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Home My WebLink About1930 BALEARIC DR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 1930 BALEARIC DR FEE SUMMARY Status: ISSUED Suite: Calc Valuation: $7,000.00 Permit: Applied: 09/13/2000 Vicinity: HOUSE & ATTACHED GARAGE SMIP Res: $0.70 Issued: 09/13/2000 Parcel Number: 13943120 Zoning: R1 R1 Applicant: OWINGS, SHARI ISSUED BY: " Address: 1930 BALEARIC DR Total: $139.95 , Phone: (714)435-0616 PLANNING & ZONING " COSTA MESA, CA Zip: 92626 owner: OWINGS, JOHN M TR Right, 0-0 ACCESSORY Front 0-0 Address 1930 BALEARIC DR PARKING Existing: 0 Required: 0 Proposed: 0 - NOTES: Phone: (714)435-0616 COSTA MESA, CA Zip: 92626 Contractor: OWNER -BUILDER Address: Phone: Zip: License: 0 Address: Eng: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT REROOF EXISTING SINGLE FAMILY RESIDENCE & ATTACHED GARAGE (32 SO). TEAR OFF EXISTING ROOFING & RESHEATH WITH 1/2" CDX PLYWOOD. INSTALL 1 LAYER OF 30# FELT UNDERLAYMENT & REROOF WITH "HARDI ' SHINGLE" (4.6 LBS) - NER-460. FNOTj1aCEnsThe' work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related tioOd. No. 92-28, § 1, 12-21-92) ATION: 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 ?44646 (6/00) FEE SUMMARY Plan Check: $0.00 Calc Valuation: $7,000.00 Permit: $139.25 Claim Valuation:. $7,000.00 SMIP Res: $0.70 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $139.95 , 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 NOTES: FNOTj1aCEnsThe' work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related tioOd. No. 92-28, § 1, 12-21-92) ATION: 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 ?44646 (6/00) DECLARATIONS WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self-Insure for workers' compensation, as 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 Cade, for the performance of the work for which this permit is Issued. My workers' compensation Insurance carrier and policy number are: Carder: Policy Number: (This section need not be completed if the permit is valued at one hundred dollars ($100) or less.) ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that it I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with these provisions. Applicant Signature: Date: WARNING: FAILURE TO SECURE WORKERSCOMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE (5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Lic. #- Class # Contractor's Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ 1 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), Lenders Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I 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).): 1 es 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 to an 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.). ❑ I am exempt r/v��ersec. , Business and Professions Code for this reason: Signature:(-Linc.'— I? Expires: _F—» 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? ❑ Yes ❑ 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? ❑ Yes ❑ 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 Cade 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 registei acutely hazardous materials with the Fire Department. .................................................................re-D.........d"...................i-on................................-al-i....................................................................................................lie'....wit'.................................................................................................................... 4 If an RMPP is presently requireq has Section 25534 o.. the California Health and Safety Code been fully complietl with? ❑Yes ❑ No ..................................................................................................................... ildi..............................................................................................................................................................................................................................................ific............. s Does or will the applicant u present or future building occupant require for the work which is the subject c this a plication apermit for such construction or modification from the South Coes) Air Quality Management District or from any other air pollution control district or agency? � Yes ❑ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). ................................................................................................................................................................................................................................................ ..... .t 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Ves ❑ No �� (If "yes", the facility 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 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? [I Yes ❑ No ............................................................................................................................................................................................................................................................................................................................................................................................ e (If "yes", attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: 1 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 read 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-desci b tl property for gspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit unti nspection. 