough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric�Wiring 67. Fencing & Access Approval 77. Rou9h Wiring Sign 68. APP{iOVED FOR P�ASTERING 78. Rough Electrical-T Bar Ceiling � 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning _ ,, _ _,FIRE DEPT. REQUIREMENT 20. Rough Factor�y Fireplace � . � _ r, :- 4_ �APPROVALS .Permit # 21.`DuCts, in Structuie ""' ''� � -70. Undergroand Hydro ' 22. Ducfs, Ventilating, � � � ... �71, ProductPiping OGas ❑Oil 23.•Gas�Pipe�Rough & Test -_ � ' , 72. Underground Fl�sh--' . � ' ' 24.�Roof Fr�ming , ,- ` _ ..73.�Undergrnd.Storage�Tank.�Gas ❑Oil 25, Foof Sheathing - • ' � _ • 7q. Overhead Hydro�_ � ' 26.� T-Bar Ceiling (Structural) & Mon'ocoat _" 75�_ Dry Chemical '� � r 27.- Frame and Flashing� - r - � •+ 76. Dry Standpipe - � '� -28. Lathing'& Siding ' � - _ ,. ` ' ' ' 77; FIXED SYSTEM FINAL� - � 29. Insulation � " + ' 78'_FIRE PREV. PINA'L ' " ^ 30. DrywalPNailing . �= HEALTH DEPT;. REQUIREMENT _31. Plaster Brown Coat� - - � � � "79. FINAL INSPECTION ' �32._Electrical Power MeterFinai ' ' ; ; ��SO..;FOOD CERTIFICATE ISSUED - =33'_Final Electric � , �' � � , � '� Notes: ! o� � '� 34. Final Heating& Air Conditioning� ` y `� � • � � - 35. Final Gas Pipe-Test, � � - - -- - 36. Hood or Canopy � - - _ ' � "� '` ; r ' , _ � �, '-37.�Final Factory Fireplace- � - � � . + � ' � '� � _�38. Final Plumbing � ' -' .;. . � , � ' �39. WaCer Service-Final - , - �� - -40. GasService-Final '. _ ' "� � ' � �� 41. Solar pomestirFinal- , � � � - : � - 42�Backflow Preventen • � ' � �' ' � ' ' - _ � . 43. Backflow Irrigation, . �" . -� r � �: ,, � �•� - _.., � 44. Landscape IRipation System' " , � " - � ' � � _ ,. _� f . . 45.,Sound Attenuatiori � � T • �� - z . r � � � � � n; �, _ a _ '46.�HandicapRegulations � +' • - � ' - � - s- ...47=FINAL STRUCTURE & BUILDING _, � _ � q� ,._. � 48:_FINAL PLANNING -" ' � ' �' g � e + . '49. Electric.Release to Edison , ' , r �- . � - .50..Gas.Release to Southern California Gas Co '' • � - � ' ' ' - ' - � -i - 51. CF.RTIFICATEOF�OCCUPANCY ' • • � � � - � No. Oate ADDRESS CONTRACTOR SUBCONTRACTOR or �.f�n. & Bedrm.to res i .00 _ . w . Z. J �OSTA MESA BUILDING-SAFEfY DEPARTMENT P.O. 80X^MO COSTA MESA� CALIFORNIA 9Ib20 � For AppI1mM to Flll In CompfeNly TYPE OR PRINT wuon' Ren"n° o?U � Sou rh C e�ia COSTA MESA. CALIFORNIA �WNRR LARRY /�Z MA�/NA/1n � ■ wacnirecr OP LOT � 0 L- HOW oN LOT I UeH OP EXISTINO BLDO. 68TBACK lJH6IR011 � CeNTeR OP OTp[R 11tAp YAR �O � Q / �� / IIID@ YA LRR 3—� RIp}fT S— DESCRIPTION OF WORK BUILDINO SIZE HXTERIOR �1 M�I6pY ACKNOWL[p0[ iXAT.I NAV[ 11tAD T{II/ A►�LIGTON ANp BTAT6 TMAT iN� ApOV� 19 CORR[Gi ANO AOR6[ TO COY- PLY WITM ALL CITY OROINAMGO /��1D RATi lAW/ liGYlATMO GUILDINO COHBTRyCT10M. � AUTHORIZ[DA6QPfi'� ,�� raio JUB -8-67cNsn�O 52t;:r t...:: ��? �� ArPLICATION FOR PERMR 6UILDING fOI OHJt� UN Of1Iy �r G, --/i •- � / ZONING ��,[„_ _ _. y�, ZON[ MO. OI . U�[ OI N[W '� � � ►UW ONLDINO n . . ( / �nr [:-(.a-P-.-a� n, C[YeRIRION o�—f.� � �/�/ A.P.NO. I.'i�— ��I"— �/ NOTH: NOHAVlOVBRHAN06MALL�HLQ88TNAN 80' TO BIDB a REAR P. L lAVEB ALLOWED N.B.C.RlQUIRlMHNT YAROIAPPROVGD YARDB MPROV6D MAIN BUILDINO ACC8880RY BUILDINO vwri. !t owr¢ � - / a w . � eo. rr. � iN8 AMOUNT �MOWry UNO6R V�LUATION 10 !OR T1C � ►URPOG[ 01 fRAGLIGXINO A P61iY1T IH[ ONLT. VAWATION ii'i7 7 PHRMITRH6 �/V � C � � � so w TOTAL P6H � �O JOB ADDRESS 1,GENERAL Swr OF FIRE'LONE VALUE$ t3W.UV I GROUP J TYPE V ZONE SUBCONTRACTOR . _ - . 