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HomeMy WebLinkAbout1610 CARAWAY DR - Building Permits ! ► p '69 CITY OF COSTA MESA BUILDING DIVISION .;,r! ,i DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER PERMIT °. 11"4 /605-00558 cmar so 4. (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.G2,45LDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 1610 CARAWAY DR 6U� Status: ISSUED Suite: Applied: 04/07/2005 Vicinity: 4-PLEX WITH ATTACHED GARAGE Issued: 04/07/2005 Primary Occ: R-1 Hotels/Apts/Res>10 Occ Type of Construction: V-N Parcel Number: 13949229 Zoning: R3 Applicant: MCCLAIN, KIM ISSUED BY: u& Address: 12812 VALLEY VIEW ST STE 33 Phone: (714)897-1780 GARDEN GROVE CA Zip: 92845 Owner: POSTEL, EDWARD J Address 1610 CARAWAY DR Phone: COSTA MESA,CA Zip: 92626 Contractor: MCCLAIN ROOFING INC Address: 12812 VALLEY VIEW ST STE 33 Phone: (714)897-1780 GARDEN GROVE CA Zip: 92845 License: 625013 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT REROOF 4-PLEX AND ATTACHED GARAGES:T/O EXISTING 2 LAYERS OF COMP,REPAIR/REPLACE SHTG AS NEEDED,2 LAYERS 15# ASTM FELT,APPLY"30-YEAR COMP SHINGLES"TO PITCHED ROOF.4600 SF FT 300 SQ FT FLAT ROOF:T/O AND INSTALL TORCH-DOWN MODIFIED BITUMEN. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $9,000.00 Permit: $167.25 Claim Valuation: $9,000.00 SMIP Res: $0.90 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $168.15 PLANNING &ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 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) - DECLARATIONS) ' I WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain a certificate of consent to self-Insure for workers'compensation.es provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. I 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 workryerss''yccoompenssaa iio1n/Insurance carder and policy number are: �1 /'� ,.,P� Carrier: I NJL= tf )AAF 1 Policy Number: 11 I ? Q - 7 C� (This section need not be completed if the permit is valued al one hundred dollars($100)or less.) f/I P� O 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 If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code.I shall forthwith comply with these pr iiyonns.�/p Applicant Signature: A/1/ Of/� Date: 4/1/r).5— WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TiOUSAND DOLLARE(5103,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licIens 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 force and effect.tic.R 1 0 t-577( 3 Class q L' 2 ) Contractor's Signature: k<77/ Date: 41/'1/o 5 CONSTRUCTION LENDING AGENCY: O 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). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: 1 hereby affirm that under penalty of perjury that t 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).): O 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 loan 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 contractor(s) license pursuant to the Contractors License Laws.). O I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 Yes 0 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: ❑ 1 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? 0 Yes 0 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? 0 Yes 0 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). 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 II an RMPP is presently required,has Section 25534 of the California Health end Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application appermit for such construction or modification from the South Coast Air(Duality Management District or from any other air pollution control district or agency? ILI Yes L-I 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 part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If yes',the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Cafe). 7 If a permit from the South Coast Air Duality 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? 