9 110 17 Signature Of gal Owner(s) DaA And/Or Authorized Applicant Date CODE I. INSPECTION TYPE TYPE 2tg INTIMLS CODE# INSPECTION TYPE 2A19 INTRIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof �"' 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 AODRESSWBWLOWO:a1930 BALEARIC'DR RICHARD COURTNEY L930 BALEARIC DR `p COSTA MESACA 92626 APINUUNO ADDRESS: 714) 641-8a69 ARCNTTECT OR ENOINEER: UC. NO.: t' I UNT: 13 n (CITY OF ,COSTA MESA — BUILDING PERMIT PERMIT NO: B 079726 PLAN CHECK NO:' 03893-96 A CONSTRUCTION TYPE: V—N PERMIT TYPE: STR UNIT: CONTRACTORS NAI9:: l CONTRACTOR'SMWDtG j AGGRESS UC NO.: UMM LICENSED CONTRACTORS DECLARATION: I hereby atiim under penalty of perjury that I sat licensed under prmlabns d Chapter 9 (commend, with Section TOW) of Division 3 of the Business and Pmleasiom Code, end my license is in full lance and elted. CITY LIC. NO.: LIC. CLASS: LIC. NO.: EXP: a Data: Conrad«: OWNER BUILDER DECLARATION: I hereby elfin under renally of perjury that I an exempt from the Contractors License Law for the rrMbw'ng reason (Sectbn 7001.5 Busbea end professions Code: Any city or cony vdlich rayuiree a permit to commuq. Mer, enlvove. Uemdah, or repair any structure. pilar to is issuance, also ne, arm the applicant for such permit to file a signed stalament thaf he or sat e licensed Wraumt to the provisbna of the Contract«e Ucarae law [Chapter 9 (mmmendng with Section 7000) d Dwain 3 d the Bum aas and Prdeabns Code] or that he or and is exempt Mora m and the bars for the staged exemption. My vbblion of Section 7M1.5 by any applicant for a perms subjects the applicant to a civil penalty of not more than live humored dean IS500D. ❑ I, as owmer of the property or my empbyea with wags a their ede mrrhpensatbn, will do the wok, and the structure is ria inlended m area m end such vee Cab: Theeranadweihis Lewdoesn eapleyes,ownerdhat exon wM buida«improve?Messes.r o who does such workhamar«Mreelt«Mr«gh a or her own en ora ea, ofcompthe!and 'mpmvemeMe are horn amended en Mored for ode: r however, is building or improvement b sold within ore yea d mmplMion, titre owwbuildar will have the burden o proving M w aha did rat build or improve for the purpose of sale). I, as owner of the propend. ern adaaaly, matreabrg with licensed contractors 0 construct the projects (Section 701,1, Burliness and processions Code: The Contractors License Law does not apply te an owner of property who builds or bmgwes thereon aro vie contracts for over Projects whir a contredor(s) licensed pursuant to the Contractors License Law). ".pt under eco n:B. & P.0 C,// /.; . Ch. . O hereby certify IM I am aware of and undmtand The,recuiremenb of California Nash and Law Code Became 255°5 , and 2553x, and UMI «any future Wildiag omgent will /wilt rwl (droa me) need to comply wlh old Mata codes end IM r«neres ser apermlf«cmatMdbn«modifiwbn hantMAi u�Tlity.anegamenl DiMdd.Raidamiel mngmction eppirati«eanexemglmen Date: Applicant: WORKER'S COMPENSATION DECLARATION: I Mreby affirm under penahy of Mrary one of the Iof nwiag dednatbns: ❑ I have aro wR merman a untlicals of wren to saf insure M workers' companation. as provided for by Section 3700 of the Labor Code, for tat pedormanm of the Wath for Which this ".it Is lashed. ❑ I have aro wil maintain workers' oanpenambn Insurance, as retired by Section 37M of the Labor Code, for tat ped«mMlm of tat work for whin this permit is iaued. My warkmd compensation insurance weer and policy number ane: Ca r«: Poky Number: (This section need not M conpbled! the prix a Lor ma hummed dollars /51001 or lard ❑ I molly that in IM mdormepee d IM work for whkh this permk is is . I Matt M employ erw perean n try mmw m m to Mcrae subject to the eorkaa' canPenfuaian awe of CeM«na, old agree Used B 1 should became cubists to the w x1ras' compenwim provisions of Sadiron 3700 of the Labor Code. I Hell fmhwlh comply with Ihms provai«u. oats: Applicant: Warning: Failure is sewn waken' conperastion cov.We la unlawful, and shell adlect en mogifeysrW cdm/rW transit. end civil Rats up bons hundred fhouarrtl dollars ($1009001 In addition b time cost of eompeaatlon, dsmaii Y provldM for In Section JIM of fat Lela, Coag !omen(, and sltumey'a hes. CONSTRUCTION LENDING AGENCY: I hm ereby aMmunder penalty d perpnry the m e thea comtmctbn lending fortitr ding agency, e performance d Me work for whits Use permil is asci (Section 3097. Civ. C). LENDER'S NAME: LENDER'S ADDRESS: I citify Met I have read time application and can that the abo+e information a c«md. l epee to c«eply With a dry end muMy ordinances and arts awe missing to building construction ad Mreby authorize represemativas of this city to enter upon the above-mentioned prop" for inspection Wrpossa. RICHARD COURTNEY /^I r P' t t ewe _ O / , Data: Signature I Own /AgenvApplicamn;ontradm t While -Build q 5 Safely: OrromFde; Canar"ppimnt: Pink-Reven r: Goldemod-Assma« PERM NO: B 079726 GOVT: N SUPP: N PURPOSE: ADD JOB DESCRIPTION CONST. 