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Home My WebLink About324 BROADWAY - Building Permits� CITY OF COSTA MESA • BlIILDING DIVISION F � 77 FAIR DRIVE, COSTA MESA. CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • vr'nv.ci.costa-mesa.ca.us �. POR INSPECTIONS CALL: (714) 754-5626 . �ro � PERMIT TYPE B_MISC APN: 11725307 Zoning: , JOB ADDRESS: 324 BROADWAY CM Vicinity: THROUGH OUT HOUSE SQ. FT: 0 PERMIT NUMBER: BX08-00321 STATUS: ISSUED DATE ISSUED: 11/06/2008 ISSUED BY: RMD Suite/Unit: Primary Occr � � " . Const Type :?? Valuation: � . 58,000.00 - � � SCOPE OF WORK: 8 WINDOWS CHANGE OUT (CUTTING INTO STUCCO), SAME SIZE, NO CHANGE IN HEADER AND RESTUCCO WINDOW AREA FOR A SFD. BEDROOM WINDOW§ TO MEET EGRESS REQUIREMENTS. OWNER: BqUSCARY; RENE' TR ; Address:: 3021 S PACIFIC AVE Unit City/Slate: SANTA ANA, CA � - Zip Code: 92704 � Phone: 714345-9371 . ` � . � . . APPLICANT: JENKINS, CHRIS � City/State: NEWPORT BEACH, CA Phone: 714-345-9371. � , CONTRACTOR: JENKINS TERMITE Address: 20121 ORCHID ST City/Slate: NEWPORT BEACH; CA Zip Code: 92660 ARCHITECT: - Phone ENGINEER: Phone Building Plan Check: Building Permit: Electrical Permit: SMIP Residential SMIP Commercial TOTALFEES Address: 20121-ORCHID ST - � . Zip Code: 92660 License No. 907221 Phone 714345-9377 License No. - License No. FEE SUMMARY 41 $0.00�A � � <�.�,'y $15325 _ �' � �$0.00� � - � $0.80 $0.00 $154.05 � UniC Unit: Cell: r;,�:�v NOTICE: The work authorized by this permit shall comply with all applicable handiwp access requirements under Califomia statutes and related regulalions. (Ord. No. 92-28, § i, 12-27-92) , � EXPIRATION: P�RMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. , INSPECTIONS: In order for the vrork authorized under this permit to be considered legal, such work must comply with all applicable wdes, and all required inspections and flnal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. COOE/. INSPECTIONTYp� Q]7f, IN fQUF� INSGECPDXTYVE IJ�i7F N7RIRL 1616 Fixed System Final Fire Prevenlion 206 Final Mechanical 126fi Pool Spa Final 208 Final Plumbing � 200 Final Re-Roof 210 Final Electnwl 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning ADproval � 203 Final Sign 222 Final Site 204 Final DBmoliti0n 250 Final Building/Occupancy � s ' WORKERS' COMPENSATION DECLARATION. . I hereby affirtn untler penalty of pe�ury one of the following declarations:. ❑ I have and will maintain a certifcate o( consent to self-Insure for vrorkers' compensation, as provided for by section 3700 of the Labor Code, for the parformance of the vrork for which this permit is issued. ❑ I have and will maintain v.orkers' wmpensation insurance, as required by sectbn 3700 of the Labor Code, for Ihe peAormance of the wvAC for which this permit is issued. My workers' compensation Insurance carrier and policy number are: Carrier (ihu secfion nee0 rrot be compleletl n Ihe permn ¢ valuea at one hunaiM doliars i8��) w less ) Polic nber: ��I certify that in [he rtnance of Ihe vrork for which this permit is issued, I shall not empl a pe on in any manner so as lo become subject to the vrorke o n tion ws o/ California, and agree that if I should become su �e Ih od� s' comp sa[ion provisions o( S ction 700 of the Labor o � s II fo � ��h co with lhese provisions. % � 06 � ' 9gn�1 e , ale WARNING: FAILIf$F�T4 SECURE WORKERS' COMPENSATION COVER4GE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FIN6S UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTOR$ DECLARATION: I hereby aRrm that I am licensed u r provisions of Chapler 9(commencing with Section 700 of Divisi0n he Business and Pro(e sions Code, and my license is i u force an Lic: # � � � � s # � � / CONSFRl1ETION LENDING NGENCY: ❑ I hereby affxm that ftiere is a ca�stniction lending agency tw the peRortnance o( the xork fa wf�ich this permit is issuetl. (Sec 3097, Civil Code). Lender's Name: LenCer's Atldress: OWNER-BUILDER DECLAfWTIONS: I hereby affirm that under penalry of peryury that I am EXEMPT FROM THE CON7RACTORS LICENSE ��N for the tollowing reason (Sec. 7031.5, Business antl Professions Code: Any ciry or county which requires a permit to construcl, aller, improve, demolish, or repair any slrucWre, 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 Litense Law (Chapter 9(co�nmencing with Section 7000) of Division 3 of the Business and Pro(essions Cotle) or that he or she is exempt lherefrom and the basis for the alleged ezemption. Any violation of Section 7031.5 by any appliwnt for a pertnit suDjec[s the applicant to a civil penalty of not more than five hundred tlollars ($500).): ❑ I, as ovmer of the property, or my employees with vrages as their sole compensation, WILL DO THE WORK, and the strucWre is not intended or offered for sale (Sec. 7044, Business and Pro(essions Code: The Contractors License Law does not appty to an owner o( 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 tor sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving Ihat he or she did not build or improve for purpose of sale.). ❑� I, as owner o( the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consWct the project (Sec. 7044, Business and Professbns Code: The contrdctors License Law dces not apply to an owner of property who builds or improves thereon, antl who contracts For such project with a contracto1�s) license pursuant to the Coniractas License Laws.�. ❑ I am exempt under sec. Business ana Professions Code for this reason: SlgnaWre Dale ?05T<6 (3lOT� Owner ID verifietl by driv�ense. ❑ Ves ❑ No Dnver's�.License No. Expires: Venfication of Ownership by (rype of tlocument, i.e. - property tax bill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certAy that no excavation frve (5) or more feet in depth into which a person is required to tlescend, will be matle in connection with uork authorized by this pertnit, antl Iha[ no builtling slrucNre, scaNdding, falsewudc, ar demolition or dismantling thereof, will be more than thirty-six (36) feet �igh. (Chap. 32, Gry 2, M 2, Sec. 341, Tlle 8. Califomia Administrative Cotle). ❑ As owner-builtler, I will nol employ anyone to do work which would require a permit from lhe Division of Industrial Safety, as notetl above, unless such person has a permit lo tlo such vrork from the division. ApPlicanl'S SignaWre Division of Indusirial Safety Permit Number: _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or presem or future building occupant need to fle and certify a Business Plan (or emergency response to release or lhrealened release of a hazardous malerial? ❑ Yes ❑ No (Section 25505 of the Califomia Health and Safe[y Code requires, with some excep[ions, Iha[ a Busine55 Plan be filed with [he 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 teet of compressed gas at standard temperaWre and pressure). 2. Does or will [he applicant or present or fuNre building occupant need to file a registration (orm for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of ihe Calitornia Health and Safety Code, with some exceptions, requires registration with ihe 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 weigh� of 500 pounds, or a volume of 55 gallons, or 200 cubic feet o( compressed gas at stantlard temperature antl pres5ure). 