HomeMy WebLinkAbout2414 BONNIE PL - Building Permits(714) 754-5273 • Faz (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
i
Job Address:
Suite No
Vicinity:
Parcel Nunmber:
2414 BONNIE PL
43915306
Applicant: ROHAN, CHRISTOPHER B
Address: 2414 BONNIE PL - - ,
��" �
,��
COSTA MESA;�CA'.- , �
��/,_, _ , � , �
Owner: ' ROHAN, CHRISTOPHER B
Address . 2414 BONNIE PL � . �
, � . � COSTA.MESA, CA
� � Contractor '
Address: � . _
ELECTRICAL PERMIT
,Phone: 949-645-7140
Zip:' 92627
/
Phone:
Zip: 92627
, Phone:
2ip:
License:
Status: I SSU E D
Applied: 10/15I2001
Issued: 10/15I2001
ISSUED BY:
, SCOPE OF PERMIT ,
CHANGE OUT FAU AND ADD AIR CONDITIONING.'ELECTRICAL TO INCLUDE: ONE CIRCUIT FORNEW
A/C UNIT. REF: M01-00502.� - - � - - � � � - �' � •- - - - .
FEE SUMMARY
� � � . Quantity - - - - - - .. - � _ - - Quantity �; .� ' , ' �
ISSUE FEE � � $23.50 Temp Dist System / Lighting $0.00 0 --' � _. -
Temp service test � $0.00 Busway /100 k $0.00 0 � -
Res. a/c package $0.00 Standing Section � $0.00 0'� � .
New Res (14 �units) � $0.00 0 Misc Electrical Equipment $0.00 0; � � .
New Res (3+units) ' � $0.00 0 : Transformers up to 1 kva/kw $0.00 '� -0-� ; .. , � -,
Pool/Spa, - � ','_ .$0.00 0 -�:''��"' .......:..::....uptotOkva/kw $OAO � � � � %�. ,
0
LigMing Fixts� ,$0.00 0 '' �' � .............:._up to 50 kva/kw $0.00 , - �� 0 �. � �
Recept Oullets �$0.00 „ 0 . � ' . � .................up to JOO.kva/kw . 50.00� ' 0 �� . '
Switches � � � "' $0.00 ' '='0' � � � � � �
. , � ..................over 700 kvalkw ' �$0.00 0 �
Non Res Appl, � . . $0.00 ��� � 0 " � � Low Voltage Equipment $0.00 0 � '
Res Appl � $0.00 � �' � 0 ' Low Volt Wiring System / Ckt . ' $0.00. ; 0 "
Service to 200a , � ' $0.00 ' - - 0� . � Misa Conduit . � � $0.00 � - 0 � � "
Service to 1000a � $0.00 ��• 0 Misa Conductor .� 50.00 0
Service over 1000a , � $0.00 � 0 Circus ( gen or ride) � 50.00 , 0, "
Motors to 1hp � �$0.00, , . 0 Circus (mech ride or lights) $0.00 0
Motors to tOhp � �$12.30 � ,1 _ . Christmes Tree Stand � $0.00�;- - 0
Motors to 50hp $0.00 - 0 � Fireworks Stand $0.00; -� 0
Motors to 100hp $0.00 � 0 . Other Eleclrical Fee 50.00
Motors over 700hp
Communication drops
Sub panel to 200a
Pole Liqht Pkg
Sign Circuits
Temp Pwr Pole
Intermed Pole
$0.00 � .. 0 _
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
Investigation Fee , � $0.00
Plan Check Fee $0.00
Reinspection Fee $0.00
TOTAL CALCULATED FEES $35.80
COMMENTS / SPECIAL CONDITIONS
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 fo be considered legal, such work must comply with all applicable codes, and all
requlred inepeetiona and tinal approvel musl be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
I FOR INSPECTIONS CALL: (714) 7545626
�
2d4648I8�00)
WORKERS' COMPENSATION DEGLARATION: � - — '
I hereby aflirtn under penalry of perjury one oi Ihe lollowing declarations: -
❑ I have entl will maintain a cenificate ot wnsent to self-Insure tor workers' compensation, es pmvided for by section 3700 of the Lebor Code, for tha peMormance of the
work lor which this permit is issuetl.