660SF WORKSHOP 6 INTERIOT T.I. SQ FT: 6,160 CLAIM VALUE: 20,000.00 CALC—VALUE: 19,096.00 GROUP OCC: R-3 /U-1 COMMENTS: RELOCATE 2 WALES , RELOCATE BATHROOM& CUT EXTERIOR WALL �at�atat�**�r*******�*��*�aEititatatRE�rititREitiE��*iEfE�*itataE�E*«iE��**�*SEN*iesE+EiE*BE�Eie***ie**�ieat�ieiEit 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: 24 FT IN REAR: 10 FT 6 IN LEFT: FT IN.RGHT: FT IN LEFT: 36 FT IN RGHT: 6 FT IN PARKING REQ: 2 PROV: 2 PARCEL: 13943120 ZNE: R1 REF NO: PLANNING NOTES> 660',S.F., .1—STORY DET. ACCESSORY STRUCTURE (WORK/HOBBY SHOP) > BEHIND EX,' SF RES, INT, ALT TO RESIDENCE: LUR RECORDED. dE iE dE iE 1E irk ♦E dE 4 iE dF iE * * k * iE dE * i4 oft iF dE dE 1E rt oft k iE 9E 94IF 1E iE iF dE iE * 1F * 1F irk * dF d4IE iE IE * 9E IE k iE IE 1E iE iE 1E iE iE iE iE 1E d4 iE 1E dF 1E.dE 1E IE dE 94 iE SE iE 1F iE iF 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 C DATE:/ BUILDING APPROVED BY : k/1 DATE: /v f. APPLICATION ISSUED BY:, DATE: iE14*1t 1t 1414*�IEd4d414IEiE1E141E�*i4143F'iF"�F3FTF3FTF�"iF��F' 3F iFif"iF'iF�F3F�FiF�FTF3F3Fx�EiE**1E 1414141E iFiE LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 287.'25 1.91 PLAN 46.68 SMIP/NON—RES ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 289,16 0,00 146.68 335.84 335,84 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 289,16 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 287,25 1.91 1E IE IF 1E 1E1E1k♦E iE 1E IE 1E dE 1E 1E*IE 1E*94 iE 141E 1E 1E 1E IE 1E iE 1E*IE iE 9E IE SE 1F dE iE*iE iF if I4*1EkiE irk**1E iE*1E gE*IE*14 i4IF 9E 9F*1E 1Ek*iE 1E BE d494*dE*IE 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 UNIT COST TOTAL COST SFR 660 RES—GARAGES TYPE V 20,60 13,596.00 SFR 5500 ALTER BY VALUE RESIDENTIAL NOZONE 1.00 5,500,00 END OF FEES 01 00216067-00216068 TOT 289.16 DATE: 10/01/95 TIME: 11:50 ' CONSTRUCTION AND PLANNING - PO. SPA ""-- - A�P-ROVALS Permit #' Date InspectdF - APPROVALS Permit # Date Inspector 11.. Temporary Electrical Service or Pole-' - . - - 52. Pool & Equipment Location 2.Coil Pipe-Undrgrnd. _ 53. Steel Reinforcement 3:- Electrical Conduit Utility-Undrgrnd. ` '54. Forms _ -4;EIeeVical Conduit-Undrgrnd. - 55. Electrical Bonding _-5.-Steel Reinforcement 56. Rough Plumbing & Pressure Test ' - 6.. Electrical LIFER Grnd. - ///r/pT 57. APPROVAL TO COVER•GUNITE - - - '].-Footings rJG�Ij` 97 58, Electrical Conduit-Undrgrnd. ' -- °.B. Foundation g k�e,,�� Alt] 59- Gas Pipe, O Undrgrnd., Test 9. -Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, ❑ Undrgrnd. -- ' 10. Structural Floor System _ j 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 ^= _ r' c - 21. Ducts; in Structure -,' __ ''Z• � ,J s: _ � _ -. - : . Unde`rgroiind Hydro , 70 22. Ducti, Ventilating ;•= .r' _' 71. Product Piping O Gas !J Oil 23. Gas Pipe-RougFi &Test _ ;= 1-72. Underground Fl�jsh' 24. Roof -Framing.. - --._. - :.. - "' , ` 73." Undergrnd. Storage'Tank,O Gas ❑ Oil= 25. Roof Sheathing _ ? �7 ,. �, i=74:' Over head"Hydro- 26. TBar;Ceiltng lStructurall & Monoeoat - r, `y - 75r' Dry Chemical .27. Frame and FiBshing -�i{ - " 76:' Ory Standpipe C,- r _, - . c•: _ 28. "L -tithing &-Siding ;-- , - - s' 77-• FIXED SY_STEM_FINAL '- 29. Insulation rI� /^' 78;- FIRE PREY. FINAL - 30. Drywall Nailing Vv.��,cr - 'L LY pd y-H_EALTH'DEPF.. REQWIR'Efv1,EN7 31. Plaster Brown Coat_ r FINAL INSPECTION ° = ° 7- _r32. _ -791 32.Electrical Power MetertFinal -, `c r. - : 180. --FOOD CERTIFICATE ISSUED -y _ 33. Final'Electric•Notes: /L / r i 34. Final -Heating `& Aii.-Conditioning �. ._ -` •;' - '' ` -" VC7 iAr/c 35. Final -Gas Pipe'Test'- /Z 0-F6 36. Hood or Canopy _, _ n, •. ._ s • •� -�/�� -37. Final --Factory Fireplace-• = - -• � - ,38. Final-Pluiribing-- 39. Water Service •Final j x { - ^ - -40. Gas Service -Final "' _ 41. Solar Domestic -Final' -_ Y.x - '•+: r. _ - > 42. Backflow Preventers 43. Backflow Irrigation`. c`... - • - v -` _ - 44. Landscape Irrigation,System _ - ; ,_� ,- Z, ,� - n _ C. 45, Sound Attenuation,*, 46. Handicap Regulations _ - - ` -' •- '; -- 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to EdisonINi . 50. Gas Release to-South'ern California Gas Co r _ 51. CERTIFICATE OF OCCUPANCY' _ No Date IE1930 BALEARIC DR elFlaowx: RICHARD COURTNEY ADDREsx 1930 BALEARIC DR i.COSTA MESACA 92626 .RPL MAILING ADDRESS, 714) 641-8469 9 MCNREOTORENtlNEER: AM OR ENG'S ADDRESS: mm, CONTRACTORS NAME: COMRAMRIS MNIRN: ADDRESS: UC. NO: IMT: LICENSED CONTRACTORS DECLARATION: I hereby affirm under penalty of perjury Net I are licensed under provisions of Chapter e (cammenciac with Section ]000) of Divvbn 3 of IM Bummer and Pmffins ms Code, end my license is in full farce end effect. CRY LIC. NO, LIC. CLASS: LIC. NO.: - . EXP: _ _ Contractor: OWNER BUILDER DECLARATION: I hereby etfim under Penalty d perjury that I can exempt 1.1M Coneredon Licmee Law f« Its, Idbwkp reason (Section 7031.5 Business end Proresionr Coda: My cry «toady whist requires a penin to cpnstmct, alter. improve, eemoleh, or repay entry, structure poor to ns ls,usns, also requires IM applicant f« such Permh to file a signed sWamam Nov M or am I. limrnnd pursued to the prrn%iom of IM Conlrector Lioense law [Chapter 9 (commenciac with Section