3. Does or wi0 the applicant or present or tuture building occupant need to prepare an RMPP (Risk Managemen[ antl Prevention Program for acutely hazardous materials)? ❑ Ves ❑ No (Section 25534 of the Cali(omia Health and Safety Code provides thal the Costa Mesa Fire Department may require Ihe preparation, certifcation and fling with the Fire Departmen[ of an RMPP by businesses which are required ro regis[er acutey hazardous materials with lhe Fire Departmen[. 4. If an RMPP is presently requiretl, has Section 25534 of the California Health and Safery Code been fully complied with? ❑ Yes ❑ No 5. Does or will the applicant or present or fulure building occupant require for the work which is ihe subject of this applica[ion a permit for such consimction or modificalion from [he South Coast Air �ualiry Managemen[ District or (rom any other air polWtion control disldcl or agency? ❑ Yes ❑ No (Section 658502 0( lhe California Govemment Code requires lha[ the requested infortnation be fumished on appliwtions for non-residential building pertnits). 6. Will any part of the facility to be constructed under this permit be within 7000 (ee[ From the outer boundaries ot a school? ❑ Ves ❑ No Qf'yes", the faciliry must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7. If a permit from the South Coast Air Quality Mana9ement District or other air polWtion control district or agency is required for the work which is Ihe subjecl of ihis applicatioq have all of the disclosures prescribed by California Health antl Safety Code Seclion 42303 been matle? ❑ Yes ❑ No 8. Qf "yes", attach ceRifcate of compliance from the appropriate air pollution control officer). � � � - CERTIFICATE OF COMPLIANCE: I ceAify.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. '� CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF'ENTRY: I ceAify under penalty o( perjury that I have read this application and s[ate that the infortnation given is correct I a ree to comply with all state laws and ciry ordinances relating to building s ction, and authorize representatives of the City of Costa Mesa t ente upon the above-described property for inspection purposes. I agr not occyPy or allow occu ncy of any builtling authorized bv this perm' until al insp�ction. � ' CITY OF COSTA MESA � ' . BIIILDING DIVISION ' F � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us �. FOR INSPECTIONS CALI: (714) 754-5626 !^da.mm `� PERMIT NUMBER: B08-00312 PERMIT TYPE B ROOF2 STATUS: ISSUED APN: 11725307 DATE ISSUED: 1110612008 ISSUED BY: RMD JOB ADDRESS: 324 BROADWAY CM Vicinity: HOUSE AND GARAGE ROOF Squares: 2000 Suite/Unit: Valuation: ' $4,000.00 SCOPE OF WORK: TEAR OFF (E) ROOF MATERIALS, INSTALL 1 LAYER OF 30# FELT ON A'4:12 PITCHED ROOF ANQ REROOF WITH 40 YEqR COMP SHINGLES ON A DETACHED HOUSE AND GARAGE. REPAIR AND REPLACE SHEATHING AS NEEDED. REROOF OF DETACHED HOUSE AND GARAGE TO BE DONE CONCURRECTLY. ' OWNER: BOUSCARY, RENE' TR ..� . Address: 3021 S PAGFIGAVE - Unit: PHONE: 714-545-4324� � ' - - � � City/State/Zip: SANTAANA, CA' � � � • ' � APPLICANT: JENKINS; CHRIS �� - - Address: 20121 ORCHID ST �' � � Unit PHONE: 714-345-9377 , �� : City/State/Zip: NEWPORT BEACH�, CA. -�- CONTRAC70R: JENKINS TERMITE Address: 20127 ORCHID STUnit: City/State/Zip; NEWPORT BEACH, CA 92660 ARCHITECT: -- ENGINEER: FEE SUMMARY Reroof Plan Check: Reroof Permit Fee: Reinspection Fee: TOTAL FEES License No. License No. $o.00 $97.25 $0.00 - � - License No. 901221 PHONE: 714-345-9371 CELL: PHONE; . , , PHONE:, $97.25 � � NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia stalutes and relatetl regulations. (Ord. No. 92•28, § 1, 12-21-92) . EXPIRATION: PERMIT E%PIRES 180 DAVS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. .. � 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 