❑ I �avB end will meintain workere' compensatlon insurence, a5 rec�uired by section 3700 of ihe Labor Cotle, fOr IhB peAortnance of the work for which Ihis pertnl[ Is iswed.
My workers' campC sation Ips�ranca c ntl policy num6er ere:
arner: �b(`� Policy NumDer:
is se ' n need not be canpl�fed il fhe rtnif is ve/ued ef one hundred dollars ($100) or less.)
I certify thet in the peAortnance oi the work tor which this permit is issued, I shall not employ any person in eny manner so as to becoma suDject to ihe workers'
compensation lews ot Celitg�nia antl egree Ihat il I sho come subject to Ihe workers' compensation proNsions ot Sectlon 37���0000 oi the Labor Cotla, I shall forihwith
comply wi�h lhese p�vl 'dfis �� / � �/ �'
Applicent Signeture:6 �—� Date: �
WARNIN�: FAILURE TO SECURE ORKERS' COMPENSATION CAVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYEfi TO CRIMINAL PE TIES AND IVIL FINES UP TOONE HUNDRED
TFKKISAND DOLLARE (E100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PflOVIDED FOR IN SECTION 3]W OF THE LABOR CODE, IMEREST, AN� ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION: '
I hereby ettirtn ihat I em licensed under provisions of ChaD�er 9(commencing with Section 7000) oi Division 3 ot ihe Business antl ProFessions Cotle, and my license Is in full
force entl ettecL Lic. # Class #
Contractofs SigneNre: Date:
CONSTRUCTION LENDING AGENCV:
❑ I hereby attirm that there is e cons�ruction lentling agency for ihe peAormance of ihe work for which ihis permi[ is issued. (Sec. 3097, Civil Code).
Lender's Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby aHirtn thet under penelry ot perjury thet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the iollowing reason (Sec. 7031.5, Business entl Profassions
Code: Any ciry or county which�requires a permit to construd, alter, improve, demolish, or repair any structure, pnor to its issuance, elso requires tha applicant tor such permit
to flle a signed stetement ihet he ot;she Is Ilcensed pursuant to the proNsions of �he Contrectors license Lew (Chapter 9(commencing with Sectlon 7000) of Divislon 3 ot ihe
usines nd Pmfeuions Code) or,ihet he or she is exempt Iheretrom end ihe basis for the allegetl exemption. Any violation of Section 7031.5 by any applicant for e pertr+t
ubj the applicent to e civil'penalty;of not mare than tiva hundred dallars ($500).):
I, es owner of ihe properry, or my,employees wl�h wages as t�eir sole compensation, WILL DO THE WORK, and the structure is not intendad or ottered for sale (Sec.
7044, Business and Protessions Code: The Contractors License Law tices not apply to en owner of properry who builtls or improvas Ihareon, and who tloes such work
himself or herself or Ihrough hls or her own employees, provitletl ihat such improvemenis are not Intended or otteretl for sale. If, however, ihe �uilding or improvement is
sola within one year ot completion, the ov+nei-uullder wiil heve �he hurden of Oroving ihat he or she did not build or improve for purpose oi sele.).
❑ I, es owner ot the properry, am EXCLUSIVELV CONTRAC7ING WITH LICENSED CONTRACTORS to construct tha project (Sec. 7044, Business and Prolessions
Cotle: The conirectors License Law does�not appry m an owner of property who bulitls or improves thereon, and who coniracts for such project with e contractor(s)
license pursuant to Ihe Contractors �'cen;e Laws.).
❑ I am exem�ot untl4r SoC. - �� Business antl Professions Code for this reason:
Signature: �/ " Date:
Owner ID veritied hy ers license. ❑ Ves ❑ No Oriver's License No. Expir :
Verification of Ownership by (type oi tlocumem, i.e. - properry tax bill or deed):
DIVISION OF INDUS7RIAL SAFETY PERMIT CERTFICATION:
❑ I hereby certify ihat no excavetion five (5) or more feat in depth into which a person is required to descend, wiil be maCe in connectlon with work euthonzetl by ihis
partnit, end ihat no building structure, scattolding, talsework, or demolition or dismantling thereof, will 6e more than �hirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Tltle B, Celitomia ACminis�rative Code).