T(W) of Diveion 3 of the Business nd s aProlebrs Code[ m IMt M or she exem is ptih«M bconsonant. and IM for the allegedconsonant. My violation d Swion ?031.5 by any apply silt for a Perms subjects the applicant to a civil pendy of Pet mane than We hundred dollars (SGWD. 0 I, as owner d the propend at, my, employees with wages m Iheir what mmpar", will do IM wank, and the endure is w intended or advised! for sate (Section 7064. Busims and Protess orw Cade: TM Contractors Licenea Lew does rim appy to an owners property who Wids or knprovs Iheron, and who done sunt work herself or MreE or through he «Mr, own employees, provided Uses ouch 'unprovemeds we nal intended or dteme for sect. 1, however, the building ca knlaovamw is sold within me you of odnpktnn, the owmr-0 ilex will Mve IM burden of proving M or sM did no, Wild or improve for IM purpose OF sate). �(] I, m owner d IM popsy, am extluvivsy ooniretlilg seals kcansd pmiranlor to conacrw acre project (Begun 7041, Bas'vlss vol Pro/esi«r Code: TM Contrwar License Lew does res appy to an owner Of proPe t, who Wilde Or imyrors lherann and who centrwa M rand proptla wind a comrctor(sl luanaed puruanl Io int Contred«e Lbeme law). stn :erupt der Se B. 8 P.C., lar the reason: " Owner: Ifs'bmeby can* gal I em aware d vol urdedtand•Rie regairemenb of California Health and Safely Cade Sections Y5505, 25533, and msSa. and gut I or any Mur building consensus will / wil nal (drok Om) need to comply with ,aid "a cods and the requirement, for e Peron for construction or modificat onh«nand Ai aSu 6i�arupernenl District. ResNmibl cmprWbn eppinlbm en evampt from these Dale: Applicant: WORKER'S COMPENSATION DECLARATION: I Mreby affirm under penalty d perjury me d the ldbwim dsderd'pm: I Mve cid wilt maintan a Pen that war, Ina wince his ,mat lar worker' cpmpansd'wn. m prasdded I« by Serdm 3]W d tM labor Cade. lot the Pedmmma d Ms work t« wNan anis Pemdt is i..ase. I have end wilt msdan wonders' compemsun imurance, n rsuired by Swbn 3]00 d Me labor Coate, lar tM ped«manm d and w«k I« whidl Mia perms ls Hued. MY workers' cornPersacnn im«anne rertiar and pduy number ere: Caner: Policy Number (This section Peed ns 6e c«nplded L she pamds kr ore hundred dollars R1W1 «kit./ I corny that in the padmmrce of the work for which this permb is iaeu dl, I shell not employ airy perm in erry, manner s s 10 become subject to the worYare' compensation laws d Celfwnie, and acres that it I should become subjeU to the worlwe' mmPemackm pro isbs d Section 3700 of the Labor Code, I shall imthwlth oomph, with Urs provisbru. Date: Applicanl: Waming: Fdlur W recur workers' c ponneruaffon ovewat r la unkwNl, and shall salt/acts employs to erlMml psnaldss and clvll Il. W as aro hundred MousM da tem (5100000), k wants.. M Me cast at o nu macautkrl, dersePs u evylded At, In Ssdm 3103 al she Labor Cods, intsrml, and apomey's les, CONSTRUCTION LENDING AGENCY: I Mreby off. under Penalty, of perjury Ihd Iters u e oamrwion kndin, erne,, for the Pedomanm of the work 1« whitln this Pamn is asuad (Swan 309], civ. Cl. LENDER'S NAME: LENDER'S ADDRESS: I candy that I have reed this apptbatim end dace that IM shove idmmatbn is carred. l acre to comply with all city and ontdy odimrm end ease laws reldng to Wading construction anal hereby authorize repre,anteaivea of tins city to enter upon the ebwa menaioned property lar inepedion purposes. RIC RD COURTNEY ��[P{ I lame ` J' / (\ �, i{�LGf/ r Dsa: Sign are 6TOwnft^ Appkoanl Contmot! (5151.69.WP) WMe4luildi g 3 Safety: QrsO—R ; Canary-AppYtant; Pink4lawmas: Goldenrod -Meso« CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: P 079728 PLAN CHECK NO: N CONSTRUCTION TYPE; V—N 1 JOB DESCRIPTION ;r CONST N CLAIM VALUE; PERMIT TYPE; PLU PERM NO: P 079728 GOVT: N SUPP: N PURPOSE: ADD 660SF WORKSHOP S INTERIOT T.I,. SQ FT:' CALL—VALUE: GROUP OCC; R-3 /U-1 COMMENTS: REF:B-79726 RE dF dE dP dE �t;,Eet Rte**�at�aE it��itie**irft*�iR**it**�E �E if��ieit�*atm*x,,tater*��at*�*�E�+tetatatie*�E*iter*it�E itiE �EiE it�atiE 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 RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REO• PROV: PARCEL: 13943120 ZNE: REF NO: PLANNING N TES> > it itlEeeiFiEdEiFiFiEiEiE1EiE***iEiEdF**iEif**iEiFif**1FiEiFibdEiEibiE*irkiEiFiFirikdE*iEdE*1EiEiEl3rtiEiEiE*iEd3iEdFiRiFiRiRibde**de*de irkiE*iE D E V E L O P M E N T S E R V I C E S, R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY : DATE: APPLICATION ISSUED BY: DATE: * *iE iE iE irki«iE it dE irk *lE iE**iE iE fE iE*iE;F3FiF�F�F�F�F3F3F�F�F;F3F3F3F 3F3F3FiF�F3F3F�F�FTF�F�TF3FTF;F3F 1E 1F,E fF fflE lE lE iE lE 1E iF LEGALIZATION:N F E E S U M M,A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC. MECHANIC FIRE SMIP/RES GRADING PERMIT 52.50 ;v L 258 — ) SMIP/NON—RES PLAN ISSUE FEE 22.00 — , r` BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK„ TOTAL PAID DUE TOTALS ---- > 52.50 22.00 t '0,.0r0',:; 74.50 74.50 .00 REVENUE DIVISION TOTALS--> COLLECTED: 2 74.50 OVER/SHORT: 00 BLDG PMT PLUMBING ELECTRIC MECHANIC. FIRE SMIP/TOT GRADING PLAN—CHECK 74.50 i ,S iE 1E iF iF dE iE dE iF iF * 1E * iE iF irk iE iE iE Rf iE i(' dE iE dE iE ib cit it iE dE iE de iE iE iE dE i! dE dE dE SE iE dE iE iE iE dE iE * * * iE iE iE * 4 * * nth i3 i%if de dE 1E iF iE iE * * iF SE iF SE alk iE iE dE iE I N D I V I D U A ,L ' FyE -E H R E A K D O W N `•� TYPE QTY D E S C R I P T 1-0 N UNIT COST TOTAL COST PLU 1 SHOWER .' df. 8,75 8.75 PLU 3 WASH BASIN V 8,75 26.25 PLU 2 WATER CLOSET (TOIIET) y r' 8.75 17.50 END OF FEES, /l1 01 GATE 210/001/9521Tat7E: 170 15 i. 74.50 \ f t;.