vrill resull in the axpiration of this permit. COOEt, IMSPEC710NTYVE �7� IN71ML 4,QDEt INSPECTION7YPE p� IN7I71A1 1818 Fixed System Final Fire 7revention 206 Final Mechaniwl � 1288 Pool 5Da Final �� 208 Final Plumbing 200 Final Re-Roo( � 210 Final Electrical 201 Final glock/Retainin9 Wall 272 Final Fire Prevention 202 Final Fadory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final BuildingiOccuOancy WORKER�S=CCMPENSATON DECLARATION: . I hereL�'y affirm under penalty of peryury one ot the following declarations: ❑ I have and will maintain a certifica[e o( consen[ [o self-Insure for workers' compensation, as providetl for by section 3700 of [he Labor Code. for the perlormanca o( the work (or which this permit is issued. ❑ I have antl will maintain worker5' compensation insurance, as required by . section 3700 of [he Labor Code, (or [he performance of the work tor which this pertnit is issuetl. My vrorkers' compensation Insurance carrier and policy number are: _ �7 I certify [hat in lh Aorm e of the vrork for which [his permit is issued, I shall not em any p n in any manner so as to become subject to the 0rs' co p�nsa[io I of Cali(omia and agree tha[ if I should beco suDject tHe wor er compensati ovisions f Sectio 3700 of the Labor.Cod ,�hal h th comply � t se provisi s./ /, V . i 1�'Signatu Dale � WARNING FAILUREI'6 SECURE WORKERS' COMPENSATION COVER4GE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS D RATION: I hereby aKrm Ihat I am lice un0er provisions of Chapter 9(commencing with Section 7000) o( Div' 9� �3 0( the �usiness and Pr�ssions Cotle, and my licensejg in full for arfd effect. % L4��/'!/1I6��/�!�•�3 CONSTRUCTION LF�BMG GENC ' ❑ I hereby affir((lhat ih is a cons[ruction lending agency for the peAormance of the work far wfiich this permit is issued. (Sec. 3097, Civil Code). Lender s Name: Lender's Address: SignaWre OWNER-BUILDER DECLARATIONS: I hereby affvm that under penalty o! perjury tha[ I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any ci[y or county which requires a permit to consWct, alter, improve, demolish, or repair any sWCNre, pnor to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensetl pursuant to the provisions of the Conl2ctor5 License Law (Chapter 9(commencing wi[h Seclion 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt there(rom antl the basis for the alleged exemptioa Any violation of Section 7031.5 by any applicant for a permit subjecis the applicant to a civil penalty of not more ihan fve hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the slructure is not intended or oflered for sale (Sec. 7044. Business antl Professions Cotle: The Conirac[ors License Law does not apply to an owner of property who builds or improves thereon, and who does such vrork himself or herself or through his or her own employees, pmvided that such impmvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of comple(ion, the ownerbuilder will have the burden of proving ihat he or she did not build or improve for purpose of sale.). ❑ 1, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professbns Code: The contractors License Law dces not appy to an ovmer of property who builds or improves thereon, and who contracts for such project with a contracta(s) license pursuant to the Contractors License Laws.). � I am exempt under sec. Business and Professions Code for this reason: 305]-46(3/0]� Owner ID venfietl by Anv� .,ense. ❑ Yes ❑ No . Driver's License No. Expires: � � Verifcation of Ownership by ([ype of documen[, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION: ' > ❑ I hereby certAy �ha[ no excava[ion frve (5) or more feet in depth into which a person