0 Yes 0 No 8 (If"yes*,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 road 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. n`/$('lgnnature Of Legal Owner(s) Date And/Or Authorized Applicant Date CODE I. INSPECTION TYPE PM INTIM q ;ODE I INSPECTION TYPE PATE INTR1AL5 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final L /- 8 p 208 Final Plumbing 4 200 Final Re-Root -n J 210 Final Electrical 201 Final Block/Retaining Wall 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 _ LIJI WPOSTA MESA BUILDING SAF,ETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92620 . Cc VVLLO LL. 1Liu . DESCRIPTION OF WORK BUILDING 46 it 82 NO.OF car Garage AUTHORIZED AGENT A-66 001307# ***210.75 APPLICATION FOR PERMIT BUILDING For Office Use Only 11[CtIPT NO. LVVNIV R[Ci D Y WTL RLC[I D DATL I\DifDUiO_� BUILDING ADDR ( ,(1[• FIRE ZONE TYPE 17 GROUP APPROVED PROVED /�� �y / b DATB�O�Ld" ZONING O _3 NO. OIUa PUNS OI NEW DLU�y,1 LROAL /` OR[CRIRION A. P. NO. NOTE: NO VE OVERHANG SHALL BE LESS THAN 80' TO SIDE O REAR . L EAVES ALLOWED (U. B. C. REQUIREMENT) YARDSAPPROVED YARDS APPROVED MAIN BUILDING ACCESSORY BUILDING f FROM C I ER FRONT FT. R. eID FT. L. 61021 Cl FT. Fr. REAR D PY.Co FT. DI STANCE BET. BET. MAIN! MAIN BLDGL. ACCESS. BI -DGS. VAR.# DATE C. APPROV/ED APPROVED Q / �V �v 6 Illy DATE ` X 553 n -70 17 so. FTV TNS AMOUNT SHOWN UNOLR VALUATION 18 POR THE PURPOSE OP E{TASUSHING A PERMIT FEE ONLY. VALUATION PERMIT FEB (� �7 /D• TOTALPEE City of Costa Mesa Building Safety Department CERTIFICATE OF O C C U P A N C Y N? 2452 C. P. O. Box 317 Cort. Mesa, California The Building located at 10p CA26MA'V privet' A.n has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group $ J Occupancy. 'lse of Building �3 Pult i17i:Lt'L=,b =ldJA% rn*ltta 8t lfrod A&U-agn MA IMS. -A17 Legal Description irwt &52, Lab 14 (See reverse side for Meter and Bound,) iR Building Permit No. 3"g• Electrical Permit No. 26,431 plumbing Permit No. 49WIT Floor Load Signs have been installed as Room Capacity Signs have been instaled as required under Sec. 2308 U. B. C. required under Sec. 3301 (1) U. B. C. 17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be used or occupied until the owner or operator has been issued a valid certificate of occupancy by the enforcement agency. (b) A new certificate of occupancy shall be obtained whenever there is a change in: 1) Occupancy classification of a building or portion thereof 2) The number of apartments or guest rooms 3) Ownership If Group H Occupancy, number of apartments and/or guest rooms as required under Sec. 17050.1 (d), California Administrative Code, Title 8, Chapter 9, Article 8. Number of apartments D and/or guest rooms ISSUED TO: • u r. t17,4 p o,S w- r Buildina Offici Dat - 1 s S6 19" This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed Except by the Building Official of the City of Costa Mesa under Sec. 306 (e) U.B.C. Fern, au34—uu-11-es n P r_ AOORESS OF BUILDING: 1610 CARAWAY DR UNIT' A CITY OF COSTA MESA — BUILDING PERMIT ONNERS KAME IF 101OWN: POSTEL EDWARD J mimes: 1610 CARAWAY DR COSTA MESA,CA 92626 PERMIT NO: P 083007 PLAN CHECK NO: N 545-0921 APPL.Wu ADDRESS CONSTRUCTION TYPE: V -N PERMIT TYPE: PLU ARCHITECT OR ENGINEER: UC. NO.: JOB DESCRIPTION DISHWASHER CHANGE OUT MR. OR ENO: S ADDRESS: UNIT: C'ONMCTOR'SKAIIE: NOCK PLUMBING (714)895-1246 CONITACTORSMNIIIIG 11612 KNOTT ST ADDRESS: GARDEN GROVE CA Law, 707775 92841 UNIT: 17 LICENSED CONTRACTORS DECLARATION: I hereby aim under pereXy of perjury that I am liceded under povisiods d Chapter 9 (commencing wnh Section 7000) of Diviam 3 of Ne Business and Professions Code, and my Iicenee is in full lance end effect. CITyUC, NO.:0 03 6 UOCIASS: C--36 LICN 70 75 EXP: 02/98 Data: c«nroa«: OWNER BUILDER DECLARATION: I meby effirm undo penalty of perjury that I am exempt from the Contractors License law for the 9bwing reason (Season 7031.5 Business and Professions Code: Any cry « county Mfiich requires a perms