�.f j INSTRUCTION AND PLANNING - �- '-' Pt,_- & SPA - , ,PPROVALS Permit # - Date Inspector, APPROVALS Permit # Date Inspector Temporary Electrical Service or Pole - 52. Pool & Equipment Location - 2. Soil Pipe-Undrgrnd.- e •'tel 53. Steel Reinforcement '-'3.-Electrical Conduit Utility-Undrgrnd. 54. Forms ' -4' Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. 'Steel Reinforcement 56. Rough Plumbing & Pressure Test c. . .: -Electrical UFER Grind. 57. APPROVAL TO COVER GUNITE ' -:'_7ootings - -. 58. ElectricalConduibUndrgrnd. -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 95,ot6 d I� 62. Backwash & Receptor -Fina; 12. Sewer Cap - 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final " 14. Rough Plumbing 1_ p_plr �IV 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 APPROVALS = Permit 20. Rough Factory;Fireplace - +. - _' : 21. Ducts; in Structure -,..70. Hydro ,fJnderground 22. s; Ventilating: Duct .,; Product'PipingOGas Oil 23. Gas Pipe-Rougt & Test'' -71 .�,- -72. Underground Flush _�, 24. Roof --Framing .: 73' Undergrnd. Storage Tank,0 Gas ❑ Oib 25. Roof.`Sheathing ,� { - 74:� Overhead'Hydro f '� 26. T-Bar.Ceiling (Structural) & Monocoat r _ +;, , `-� 75!, Dry Chemical 27. Frame and Flashing _ �' 76- Dry Standpipe 4ESidin .- _r,a --28. Lathing 9 _ �, - - ,. - 77-- FIXED 29. Insulation- T T' 78: --,FIRE PREY. FINAL ' a 30. Drywall Nailing ,; - :r - - ..HEALTWDEPT. REQUIREMENT - 31. Plaster Brown Coaty ,� T ' 79 -FINAL INSPECTION - _32. Electrical Power Meter:Final f -80- FOOD CERTIFICATE ISSUED 33. Final -Electric_ - < r T a. I - -Q Notesi/_i9-N2 `I � u t'j ., 1134. FinaGHe ling & Air Conditioning - - ' II-aS_°IU SGUJER CON�IIfC.I`.(ON._�V �� 35. Final-Gas�Pipe:Test • -36. Hood or Canopy - _ _ J � 37. F!nal Fireplace— - - . � t -' i•�1/ 38. Final Plumbing 39. Water -Ser vice- Final 4 c 40. Gas Service -Final .;.41. Solar Domestic -Fina 1, 42. Backflow Preventer 43. Backflow Irrigation : _. •- - - - C - 44. Landscape Irrigation'System 45. Sound Attenuation T- - 46. Hbndicap'Regulatioris 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING; r. 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY _ No. Date a eMLwNc: 1930 HAL EAR II'C DR urAr: - OWNER. EIFMNOYIN: RICHARD COURTNEY ;attxEss 1930 BALEARIC DR COSTA MESA, CA 92626 I,�; 714) 641-8469 APPC. MAILIND ADDRESS: ARCHITECT OR ENGINEER: 11C NO.: WICK OR ENG'S ADDRESS: I UMT: OG,T,ACT,,,,Neap. NEWPORT COAST ELECTRIC (714)645-5761 C@NFACTOITSMNUNG 2035 PLACENTIA AV ADDRIl COSTA MESA CA Mill 675371 92627 UNIT.. H LICENSED CONTRACTORS DECLARATION: I hereby o im under penafty of perjury that I am Icaaed under proevemas of Chapter 9 errdrg with Section ]000 d Diurese 3 d the Id and pmfeasiora Code end m licenass in full face end Imol mL .No.:06340 Llc.cuLSs: C 10 uc.NO.: 6753/1 EXP: 10/96 2-1(-4C C«roaa«:_14 — 0 NE BUILDER DECLARATION: I hereby aMrm under mmafir d pal Me I am esempr from IM Games ors Limine Lew f« the fee reason (Sedan 7031.5 Busis,ss and professions Coda: Airy city or county whits mourners a permit to mrretmd, after, improve, demolsh. «repair any suuctum, prior to as isuanp, ileo recuirea the applicenl for such perieft to fib a agned Maamem Net M or am is licensed pursuant to the prosisions of the Contractors Liceme Law [Chapter 9 MrourarviW with Semon 7000) of Diision 3 of the Busiroes ark Prde sides Codel or the[ M or she ie ezampl therefore end IM bus for ds, Wetted assumption. Any vioW ion of Sea'an 7031.5 by srry, applicant for a perms subjects the applicant to a mel penalty of no, moss than fee hundred ddbre (550OD. ❑ I, u own i lM property «my nmplp pa with wepu p their ode oompenaation _will do Re work. and the sRrcture is int Rladnd impoo emeee are not intended or altered for sae. H, however, the MiMirre «inprw.wmea is sold "fin one year of compbtion, the owner -Wilder will have the burden of peeving he or and did nm build «improve for the purpose of see). ❑ 1. as; owner of IM propend. are esdudvely oontnai g with licensed apnaaclan to construct the project (Section 704,1, Burrs end Prdessians Cab: The Conlradom License Law does not apply to an owmr of property, wM Wilde or imptovu thereon and who c«rtrecb f« such projeaa wnh a conraaor(el Iceeeed pureaaa to the Conlreraom Limine taw). ❑ I men aunampt under Section: S. 8 P.C.. for this mason Dae: -1 e'er Owner: I do hereby certify that 1 am ewae of surd uMeraand IM re,iiremena of CeMomm Health end Sdery Coke SW rain 25503, ?553J, end 25531, acct Ra I or any Mum Wilding occupant will I wdl not (cine me) need to campy with said nae coda and the re,unamenla for apennftfmaw dionamodifimianhorntMAiau yrTF.anagam tDioms. Residntii l mnnrunion epplioatiom en eaempl from Rua provisions. Dae: Applicant: WORKER'S COMPENSATION DECLARATION: 1 hereby affirm under penalty of perjury oro of the following deciaraiore: ❑ hem and with mambos e od the e d cosset to seHinure for w«kere' comppution, a provided for by Section 3]00 d the Labor Cods, I« fins, pMarmecsots for wlich this perms is issued. ❑ I hew and soil maintac woskam' mmpenaelcn inaurenm, m rpuirod by Semon 3]00 d Uel Labor Cade, ha tM pedosmerr d tM soak la whits Rs perms s bemd. MY waken' canpennaion insurenpe mn'rer end policy number ere: Camey: Pdcy Number is pain need rnot,far oompmW if the Perot is for ors, hundred doles IS1D01 or muse.) I rand, Ihel in rhe padormano. of the work for which this permit is homed. I eMll not employ any, person in any moon«sou to beoome subject to the wodan' mmpeneatim sora of CaUarnu. and &,me that H 1 should secures subject to the wohere' mperrtion prwiacm d SadIon 37W d IM Labor Code. I "I 1«tnwftfpy �with tFW."