❑ As owner-buiider, I will not employ anyone �o tlo work whic� would require a permit irom the Division of Industnal Setety, as noted above, unless such person hes a
permit to do such work from ihe tlivision.
Signature: Dete:
Division oi Industnal Sefary Permit Number:
CERTIFlCATE OF COMPLIANCE AND AUfliORIZATION OF ENTRV: I cenify under penalry of perlury ihat I have read this application and state thet ihe inlortnation given is
correct I agree lo comply with all slate laws and ty ortlinances releting to building consiruction, and authorize representa�ivas of ihe City ot Costa Mesa to enter upon ihe
above-describe r perry for inspectio' u s. I agree not to occupy or allow occupancy of eny building authorized by this ermit until final inspection.
/° �-- I O� I S/ O)
! ignaN�e Of Legal Owner(s) Date
Antl/Or Aut�orized Applicant
CODE 1. INSPECTIONTYPE y�jjg iMrtia�s
1616 Fixed System Final Fire Prevention
1266
200
Pool Spa Final
Finel Ra-Roof
201 Finel BIocWRetaining Well
202 Final Fectory Fire Place
203 Finel Sign
204 Final Demolition �
CODE 1 INSPECTION iYPE
20fi Final Mechanical
20B
210
212
220
Finel Plum6ing
Final ElecMcal
Final Fire Preventian
Final Planning Approvel
222 Final Site
250 Final Bulltling/Occupancy
QSjE INTRULS
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIA DRIVE, COSTA MESA, CA 92626
MECHANICAL PERMIT
JobAddress: 24'I4 BONNIE PL
Suite No
Vicinity:
Parcel Number: 43915306
Applicanc ROHAN, CHRISTOPHER B
Address: 2414 BONNIE�PL% ��' � �� ,
%i �
COSTA�MESA, CA�� , �
,i
i � �
Owner:. jROHAN, CHRISTOP-HER B
Address: � �2474 BONNIE PL
� j
COSTA MESA,CA
Comractor. . ,
" Address: ' ,
Phone: 949-645-7140 ���
/
Zip: 92627 .
Phone:
Zip: 92627
Rhone:
Zip
License:
, :'
� � � SCOPE OF PERMIT
, CHANGE OUT FAU AND ADD A/C. REF: E01-00884.
. ' . � � ;�� " � , . - -
' � �� �FEE SUMMARY �`
ISSUE FEE
Inst FAU <100 k BTU
Inst FAU >100 k BTU
Repair/Alt Cooling/Heat
Inst / Rep. Recess Wall Htr
Refrig Sys <100 k BTU �
Refrig Sys >100 k BTU �
Gas Piping �
Factory Fireplace � �
Hood w/Mech Exhaust '
VAV Box ,
Vent Fan / Single Duct .
Appliance � ,
Fire Dampers ,
Smoke Dampers � �
Inst or Relocate Appl Vent
Air Handlers < 10000cfm ,
Air Handlers > 10000cfm ��
Floor Furnace �
Floor or Suspend Healer �
Slatus: ISSUED
Applied: 10l15/2001
Issued: 10/75I2001
ISSUED BY: - �
Quantity . - �
$23.50
$14.80' 1
$0.00 , 0-
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
� $0.00_. .0 ,
$0.00 0 '
$0.00 0
$0.00� �'0 �
$0.00 0
$0.00 0
$0.00 0'
$0.00 0
sa.ao' o
�_ . , _ � _ , , ,
,� Repair/AltAbsorbtionUnit
-�, ' ' . Repair/AIt.RefrigerationUnit
� - ' -' - - - � Ven)illation System - ,
" ' Evaporative Cooler
� Commercial Incineretor
� Domestic Incineretor
Compressors / Absorption Systems
Upto3hp/100kBTU
� ; �� �3To15hp/500kBTU , %'
.� 15 To 30 hp / 1,000 k BTU , '
� 30 To 50 hp / 1,750 k BTU - ,
�- , . , Over 50 hp./ Over 1�,750�BTU � .