is required [o descend, will be made in connecl'an with work authonzetl by this permit, and lhat no builtling strucWre, scaHdtling, (alsewnrk, or demoli[ion or dismanfling Ihereof, will be more Ihan Ihihy-six (36) fee[ high. (Chap. 32, Grp 2, Art 2. Sec. 341. Ttle 8, Calitomia Atlministrative Code). ❑ As owner-builder, I will no[ employ anyone to do vrork which vrould require a permit from the Division o( Intlustrial Safe[y, as noied above, unless such person has a permit to tlo such work (rom the tlivision. AppliWnfs SignaWre Date Division of Indus[rial Safety Pertnit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will Ihe applicant or presen� or fu[ure building occupant need to lile and certiry a Business Plan tor emergency response [o release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the California Healih and Safety Cotle requires. with some exceptions, tha[ a Business Plan be filed with the Cos[a Mesa Fire Departmen[ by every business v+hich has a� any one lime tlunng a reportetl year a quantity of hazardous materials equal to or grea[er lhan a weight of 500 pounds, or a volume o( 55 gallons, or 200 cubic feet of compressetl gas al standard temperature antl pressure). 2. Does or will the applicant or presen[ or fuwre building occupant need to file a registretion (orm for acu[ely hazardous materials? ❑ Yes ❑ No (Section 25533 of the Califomia Health and Safety Code, wiM some excep[ions, requires regis[ration with the Costa Mesa Fire Departmen[ by each business which at any one time has on hantl a quantity of acutely hazardous materials equal lo or greater Ihan a weight of 500 pountls, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature antl pressure). 3. Does or wi0 [he applicanl or present or future building occupan[ need to prepare an RMPP (Risk Management and Preven[ion P�ogram for acu[ely hazardous matenals)? ❑ Yes ❑ No (Section 25534 0( the Califomia Health and Safety Cotle provides [hat [he Costa Mesa Fire Department may require lhe preparation, certifcation and fling wilh the Fire Department of an RMPP by businesses which are required to register aculely hazardous matenals with the Fire Department. 4. If an RMPP is presen[ly required, has Section 25534 of the Califomia Health and Salety Cotle been fully complied with? ❑ Yes ❑ No 5. Does or will lhe applicant orpre5ent or fuWre building occupant require (or the work which is the subject of this application a permi� for such Conslruction or modi�ca[ion from the South Coast Air Quality Management Disirict or from any other air pollution contml dis[rict or agency? ❑ Yes ❑ No (Section 65850.2 of lhe Cal'rfomia Govemment Code requires that the requested informa[ion be (umished on applications fa non-residential building pertnits�. 6. Will any part o( the facility lo be constructed under Ihis pertni� be within 1000 feel from the outer boundaries of a school? ❑ Ves ❑ No Qf'j�es", the facility mus[ meet the requirement of Sections 25534 antl 42303 of the Calitornia Health and Safety Code). 7. If a permit from the South Coas[ Air Quality Management Dis[rict or other air pollution control dislrict or agency is required for the vrork which is the subject of this application, have all of the disclosures prescribed by California Heal[h and Safety Code Section 42303 been made? ❑ Ves ❑ No 8. Qf'yes", attach certificate of compliance from the appropiiate air pollution control oKcer). - " - CERTIFICATE OF COMPLIANCE: I certity tha[ under penalty-of perjf�ry�the information given above is correcL I agree to comply with all state laws and city ordinances regardinq Hazardous Matenals and Emissions. � � Siqnalure Dale CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury I have read this application and state that the in(ormation given is corr a ree to comply with all state laws and city ordinances relaC to buil � c ruction, antl authonze representatives of the Ciry of s Mes t t r upon the above-described property for inspection rp es. I grye o 0 occupyyr�allow occupanyybf any building v igna o(L gal wner Dale % oG `nE/MAu��OnzetlApP��nt �\ - Dale f ) aoonessaamiaen: J24 HROADWAY o^"E"s"N"EiF'wo"": g00SCARY, RENE' TR �oowEss: 3021 5 PACIFIC AVE SANTA ANA,CA 92704 APPL. NAll1NG ADOFE53: UNT: ARCHRECT Ofl FNtlNEEN: IlG NO.: �� xcx ox �c.�s �oon[ss: uh'1: mr�m�crarsru�e:T.M.W. ELECTRZC (714)744-0260 CQAHACf0A5YNWlG 1325 DANA PL mm�ss:ORANGE CA uc.ao.: 584058 92666 urar: LIGfNSEU COHfflACTOflS OKUHA110N: I Mmby eflvm uM> pere�y d perjury WI I em I'eeneeG urda qovaione d Cheqm B (mmmerc rp v.ilh Secibn ]ODO) W Drvoion � d tha Bua�u vd Pmfine'vre Coda, end my licmw w i all to'w md eMetl. cmuc.No.: c.cuss: C-10 uc.no.: 584058 E} ome: � � � co�v.aor OW NEP BUILUEP UECIAflATION: 1 hmaby elfirm uMer perely d parjury �hat I em emmq hwn tM Comreaas Licenae Lew Ia IM Idbwiq ieawn (Sedion JIXf1.5 &uiiaaa eM PMmaiom Cotle: AnY cty a oouNy whidi rtquiree a pertnil to conatrun. elir. impro.e. Eamdeh, w repei eny awMure, prior lo b e+uarce, el+o reyNre+the epplicenl iw euch pmnn b fib a aqmd ebtement Met M a ehe o iicemed w�� o me wa;sion. a ihe com�m�. um� ia. lcnea�er s(canma��ro wen seaon �oaol a oivoion a a iro Buaima arM Prdauiom Cada� m Ihtl ha a Me is exemq �herelrom e�d �he bu'v la tlre elbped siemqun. My viob�ion d$eqion ]W 1.5 Ey enY Wd�� lor e permit wbjatla iM epplicenl to e avil panelly o( nd more ihan Me huMred Adlen �SSWII� ,� I. as ow*wr d�he propenY ar my «npbyeee wIh wag» av �Mi mle mmpenaelian. will do IM vaM. eM Ne evucture c �wt imaMaA '' aoMeradlareelel�lbn]01<.BuvmaevMPmteanvuCada:ThaConVecbnlicenseLewCoeaiwlepp�yloenovmero/qopeM who builEa a impmvea thareon. end who does auch waM Mmsell ar Mrse� a �hraqh he ar har oxn empb�eu, qovidad ihm wch improvemenu ere nM inieMed «aMaed lor aele. tl, however, the buiding a'vnprwemem ia eoN wnhin are yeu d mmpinion, tha ownarbuiNar Mill heve iM WMen d povirp M or ehe did rw� WiIE a improva Iw IM WN�e d veb). � I. es owiwr W Iha DropaM. d^ a�dusirNy mnlrenmp wilh licensad convenwa to conmue iM pajea (Seeon )OId. Buein�e eM Prolessiona COEe: Tha Gontrmon lieenea lew doea �at epply to en awerer d propeny x1a WiNe w impavm �hereon vM who comrec�s lor wd� prol�e wil� e conlrecb�(e) Ikeneetl Dureuant to ihe Conlraclon Limnee Lew�. � I em axempt unEer Seclion: B. d P.C., for thia reeeon: Dele: Owner: I do hereby cMiy ihel I em ewera W ud uMealenC iM reQuirameMs of Calfanie HeeM1h eiM Se1My COEe SeUbne?5505, 25533, erd 2553a, ard Net 1 n eny M1nure WilEirp ocwpam xill / wil na (aicb wre) reed io cwnply wih eeid etma oodas aM �M mpuiremaMs tor apermnlormmVuciionamodifraionhaniMAi ue�0i�ily �anepemanlDstnd.PeaEaMieloonet�udionappiceliumereexemqtmmlheea a��a. Dale: Md� WOflREN'3 COYPENS�TION DECL�H�iION: I heraby dfimi uMar pmWty d pejury aro d Iha Idbxiip Eetluetions: ❑ �neveenewi�meimen.c.na�.aon,vemioaen;nwrer«won�ersoomo��.ma��«Mseeo�arooam.�ee« Cotls. la IM peAmnvica M tM r,ak la wlich Ihb penml ia weueE. ❑ i ne�. ene wi� meimen �.on�«.� m�v�� ,renu. m �ec��.d M sea� mo d m. iee« coe.. ror m. o�«menn d m. w«k I« wh'rh iha pamin b hsuM. MY �^'a��' �^Pa^��^^ imurerce umx ud pofx.y nwnber vs: c�.: STATE FUND EXPIRES Pdiry Number: —�-1 0 7/ 01 / 9 6 (This seclion rie W nd 6e canpbted i tM pamk k Ia mro hwMred rtdbrs (S�0p1 w bsJ � I mnN �� he perlormence al iM wak br wAch �hia pem�n e uvued, I ehetl m� mmpb� ' ury mannx s n lo become eubl� lo �M xoMa�e' canpeneelion kxs d Celibnia. aM epree Net G I a� mmie •'etl to Ih iaMen' mmpenaetim pmvi 'one d Sedion 3]00 d tM labor Code. I Mell /oM�wnh ompy wi�h t proviabra. Dve: I Aod�: L Wemlrp: F�uun ��cun woRai ronq«uet/on covnps b unlewlul, uM �MII �«�.