to crnstrud, sum, improve, anolsh, or rapes any structure, prior to is swradre, also requires the applicant for such pormn to fib a signed statement tial M «she i iiceded putwent to the gwi lions of the Contractors Linde Law IChader 9 (commencing wile Sedan 7000) of Divsan 3 of IM Busimass and Prdessam Code( or that he or aha s exempt Menaced ant IM basis 1« the alleged es nal ton. Airy yistam of Sedan 7031.5 by any applicant for a permit subjects the applicant to a evil penalty of not moss than five hundred "Ices )5500J). ❑ I, d owner of the Propudy or my employees with wages as, Ines note compensation, will do the wok. and IM structure is not intended or offered for sas (Section 7044. Eastmain any Professions Code: The Contractors License Lew does not apply to an owner d property Mho Wild. or knpmves In.. and Who does 9Ud1 Malt IembR., hmia . thrWgn his «h« o. emplo am, provided had wall imm, ernema we not intended or dferll for safe. R, however, the Willis, or inprovemem is sad Milan in aro year of completion. the ower -builder will have the ladled of pressing M or she did ncl Mid or imp«.e for the patpeae of sea. ❑ I, as myd,.r of the po pent, Am .sdusiti Conlraailg an loede l contractors to colmrud the project (section lou. Business era Prefediod Cade: The Conlradors Urammun law dram twl apply to an owner of property who beide or improves Thereon and Mfr contracts for much, projects with a centrectodii) licensed pursuant to the Contractors License Law). ❑ I am exempt under Section: B. A P.C., for this sewn: Date: Chem ar; 1 do hereby codify that I am Aware of end maddend the requirements of Calaomia Newt and Safety code Become 25505, 25533, ane 25534, and That I or any future building occupant wig I wR net (circle oro) deed to comply win avid ode codes end the requirements f« apermsforwmtmdirnormWigcelionhamtMAfrQ—IueittyM "amen) Diona.Re enlWc mdaneppirationsaneexonpl/mmthese p«dsions. Det.: Applicant: WORKER'S COMPENSATION DECLARATION: I Mr.by conn unto pene0y d perjury aro d Ma fday n dederetione: ❑ 1 have and witl maddest a cenebate d con mut to seg iduro le coo kers omnnea on. m p«ridnd i« by Section 37M of the Labor Code, for the performance of the Milk for with this perms is thermal. I hays and Ma maintain worirs• compenaatbn insurancen distinct by Seaman 3700 of the Labor Code, for the performance of the wok fp which Mia perms is inued. My woduro' mmpedation inwrenca rarriar mrd pasty number ane: Coder: GOLDEN EAGLE EXPIRES Policy Numlxr; NWr 09/01/97 (This sedan need nor be completed Ante permit is for ane haddred ddidrs!310(1 «leaa) ❑ 1 candy that in the pedmmnence of the wader for which this mann is i®aed. I sill not .mgoy any nrs«I many mann« w as to become subject to the Modtere' compenesit sore of California , ant that B 1 shouldbecome wbpa to IM Makers' compensation p isana o assn 37M d the Labor Cade, I mill f con mmpy 'Ilii a pwisiona. Date: Applaanc Wamid, Fallen fo.... woAera' coMenu Nic. covmaye la unlewNl, and sell mub/ect an employer to cMNnel panaltles and ,1,11 ff.. Ip ro one hundrsd flwuaend dollars (5100,000), In ad lion to Me cost of rompenaaflon, dateless as provided ler In Seddon 3705 of Me Leber Code, Interest, and attorney's Ins. CONSTRUCTION LENDING AGENCY: I hereby corm unto penal, d pajmy tit there is a construction lerad, agency for the pofarmene or the wok for shich this pends is stand (Section 3097. Civ. C). LENDER'S NAME: LENDER'S ADDRESS: I candy lel I have died Ms application ant data That the above informdi. I. correct. I agnea ta.