��° proavms. Lz - I -;� Appti and: earl g: F ,fun ro sacun wodras' %W susufon roYlI1j m Is unbwNl, andslall sub*I an sntalo mr ro cdMrW praMu and vll nes up ro aro hundred fhousaW Idles (S/0G{DODA M sedition W dim coat ulps ct of rompansafbn, dansm yroddW parrIn S w 3709 at dueLabor Code, Infism.t end e0orney's feu. CONSTRUCTION LENDING AGENCY: I Mosby affirm under penalty d perjury Ims there s a mmtrudion Isndirg aperwy M the pedormanm of the wok for which this parol is sped (Section 3097, Civ. C). LENDER'S NAME: LENDER'S ADDRESS: I certhty lha I naw read this spplieaion and dela that the abo,m informal is mrrea. l agree to comply with all city and county adimnms and stele laws rdang to buildup construction aft Mreby adhorse mpreaentalives of this dry to min upon 1M seine-manixrad property per impeaion pumusas, MATTHEW COOK P Nam Dae: I L—II-4G si9eelus, a Dshso .ppdmnv (5151-aa.WP) WhM-Building A Safely: Green -File; Canary-AWkea; Pink-Rawnue; Goldenrod -Assess« CITY OF COSTA MESA - BUILDING PERMIT (PERM NO: E 0808081 PERMIT NO: E 080808 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V -N PERMIT TYPE: ELE PURPOSE: ADD JOB DESCRIPTION : CONST. 660SF WORKSHOP & INTERIOT T.I. SQ FT: CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 /U-1 COMMENTS: REF:B-79726 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 RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQQ• PROV: PARCEL; 13943120 ZNE; REF NO: PLANNING NOTES> > ############################################################################### D E V E L O P M E N T S-E,'R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY : n DATE; j APPLICATION ISSUED BY: L' DATE: �. U ######################i'F�iFiFTFiF3F iF'3'FiF'iFifi'F�f +Fisc 3iIfIFifTF3fIfiFIFIfIf�F�iF�F########## ## LEGALIZATION;N F Ezt S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 27.25 508 SMIP/NON-RES PLAN ISSUE FEE '22.00 BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE TOTALS---->. 27.25 22.00 0.00 49.25 49.25 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 49.25 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK 49,25 ############################################################################### I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 1 SERVICES BELOW 600%V & BELOW 201 AMP 27.25 27.25 END OF FEES 01 00220789-00220789 TOT 49,25 DATE: 12/11/95 TIME: 10:38 CONSTRUCTION AND PLAt..-.NG AP,,@9bVALS Permit# ' Date Inspector POOL &SPA APPROVALS Permit .l Date inspector I.. Temporary Electrical Service or Pole 52. Pool & Equipment Location " 2. Soil.Pipe-Undrgrnd. 53, Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms - 4.Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6.r Electrical OF ER Grnd. 57. APPROVAL TO COVER-GUNITE -A7. Footings, - - 58. Electrical Conduit-Undrgrnd. _ r 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-Finaf- 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 Electrica6T Bar Ceiling 69. POOLISPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace - - - 21. Ducts, in Structure 70. Unaerground Hydro 22. Ducts, Ventilating _ 71. Product Piping -OGss ❑Oil 23: Gas,Pipe.Rough & Test 72. Underground Flush 24. Roof Framing - 73. Undergrnd. Storage Tank C1 Gas O 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. DrywalFNailing HEALTH DEPT-. REQUIREMENT 31. Plaster Brown Coat _ 79. FINAL INSPECTION - 32._ Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. 'Final Electric �( 3.9% Notes: ' ,.,a/-?-.--� d) (fati0/� R 34: Final Heating & Air Conditioning - - C. - 35. Final Gas Pipe -Test _ 36. Hood or Canopy 37. Final Factory Fireplace- . 38. Final Plumbing 39. Water Service -Final - - V' . 40. Gas Service -Final • ' - 41. Solar Domestic -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 Soufhern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date A ARAOPFUILOlNO: 1930 BALEARIC DR uNT: DINERSNAME NAME1E 1RE;x : RICHARD COURTNEY ADDREs1930 BALEARIC DR eke COSTA MESA,CA 92626 APO[."Im ADDREss: 7 1 4) 641-8469 ARC1ffIECT OR ENGINEER: VC. NO.: ARON. OR ENG.'S ADDRESS: UNT: WNIRACTgGS NAME CONMACTORS MMLBND ADDRESS: LIC. NO.: UNI: LICENSED CONTRACTORS DECLARATION: 1 Mraby eflnm order penalty of perjury Net I am licensed oder provisions of Chapter 9 (oommenmg With Section 7(00) of DMWon 3 of the Susire amd Pmfesions Code, ant my license is in Nil /ace end aided. CT' LIC. NO.: LIC. CLASS: LIC. NO.: EXP: Data: Conlmtla: OWNER BUILDER DECLARATION: I hereby affirm urder penalty d perjury