Boilers
. , � Up to 3 hp �
" 3To15hp . , -
� 15 to 30 hp .
� � - , 3010 50 hp � �
Over 50 hp � . �
Other Mechanical Fee �
' � Investigatlon Fee � ,
Plan Check Fee � ' - -
Reinspection Fee _ ' :
- - „ - �TOTAL CALCULATED FEES
COMMENTS / SPECIAL CONDITIONS
� � � �.
Quantity
$0.00 0
, $0.00 ' 0% �
,i,; $Q00 0 , ' ,'
$0.00 0
$0.00 0
� � $0.00 �0 ' ,
- � $0.00 . 0 -
� $0.00 , 0
$0.00 0,
� $0.00� �0�
$0.00 0
$0.00 0
$27.15 1
50.00 0
$0.00 0
$0.00 0
so.00
$0.00
$0.00
$65.45
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitornia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-27-92)
IEXPIRATION: 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. .
IINSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inspeetions and final epproval must be oblained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
1\ 240646 (N00)
\\
WOHKERS'COMPENSAnON DECLARAnON: F - �
I hereby ettirm under penalry of perjury one oi the following declarations:
❑ I heve antl will maintain e certiticate of cnnsent to self-Insure for workers' compensation, es provided tor by section 3700 ot the Lebor Code, for the peAormflnce of the
work tor which this pertnit is issuetl.
❑ I have and will maintain workers' compens{�tlo�n Insurence, as required by seclion 3700 oi the Lebor Code, for Ne pertortnance ot the woAc for which this pertnit is issuetl.
My workers' compen� io�M/ �� urence c�pr aptl policy number era:
Cariier. LXJ_`N � Policy Number.
(This s on need nof b�cromple� imit is valued af one hundied dollars ($100) or Iess.J
I certity Ihet in the pertormance of ihe work for which this permit is i ad, I shell nol employ any peBon in eny manner so as ro become subject to Ihe workerg'
compensallon laws oi Calitomig; an �ree thet ii I shoultl aco ubjact to the workars' compansa[ion provisions of Sactlon 3700 oi t�Lebor Code, I shall forthwith
cam I with these r%o �ia � i
Applicant S gnewra: / � V. , a - — Date: I O` (� ��
WARNING: FAILURE TO S CURE WORKERS' WMPENSATION CAVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CFIMINAL PENA�TIES AND CIVIL FINES UP TOONE HUNDRED
TlKKISAND DOLURE (5100,000), IN A�DITIIXJ TO THE COST OF CAMPENSATIIXJ, DAMAGES AS PROVIOEO WR IN SECTION 310fi OF THE L4BOF CQOE, INTEREST, AND ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hareby aHirtn thet I em Ilcensed untler provisions ot Chapter 9(commencing with Section 7000) ot Division 3 oi ihe Business and Profassions Code, and my license Is in full
forca and effect Lic. q Cless N
ConlrectoYs Signature: Date:
CONSTRUC710N LENDING AGENCY:
❑ I hereby aflirtn that there is e construction lentling agency for the peAormance of the work for which ihis permit is issued. (Sec. 3097, Civil Code).
LendeYs Name: Lander's Adtlress:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I heraby aHirtn Ihet under penalry oi perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business end Professions
Code: Any ciry or counry which requires a permit to construct, eller, improve, tlemolish, or repair any structure, prior to its issuance, also requires Ihe applicant for such permit
to file e signed statement thet �e or she is licensad pursuant to ihe provisians ot Ihe Contrectors License Lew (Chapter 9(commencing with Sectlon 7000) of Divisian 3 of ihe
Busl s entl Professions Code) or Ihat he or she is exempt iherefrom and the besis for the alleged exemption. Any violatlon oi Section 7031.5 by eny applicent for e pern+'
sub' cts ihe epplicant to a civil penelry of not more than tive huntlretl dollars ($500).):
I, as owner of the property, or my employees with wages as iheir sole compensation, WILL DO THE WORK, and ihe siruciure is not intended or oNered for sale (Sec.