* Mh all city and Doan, «dimness ant state dee relating to Wilding com uction and hereby anahor¢e representatives of this city to enter upon the above-mentioned popery Iw impaction Wrlxnes. RON NOCK nt Neste / p Date: Y C Signature of DwmartAgentlAppicendContmctor (515146 WP) WhM-Buidi, & Safety; Greed -File: Celery-AppErant: Pink -Revenue; Goleenr«i-bansor PERM NO: P 083007 GOVT: N SUPP: N PURPOSE: OTH SQ FT: CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 / COMMENTS: NO OTHER WORK ASSOCIATED WITH THIS PERMIT ****dE BE if iE IE fE9i 3f***BE♦E**iE ii*Ri*iE 1E iF iE iE 1E Bi BE if ii*df if rt Bf dE if RE**fE dESERE*Ri 1f 1E***RE if ii lE eE**1s RE***ii**9E *1E fF4E*9E 43E Z O 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 RIGHT: FT IN LEFT: FT IN RIGHT: FT IN PARKING REQ: PROV: PARCEL: 13949229 ZNE: REF NO: PLANNING NOTES> > *iE 9E*ii***Rf eE fE iE***fE*dF if*eE*dF RF iE fi***1E SE*'iE*{(•fiN-****9E rE SE RE4iE*♦E ii iE lE iF di df N'**iE**dE**ii**IE iE fF if*dF**BE IE SEM 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 BUILDING APPROVED BY APPLICATION ISSUED B iE**1E 1EiE*dE iE RE**RE*Rf RF *ik 1E 1E LEGALIZATION:N BLDG PMT PERMIT PLAN F E E S U M M A R Y PLUMBING ELECTRIC MECHANIC 8.75 252 DATE: DATE: DATE: STRUCTURAL SEGMENT;N FIRE SMIP/RES GRADING SMIP/NON—RES ISSUE FEE 22,00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 8.75 22.00 0.00 30,75 30,75 .00 REVENUE DIVISION TOTALS--> COLLECTED: 30,75 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 30.75 BE fE fE RE RE Rf if***BE BE'N iF iE iF iE 1ElE1E*9f RF**k******iE**IE RE iE*lE RE 9t*if 1E*dE iE iE*iE*ltF*RF iFif*RE ii dE 9E RF df eE iE**MRE if*fE***ii 1E* 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 PLU 1 DISHWASHER END OF FEES EXPiAED DATE kn UNIT COST TOTAL COST 8.75 8.75 3b-04-1957/1�:�!r 2:U£3C.7� Fat E:ieei e CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector PO SPA APPROVALS Permit # Date i 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 i 4. Electrical Conduit-Undrgrnd, 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test I _ 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, ❑ Undrgrnd., Test 9. Water Pipe•Undrgrnd. 60. Backwash Lines, P -Trap, ❑ 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 r 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 APPROVALS Permit # 20, Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing - 73. Undergrnd. Storage Tank ❑ Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling lStructuratl & 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 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 Domesvc-Final 42. Backflow Preventer 43, Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46, Handicap Regulations 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 PROJECT ADDRESS: 1610 CARAWAY DR UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 052196 OWNLM'S NAME: POSTEL EDWARD J ADDRESS: 1610 CARAWAY DR PERMIT NO: B 052196 PLAN CHECK NO: 01826-91 S GOVT: N SUPP: N COSTA MESA,CA 92626 CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH 545-0921 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION , 20 LN, FT, CITY STD BLOCK WALL SQ FT: 20 ADDRESS: UNIT: CLAIM VALUE: 500. 00 CALC—VALUE: 400 . 00 GROUP OCC: R-1 / PERMITTEE: EDWARD POSTEL ( 714 ) 545-0921 ADDREss: 1610 CARAWAY DRIVE A COMMENTS: 20 LF OF 6 ' CITY STD BLOCK WALL COSTA MESA CA 92626 ***************************+ ******* **********************TETE****+r*****+6****sr*** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING R EQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in lull torte and effect. SETBACK S CITY LIC.: STATE LIC.: CLASS: Date: Signature' MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN Compensation Insurance,or a certified copy thereat(Section 3800.Lab.Cl. LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING REQ: PROV: PARCEL : 13949229 ZNE: R1 REF NO: D Certified copy is hereby furnished. ❑ Cemned copy is filed with the city Building Division, PLANNING NOTES> 20FT, OF 6FT, HIGH BLOCK WALL BETWEEN FRONT OF HOUSE AND SID > E PROPERTY LINE Date: Applicant: **************************************************)A**************************** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed it the permit is for one hundred(3100)or less). DEVELOPMENT SERVICES REQUIREMENTS 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. ZONING APPROVED BY Q \'( ,:nt 1 DATE: ec-2(NI.' Date: Signature: BUILDING APPROVED BY • DATE: 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. — �� 7 ^ (�. Q CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: DATE: (J G G which ihepermnrsissued(Section 3097.Civ.CI. *'**'**********'****'***'*******'*****'**'*** *****fl*****i'*************3)(***K*'* ** LENDER: ******************************************IE************************************ ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 15 . 