25?67 COSTA MESA BUILDING-SAFETI! DEPARTMEM P.O. BOX 7208 CO3TA MESA� CALIFORNIA 92l20 For AppllcaM fo F711 fn ComplN�ly TYPg OR PRINT �mtniNa ADDR6C9 I P GOSTA MB:SA. CALIFORNIA iAOtl DESCRIPTfON OP WORK EXTERIOR WALL 1 M[R6GY ACKNOWL�DYt TUT.1 MAVt 11fAD YXI/ M�YGTON AND BT�T[ TXAT TX[ ASOVt ls CORR[C} ANO AOp6[ M COY. PLY WITH ALL CIT' ORDINANCf� A�1D �TAif tAM1� p{OYLATNO sY1LDINOCONDTRYtT1 �1. 810NATUR! OP PBRMITTB AUTNORIZ[DAO[Ni � _ CITY �F CvS iA MESA JUN 8 " 1966 ArPLICATION FOR � � Ii'6�UH � ![RMIT NO. ZONIN�i NO.O� U�[O�H[ � ILAN/ z lUILDINO � L L[OAL ocacx�mow /� A. P. NO. . /� / � �� / L! NOT6: NO GVC OVERHANO 6NALL E8 LC88 TNAN VARD{ MPROVlD MAIH BUILDINO vwn.# YARDBAPPROVHD :CHS80HY. BUILDIN6 DAT6 a a � ea. rr. � n�e �rou�rr �nowN uHom v��u�non ia von n�e � ►UPPOO[ O� �tTApLIGMINO A �[qYIT 16Q ONLT. � VALUATION ,y / PBRMITFHH ��06 � 4�� ' ____ € w TOTAL PE6 � r OD ° 21325 COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 COHTA M6BA, CALIFORNIA For Applicant to Fill In Completaly TYPE OR PRINT eu��oirva C,�p6"t ADDRE&3 Zd� Z— GOSTA MESA, CALIFORNIA OWNER ` ' "`A Na� ADDR6S9 L� � �� �-+ - �Q6 t�� \ �00 , 9ETBACK UN8 �ROM DESCRIPTION OF WORK � BUILDINQ NO.OF SLI E OF BUILDING AND WORK TO Bfi P6RPORME� �s�o�� wat._ �20 �- �'c -c G//� Y /_� � .� �.�, FEE RECEIVED JAtl 1 � �a0ti FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING fOr OffiCe USB Only RCC61'T NO. � P6! er FI ZONINC; zon xo. or I U860P NBW �—' rune Z em�orna � - L80�L �\ _ _ �. � � � . y YARDBAPPROVEO MAIN BUILDIN6 tOM C/L BTREET) VAR. JC p/—/� 8HALL BE LESS THAN YARDSAPPROVED ACCESSORYBUILDINQ e--�'—� BET. MAIN B ACGESS. BLI DATE ///3 � v � so. Fr. " I XEREer wCKNOWLEOOi TXAT 1 XAV6 READ THIB APPLICATION THQ AMOUNT 9HOWN UNOER VALUATION IS FOP THE F ANO 9TATE THAT TNH ABOV[ IB COqpECT ANO AOflEE TO COM• PUFPO58 OF 88TABLI6HINO A PEHMIT FHE ONLY. p PLY WITH ALL CITT ORDINANCHB ANO YT�TB LAWe ReOULATING VALUATION � 9UILDINO CONSTR . m ' PERMIT FEE $ � SIGNATURE OF m PERMITTE � $ �Z � PLAN CHECK $ Q AUTHORIZED A6ENT � �` TOTALREE � ; _ 16525 COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX ut7 COBTA MBHA. WLIPORNIA For Applieanf fo Fill In Complefely TYPE OR PRINT Lct.'�S Tz9rTa3�r7 'o'fZ. Se�7h Ca,pa/�Q COSTA MESA CALJFORNIA iG � 61ZE !. _ . ._ I No. oP BBTBACN LIN6 PROM CBNT[R OP BT118¢T �� REAR YARI 61DE VARD I LEPT S I RIGHT s DESCRIPTION OF WORK lJroO ROOF �no runOc COVERINC � : i qND WORK TO B8 PERFORMED F E RECEIVED MAR 2 iS62 FINANCE DEPT. CITY OF CUSTA MESp APPLICATION FOR PERMIT BUILDING For Offiee Use Only R8G61PT NO. PHRMIT NO. RBCBIV�Y COSTA MESA. CALIFORNIA FIRE ZONE APPROVED ZONING ZONH NO. OP U88 OP N8W S�� t�an. RN R—� I PLJ�N6 2 BUILDINO W� w 94♦ oes�cxirrioe+ Lo�' 3S jR �J 3`J % A.P.NO. YARDS EVES APPROVED ICENT6R LINB BT.1 FRONT SO R. SIDE 'S L. SIDE '� REAR 3 � APPROVED /7 9Y CflI.C7' . Z//6/6Z •-3 � � MBH6lY AGNNOWL8P4fl TXAT I HAV6 pGD TXIB MPIJGTION Hg AMOUM 6HOWN UNDEP VALUATION IB FOR THH AND BTATH TH�T TH6 AOOVB 18 fAX1i8GT AND AGfi6H TO CAM- pUHP08H OP HBTA�LIBHINO A PERMIT F� ONLY. PLY WITH ALL CITY O�INANC88 AND BTATE IAWe it[OULATN6 BULLDINa coNeirtuCT�ON. VALUATION 2 � BIpAATURE OP PEftM1T FEE $ �j-� � S/�/ Ip(J / I PLAN CHECK