� «�ioy., ro�nm,w a•Mro...,a dvll Hne� W ro ons ��ntlrW tMuurd dollen (StP0,000A M eJ,l/tlon ro Ms ewt ol eorrpxwfbn, demep� �i provlJeA ror In Sxtlon JM6 0l N� Lebor COM, InMn�l, entl ertorneyi Hex CONSTRUCl10N LENDINO ROENCY: I hereby elfirtn uMer panelry d perN'Y �hel IMre is e canelrudion bMiip eperky br tM paNpmence W tha wnrk br whi� Ihc peim6 ie asued (Seaion 9�l9], Cir. C). LENDER'S NAME: LENOEfl'4 ADDPEA4: 1 mnity ihm I hew ned t eM e1e�e lewf Me�np lo �Of 1119DBCIMII dlf00fM. `� � (S15t<fi.WP) ue �nn me elwva im«me�ion is comea. � w� �o mmoN �n el� my ene muniy orelnenme eM hereby eNhor¢e repreaentalivea d Ihie tilYto anter upon Ihe ebwa�mmtioned DmpMy Dme: __� While-Buikip d Sdery: GmerFle: Cerery-Appf�ant: Rnk-Pevenw: OdEenmE-Memaar ` " CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: E 073204 PLAN CAECK NO; � P6RM NO: E 073209 GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: OTH JOB DESCRIPTION ; ELECTRIC SERVICE UPGRADE SQ FT; CLAIM VALUE: CALC—VALUE: GROUP OCC: / COMMENTS: NO OTHER WORK AUTHORIZED HY THIS PERMIT *atat*ie***�*��x ��*x ***x �rt**�*�+e��*� *�+�*�**at�*��**�*�t� x *�� **�*+�*****�************ 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 HUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR; FT IN FRNT: PT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 11725307 ZNE: REF NO: PLANNING NOTES> � I/ / ik iE 1E 1E iE jF iElE iE iE iE if iE iF iElf iE if 1E iF �E Ik IE iE 9E iE iE fE 3E �E aE fE 9E � 1f iE iF iE fE 1k if �f iE 3f af iE if iE iE �)E iElk if iE 3k if iF 3f iE IE 1E fE iE iE iE iE iFlE �f 3F iE 3E if jF jE fF IE 3E �E D E V E L O P M E N T �S,(�Er 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• �-�� ifiEiElEiE3ElfiEik3kjE1E1F*iElfikiElEikiEiE7FiFiF�FiF3fiFTfif3F3FiC�3F7FiFiF�F3F3F�iF7f�iF 3F7F3F LEGALIZATION;N F'� E 5 U M M A R Y BLDG PMT PLUMBING ELECTRIC MECHANIC PERMIT 18.50 50� PLAN ISSUE FEE 15.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTALS----> 18.50 15.00 0,00 IREVENUE DIVISION TOTALS--> COLLECTED: BLDG PMT PLUMBING ELECTRIC MECHANIC 33_50 c ��-��,�,��D��*�*�� i �,�� STRUCTURAL SEGMENT:N FIRE SMIP/RES GRADING SMIP/NON—RES TOTAL PAID DUE 33.50 33.50 .00 33.50 OVER/SHORT: 00 FIRE SMIP/TOT GRADING PLAN—CHECK 1E fE 3F iF iE iF �E #!F!F fk �F 3E 3E 1E iE 1E �E 1E 1f iE iE 1E 1f iF iE 1E iE iE iE 1f 1E �lElE iE if� iF fE 1E k 1(� fE ff iE iE'k' iE if iF �lE 1E i6 iE dE �E iE 1E'IE iE iE iE �IE iE 1E 3E ih 1E iE iE 1E')E'1FlE iE 161E iE * �f 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 A I P T I O N UNIT COST TOTAL COST ELE 1 SERVICES BELOW 600 V s BELOW 201 AMP 18.50 18.50 END OF FEES �Ji 0t11�542?-;i0185423 Tr��'�' s�..;r� o,:rF. o�iiii9� rzrF: �5:;y �� « �_. CONSTRUCTION AND PLANNING PUU�- & SPA APPROVALS Permit# Date inspector AppROVALS Pennit# Date lnspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location � 2. Soil Pipe-Undrgrnd. . 53. Steel Reinforcement .' 3. £lectrical Conduif Uflliiy-Und��. 54. Forms 4�. Electrical Condui�,Undrgmd. � 55. Elecvical Bonding � �- �..5. Steel Reinforcement � `�✓ 56. Rough Plumbing & Pressure Test ` 6, Electritai UFER 6md. 57. APPROVAI TO COVER�GUNITE ��,�:�:•7, �ooxin9s �.�p�� . 58. Electrical ConduirUndrgrnd. %�'?-�B? Foundation n� � 0 59. Gas Pipe, � Undr�rnd., Test 9.. t�Vater Pipe�Undrgmd.�° 60. Backwash Lines, P�Trap, O vndryrnd. � 70, Siructurai Fioor SYstem 61. APPROVAL TO DECK i i• �Property Sewer Ling.