00 ' . 50 repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed SMIP/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN 9 . 75 and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption Any violation 01 Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(S500). ISSUE FEE I. as owner of the property or my employees with wages as their sole compensation. will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'Slate License Law TOTALS————> 15. 50 0 , 00 -9 . 75 25. 25 25 , 25 . 00 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 REVENUE DIVISION TOTALS--> COLLECTED : 25. 25 OVER/SHORT: 00 orimprovement is soldfs le)nin one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SHIP/TOT GRADING PLAN—CHECK for the ens of dale). I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business 15 . 00 50 9 . 75 ❑ 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'State License Law).l am aware ******************************************************************************* that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BR EAKDOWN IN lam exempt under Section:A P 7 0 4 4 B.S P.C. ,�fo•r^this reason: ALL WORK BY OWN2 (� TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST /oaL�/ a �' i Ownener 'ItIA�'' \1 SFR 20 RES—CONCRETE BLOCK WALL / FT. 20 . 00 400 . 00 I do hereby certify that I am aware of and understand the requirements 01 California Health and Safe Code Sections 25505,25533.and END OF FEES 25534 and that I or any lutute 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 Quality Management District.Residential con applications are exempt from • /these provisions. pF '(', (`fit -,-( ( --. ' a Date: �` /' Applicant: \ .e%I vg h7/ W hereby certify that I have read this application and state that the above information is c rect.I agree to comply with all city and county / rdinances and state laws relating to building construction and hereby authorize re.\tatives of this ci • 'r upon the above-mentioned .V/ property int inspeection pwposea Date: io & (_ " L Signature: _A I, _ 1 _ Driver's License or Social Security x: 7`.re:'`. i iTt 1641.46 Mae—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor • CONSTRUCTION AND PLANNING POS y SPA • 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 S-j©-q'/ 6&-41,1 56. Rough Plumbing & Pressure Test 6.-Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings y��0-r� 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O 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 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas ❑Oil 23. Gas Pipe-Rough & Test _ 72. Underground Flush 24. Roof Framing - 73. Undergrnd.Storage Tank O Gas ❑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 - 71 HEALTH DEPT. REQUIREMENT • 31. Plaster Brown Coat. '` l. 79. FINAL INSPECTION 32. Electrical Power Meter-Final - S .80. FOOD CERTIFICATE ISSUED 33. Final Electric . - Notes: 34. Final Heating& Air Conditioning. ; = 5-7/ _o 35. Final Gas Pipe-Test • _ . '_I^ , _ S �Ac%L" 'c;0,-.94 B/-- 6( 36. Hood or Canopy 37. Final Factory Fireplace - 5 38. Final Plumbing • 39. Water Service-Final • -. 40. Gas Service-Final , 41. Solar Domestic-Final . 42. Backflow Preventer ' I ! 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation ' 46: Handicap Regulations • 47. FINAL STRUCTURE & BUILDING oy'/ 644 • 48. FINAL PLANNING :I • 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY , No. Date