tat I am r a rapt from the Contrasts. Lio.rre Law for Ms following mason (Section 7031.5 Buenas and Pmfeebns Cade: Any oily or county whim requires a permit to consawn, altar, improve, demdwh, as repair any structure. prior to its issuance, aso require the applicant fa such permit to fib a sigad statement Nat he as she is hoanad puraent to the provision. of the Contractor Low. Law IChepta 9 (oom em ing Wilh Section 7000) of Divebn 3 of the Bumaess end Professions Code) or that he m ant w exempt Me carom end the haw fa the staged exemption. Am volation of Sad'on 7[131.5 by as, eppliranl fa a arms sub)ects IM applicant to a mil panally of rot mss than Owe huminal dollars MSOOD. ❑ I. a oWwr of the prepay or my empnyeae with wage a their ale mmpensetion, will clo the Work, and the structure as not intended or offered fa este (Section 70aa, Businaa rd Professions Coale: The Commooa Lienee Lew dose not apply to an better property wM Winds or hnpnoves thereon, and who dos sum Work h meed or herself or Nragh his as her own employees, pretdad that such 'unproremab ere not intanrded or offend fa verb. N, however, the building or ini m,asame is add within me year of completion, the owner-0uider win ave the horde of mW, he or she dol not WiM or im;msm Lor the purpose of vele). ® I, as ownsr of the prop". i m exclusively commsig with Banes! contractors to construct the pnje t (Seats m 7 , Bminsam and Profesimm Cab: The Contractor Licence Lew class nor apply to an owner of prop" Who Wilds o impr m Malcom met Who conlrpb for each prgecta with a cperactw(a) Icensed aur to the Con9adas Lianasew �m pM L). / kaexamuerr' c iop: _ B. A P. ., ks Nw : f /� �_ canny that I am .were d and udrstarel Ne malum a d California Neatlh rest Safety Cale Sect05!25533 Sections 255, and Net I o any Mun Wilding occupant Wit /wit_ma (d ata) need to comply Win, said aura coda sof Me Lamm meds, ler Dole: Applicant: WORKER'S COMPENSATION DECLARATION: 1 hereby affirm order penny of perjury one of the UloWW decimations: ❑ I haW and wilt mento a cWdicate d parent to sell-insum ler Waken' compenWa . m provned la fry Section STDG d tM . Leh Code, for the pdormence d the Werk 10 which this permit is issued. ❑ I hes end wilt maintain mos ' oompenation insurmw, a required by Seamon 3700 d tM Labor Code, W tM pdomerrns d the wok fa whifr this psttnh is wsuad. MY woken' oxnpansaten insurance war end pdiry number are: tamer: Paley Numar: (This soot/on need nd be aanptefad f the permit is br one hundred dollars (51001 a ba.) ❑ 1 amity Nat ie the pthe W cs d rhe work o Which this alma a a et eMll rwl rnpbf amy preen la any tame ape' compbecame .tion m the W f Scots n 37M of the lawv d l California. nh gra idly i I hose becono aubjerq to 1M waken' compensation previsions d Section 3700 d the Leber Cade, I shell Imhwith campy wish those provisions. Data: Applicant: Wambg: Fall. Is sans. Wcdmf mmpruadan coyengs Is unbwNt, end shall rbl.af en smployer As MMtul penaltlp ant elnil Onaat up b op hundred thouasrd de/wrs (SIOa W/, M accUWn As My cost of eonsaamm A derneps as pnvldM far In Spoon 3706 of the Labor Code, Interval, and attorneys fees. CONSTRUCTION LENDING AGENCY: 1 hereby elfin mear penalty d perjury let then is e mnslrWbn W&M aYrcy W Ma pedamarre d the Wick Io which this pant is issued (Section 3097. civ. C). LENDER'S NAME: LENDER'S ADDRESS: I arty that I have meat this epplicetim end state thol the above intameMn ie land. I spree to comply With At city end oawy teammates aFA stole laws reWig to Wilding construction aref hereby auNobe rapresenWiye of this any to mfr upon to atop- mentioned property /or inspection purposes. Dasa: Lf (5151 ee.W) Whie�uildng 5 Safety: Gra-Flan le; Canary-Appfl; Pink-Raenvs; (3oklenrod assa -As s CITY OF COSTA MESA — BUILDING PERMIT PERM NO• E 079727 PERMIT NO: E 079727 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: ADD JOB DESCRIPTION CONST, 660SF WORKSHOP 6 INTERIOT T.I. SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /U-1 COMMENTS: REF:B-79726 9E 1E * iE lF 1E iE IE dF iE if 1E iE Sit 1E dE 1E * * 9F * 9E iE iF iF iE iE iE iE AF 1E dE iF i! df iE 9E IE 9E 9b iE 9E 1E 9E 9F iE dE 9E ilt 1F iF iE iE * 9E iE iF * iE iE 9E 1f 9k iE iE 9b * 1F 9f iF * 9E AE iF iE 1E 9E iE 1E 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 RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REO• PROV: PARCEL: 13943120 ZNE: REF NO: PLANNING N TES> E B R E A K D O W N > S fF1!*IE iE iE ib IE 1E 9F 1E 9E IE 9f il9E iE iE 9F 9F 1E*9E iE 9E 1E 9E 9F ih iE 9E 9f 9E iE 9f 1E 9F 9F iE 9E fE*9E 4iE iE dE 9E 1t 9E*9E*iE*iF 9E**1E it iE SE iE fE iE 9E**iE*9E *iE iE 3E iE iE if D E V E L O P M E N T S E'•,R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY ; DATE: q 6 APPLICATION ISSUED BY: DATE: 9E 9E iE it AE AE xiE 9E ib*iE 9E******iE iE itiF3F3F7F�ifiEiF3F3FTF if3F'iFfF3fiF�F3F"iFiF3f�TFSFTF'IFiF �r�*mit �t x�at x*a(- LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 62,00 508 SMIP/NON—RES PLAN ISSUE FEE 22,00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 62.00 22,00 0.00 84,00 84,00 ,00 REVENUE DIVISION TOTALS—> COLLECTED: 84.00 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 84,00 iF 1E 9E 9f 9E*1E 9E iF 1E IE 1E fEdE**1E 1E*iE dE iE**ie*1E qE iF iE 1E♦E*1E 1Eif dE iE*1f**iE 9E iE fE iE**9t 9F*irk IE iE 9f 9E*iE iF qE*AE 1Efit 9E 9E*1F iE*9E 9E 1E 1E*If lk iE I N D I V I D U A L F E E B R E A K D O W N S TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST �i ELE 3 FIXTURES LIGHTINGI 1 ST 20 EA, 1,00 3.00 ELE 12 RECEPT/OOTLET 1 ST 20 EA, 1,00 12.00 ELE 6 RECEPT/SWITCH 1 ST 20 EA, 1,00 6.00 ELE 1 SUB—PANEL 16.25 16.25 ELE 2 MOTOR/POWR APPARATUS 0,0 — 1.0 HP 4,25 8,50 ELE 1 MISC CONDUIT NOT LISTED REQ PERMIT 16,25 16.25 END OF FEES 01,00216069-00216069 TOT 84.00 DATE. 10/01/95' TIME' 11:50 -A &SPA CONSTRUCTION AND PLAMi ,NG Date _ .