& House CQqnection 62. Backwash & Receptor�Final � t2�'�°i'E' �p �� 63. Heater & Vent�Final � � 13. Roof Drains ' � � _ �;� 64. Plumbing System � Finat' 14. Rough Plumbing ��:: !�� 65. Electrical�Final > .. 75. Rough E:��a.iica+=Co^duit ;�;i. � 66. Solar System-Finai . � 76. Rough ElattrictViri�g 67. Fencing & Access ApProval • 17. Rough Wiring 5�n 68. APPROVED FOR PLASTERING 18. Rough Electric`��,T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 19. Rough Heatin� & Air Conditioning _ FIRE,DEPT. REQUIREMENT � C° G��-:�_ r 20.tFiough F`�'iCtot� F(r�place � r,,,`-`� ;i �� :� C� t,r; " APP�RQV�C Permit # 27. �flucts, in.SxruCtuce'= -" -=� � �rt 70.FlIndePgrot�d Hydro `. � r. . 22. Ducts, Ventilating.� �; ' -�'': .� � _ 71, product�Fipin9 O Gas ❑ Oil 23. Gas Pipe-Rough & Test Y^ �^ i•' ��L�' �. - 72, Underground Flush 24. -Roaf Framing C�: ' f'-'` ' "� � �� "> � C H� � C 7�. Underg�d. Storage Tank O Gas ❑ Oi! ` 25. Roof�Sheathin "�� ' • - 9 74. Overhead HYclro 28.L-Ba��Ceiling (Str`�ctural) & Mp�n.ocoat :� - � Z5. Dry Chemical o� 27. �Frame and Fiashiny�; ; ��;i�: .= w+ �.; 76. Dry StaRdtsipe ��2$. �aThing'&Siding�;`•°�- �h�' � n%� "� "� +"�� + PIXED:��TEMFINAL � 29. Insuiation •� '� ~ �, �'.` =� _ I i r. �• F�RE PREV. FINAL -` 30.Drywaili�ailing •',�`,� � ;t;ti I I I� ^ N"�J'ALTHDEPT.REQUIREMENT �� 31. Piaster 6rowmCoat:� � i:�:"' rc � � rF 7�, FINAL INSPECTION 32. Electrical Power Meter-Final ' 80. POOD CEfiTIFICATE ISSUED 33. F(naI Electric � Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Finai Factory Fireplace � 38. Final Plumbing i 39. iVater Service�Finai 40. Gas Service-Final 41. Solar pomestic-Final 42. Backfiow Preventer 43. 6ackfiow Irrigation 44. landscape IrriGation System 45. Sound Attenuation 46. Handicap Regu�ations 47. PINAL STRUCTURE & BUILDING , 48. FINAL P�ANNING � 49. Electric Release to Edison 50. Gas Release to Southern Califomia Gas Co . 51. CERTIFICATE OF pCCUPANCY No. Date OWNER SEURIIQ, A. JOB ADDRESS 421i Rr nr No.i17-253-07 LOT INSP�CTIONS OCCUPANCY 0 TRACT FIR� ZONE �Signature� DATE GROUP DAT� 9-26-�2 D�SCRIPTION OP WORIQT15t.S1g.dY'.iII TYPE lr 7.ONE n_i R@S SUBCONTRACTOR � ° COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. HOX 917 CO�A MESA. CALIFORNIA For Applicanf fo Fill In Complefely TYPE OR PRINT eu��oiNc J�+ t/ %S %' � l� W'1� ADDRE65 COSTA MESA. CALIFORNIA _ , � . . ■ MAIL c � ■ STATE �T TEL. NO. �� ,�,�„" I No. oR eLDas. 6ETBACK LIN¢ FROM }. T' pEAR YARD �= ceHrex oe smeer 7=�1�! SIDE YARD I LEF7 �`� i�T I RIGHT � i( I DESCRIPTION OF WORK FE RE��'�� SEP26t992 fINANC�E D�Pfi. APPLICATIO�TPORFP�Ritll�� BUILDING For Office Use Only nece�er No, � �� t J ev owTe xeceiveo owrE �seu¢o ! 9_u—i-�'�;-2�-hy COSTA ME5A. CALIFORNIA " FIRE � /�J� ZONE TYPE /./ GROUP"✓'` BYPROVEO , DATE / `� L ONING , ZON¢ I NO.OF I U88 OFJIEW I PLANe 6UILD LEGAL � � DEBLRIPTION � A. P. NO. I I /'� �� O/ � YARDS EVE6 APPROVED ALIOWED (CENTER LINB 9T.) fl � FRONT �� I� FT. IN. R. SI�E � FT. IN. L SIDE �FT. IN. o�.o �--�cT ... ncrnin i n mvv�rv.• ��+��^ � BY �. DATE BUILDING NO. OF // SIZE � ROOMS Y STORIES D%�1L EXTERIOR WALL }- ROOF GOVERING �(V�U) COVERING _ C .,�1 • USE OF BUIL�ING AND WORK TO BE PERFORMED �Cys / •h '7�? 1 ., � s /� n � � .- i �Y 'r p o � H.c - 1 HEpE6Y ACKNOWLEDGE THAT � M/�VE READ TM19 APPLICATION T�{E ANOUNT BHOWN IINOER VALUATION IB FOR THE ANO BTATE THAT TXE ABOVE I6 CORRECi AND A�RE6 TO COM- pUftP08H OF EBTABLI9HING A PERMIT FEE ONLY. PLY WITH A�L CITY OROINANGEB AND eTATH LAWB RE6ULATIN6 auLLolNo CONBrnucr�oN. + VALUATION SIGNATURE OF ��CJ �� PERMIT FEE $ � � PERMITfEE U $ PLAN CHECK $ AUTHORIZED AGENT �` �� TOTAL FEE z 4