- Inspector ,'"POOL Date Inspector APPROVALS Permit # .APPROVALS Permit # 1. Temporar'y Electrical Service or Pole- 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement �,3--Electrical Conduit Utilitv-Undrgrnd. 54. Forms `Ele irical Conduit-Undrarnd. - 55: Electrical Bonding - '.,t '5!:Steel Reinforcement 56. Rough Plumbing & Pressure Test 16 - . Electrical UF Grnd. _ .• 57. APPROVAL TO COVER-GUNITE ?Footings 58. Electrical Conduit-Undrgrnd. i $`Foundation 59. Gas Pipe, C] Undrgrnd., Test ;9 -Water Pipe-Undrgrnd. c 60. Backwash Lines, P -Trap, O Undrgrnd. 10. Structural Floor System - 61': APPROVAL TO DECK 11. Property Sewer Line &House Connection 62. Backwash & Receptor -Final 12, Sewer Cap 63. Heater & Vent -Final 13, Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final - -r 15. Rough Electrical -Conduit X_ 66: Solar System -Final 16. Rough Electric Wiring �Z _ 67. Fencing & Access Approval 1 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING - 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19, Rough Heating & Air Conditioning - FIRE DEPT. REQUIREMENT . Permit # ' I 20. Rough Factory"FireplaceAPPROVALS, r - 21. OYuctsJin Struciure'Y - 70. Underground Hydro _. 22. Ducts, Ventilating - . 1 71. Product Piping O Gas OOil 23. Gas Pipe -hough & Telt - =. 72. Underground Flush, 24. Roof=Framing :: ,`- , - _ r - _ �' _73- Undergrnd. Storage'Tank,O Gas ❑ 0iL - - 25. Roof_Sheaihing r ; ' '� r - 74: Overhead' Hydro- ` 26. T�BarxCeiling (Structural) & Monoc_oat -:`1 - 757 Dry Chemical 27. Frame and Flashing- 'z'` ` ~' 76- Dry Standpipe ✓Lathing o, X28. &=Siding ? - .0 = r ,_ 77- FIXED S"YSTEM:FINAL= S- 29. Insulation" 78 FIRE PREV. FINAL `30. Drywall Nailing HEALTH -DEPT. REQUIREMENT - _ 31. Plaster Brown Coat 79:- FINAL INSPECTIOtd v32. Electrical'Powe'r Meter -,Final �F kf * -80--FOOD CERTIFICATE ISSUED 33. h�inalleaificc .r I//'✓ �1 qi Notes:_fc'./�7 /�J -,34. FinalFHeaTing & Air Conditioning- 35. Ftnal-Gas"Pipe=Test -.36. Hood cr Canopy 37. Final -Factory Fireplace -- r .38. Final,Plur6ing--- 139. Water$ervice-Final n � � � -• -' - �40. Gas Service -Final :.41. Solar Domestic -Final.. - n a - • " 42. Backflow Preventer ` _ ` - -� x' - 43. Backflow Irrigation -- v a: u'r 49. Landscape 1rrigation;System 45. Sound Attenuiltion 46. Handicap'Regulations 47. FINAL STRUCTURE & BUILDING 48. ANAL PLANNING 49. Electric Release to Edison 50. Gas Release to. Southern Califdrnia Gas Co 51. CERTIFICATE OF OCCUPANCY- - - - No Date OWNER DIXON2 MR. & MRS. RALPH DATE 7/11/63 AP No. LOT 67 TRACT 4 41 FIRE ZONE g DESCRIPTION OF WORK ReI3.W/at._G9.>'� INSPECTIONS Signature DATE I GROUP I & J TYPE ZONE gI Soil Aky 5- 730-ej Gas SUBCONTRACTOR PERMITS ISSUED " NU DATE Water -/-Ci 7 Rough Com. Refrig. ❑ Air Cond. ❑ Rough Heating 3i Rough Plumbing o- -63 Miscellaneous Z'l 51 Prop. Swr. Line glkse Con. kz St. Swr. ❑ c Sprinkling System Construction Pole d'- •G3 .2 0.S 7 r: i Underground ❑ Power p Rah Wiring - J�17. 4f, Trenches Z -, Forms ❑ Steel Reinf. J�;.- — Floor System Bond Beam ❑ Steel Reinforce ❑ Sheathing M1110 C 0 �`5 -C•%I Frame and Flashing Lathing — In Out ❑ Plaster, brown coat A - Refrig. ❑ Air Con.,o Final _ Heating, Final j. - Plumbing Fixtures, Final 2 Final Gas Test /y _ Electric Fixtures, Final IN Buildin Final Z OCCUPANCY Form 13U"M-3-63—S-B P 2DO81 ' 20081 COSTA MESA BUILDING -SAFETY DEPARTMENT ... P.O. BOX $17 ' COSTA MESA, CALIFORNIA For Applicant to Fill In Completely TYPE OR RINT ADDRESS Q / • U COSTA MESA. CALIFORNIA MAIL ADDRESS ® CITY Sl�l ARCHITECT STATE TEL. LIC. NO. �Q NO. 61ZE OF LOT I fit, in USEOF I EXISTING BLDG. FEE RECEIVED JUN2 7 1963 0 APIgf*WgERMITf ice se Wn� RECEIPT NO. I N V �/) B DESCRIPTION OF WORK VAR. * ROOF DATE I&O SO. FT� V I HEREBY ACKNOWLEDGELHAI.IS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE ZANO STATE THAT THE ASAGREE TO COM. PURPOSE OF ESTABLISHING A PERNtT FEE ONLY. O PLY WITH ALL CITY ORWS REGULATING VALUATION `_BUILDING CONSTRUPERMITFEE SSIGNATURE OF PERMITTE//�'^/lB $� PLAN CHECK 8pAUTHORIZED AG@NT TOTAL: FEE 5 a ✓1J✓ NO EAVE OVERHANG SHALL BE LESS THAN - 30" TO SIDE 8 REAR P. L. EAVES tONNOTE: DGS. ALLOWED (U. B. C. REQUIREMENT) T YARDS APPROVED YARDS APPROVED MAIN BUILDING ACCESSORY BUILDING (FROM C/L STREET)y, R B DESCRIPTION OF WORK VAR. * ROOF DATE I&O SO. FT� V I HEREBY ACKNOWLEDGELHAI.IS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE ZANO STATE THAT THE ASAGREE TO COM. PURPOSE OF ESTABLISHING A PERNtT FEE ONLY. O PLY WITH ALL CITY ORWS REGULATING VALUATION `_BUILDING CONSTRUPERMITFEE SSIGNATURE OF PERMITTE//�'^/lB $� PLAN CHECK 8pAUTHORIZED AG@NT TOTAL: FEE 5 a ✓1J✓