7044, Business and Professions Code: The Coniractors License Lew does not appty to an owner of property who huilds or improves Iheraon, antl who does such work
himseH or hersetl or through his or her own employees, provided thet such improvemenis ere not intended or oHeretl tor sale. It, however, ihe huiltling or improvemen� Is
sold within one year of comple�ion, Ihe owner-builder will have tha burden of proving that he or she did not build or improve tor puryose ot sale.).
❑ I, as owner of ihe property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business end Professions
Code: The contractors License Law tloes not apply lo an owner of property who builds or Improves thereon, and who contracts tor such prolect with a coNrector(s)
license pursuant to the Contradors License La s.).
❑ I am ezempt u� ec - Business and Professions Code for this reason: _
Siqnawre: � � . � — Date:
Owner ID verifietl by anvHr's license. ❑ Ves ❑ No Driver's License No. Expires:
Verification af Ownership by (type of tlaument, I.e. - property tex bill or deed):
DIVISION OF INDUS7RIAL SAFETY PERMIT CERTIFICATION:
❑ I hareby certify Ihe� no excavetion five (5) or more feet in depih into which a person is required to descand, will be mede in connec�ion with work euthorized by Ihis
permit, and ihat no building siructure, scaflolding, falsework, or demolition or tlismantling ihereot, wiil be more than thirty-six (36) faet high. (Chap. 32, Grp 2, AA 2, Sec.
341, Title B, California Adminlstretiva Code).
❑ As owner-buildar, I will not employ anyone to do work which would requlre a permit from Ihe Division of Indusirial Safety, as notetl ebove, unless such pereon has e
parmit �o tlo such work from the division.
Signature: Date:
Division of Industrial Safery Permit Numbec
CERTIFlCATE OF COMPLIANCE AND AUiHORVA710N OF ENiAY: I cetlify under penalry of perjury that I have read this epplication and state ihat iha information glven is
correct. I agree to comply with all steie laws clry ordinences relating to building consirudion, and authorize representati es ot ihe Clty of Costa Mese to enter upon ihe
above-desc ' tl pr perty for inspe oses. I agree not to occupy or ellow occupency of any building euthorized b�j t¢js er it until nel'nspection.
� l U �> %l) �
Signature Of Legal Owner(s) Date
And/Or Authonzetl Applicam Date
GOOE 6 INSPECTIONTYPE
161 B Fised System Final Fire Prevention
1266 Pool Spa Final
200 Final Re-Roof
201 Finel Block/Retaining Well
202 ' Final Factory Fire Place
203 Finel Sign
204 Final Demolition
PAIE IMRIALS
CppE 1 INSPECTION TYPE
206 Flnal Mechanical
20B Final Plumbing
210 Final Electncal
212 Final Fire Preveniion
220 Final Planning Approval
222 Final Slte
250 Final Building/Occupancy
�111:
Y. ��
(714) 754-5273 • F� (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
JobAddress: 2414 BONNIE PL
Suite:
Vicinity: DWELLING AND GARAGE
Parcel Number: 43915306
Zoning:
npplicant: ROHAN, CHRISTOPHER B
Address: 2414 BONNIE PL , , .. - ' - - , _
� �� ' - � Phone: 949-645-7140 -
COSTA MESA, CA� '� _ Zip: 92627 , j
��i . � �
� �
i,` �
Owner: ROH,4N;-CHRISTOPFIER B
Address 2414�BONNIE'PL � � � � - - - - �
�'. " . ' � Phone: � � -
' ,COSTAMESA,�CA, � � � Zip: 92627 '
Contractor � �
.Address:
^„
Phone:
Zip:, . - � : License:- '
Arch,:
Address:
Zip:
Eng:
. � � , � Address:
Phone:
License:
� TEAR OFF SHAKE ROOF, INSTALL SHEATHING AP
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
I nspection:
Total
$0.00
$181.25
$1.00
$0.00
$0.00
$0.00
$182.25
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0- 0 �
PARKING Existin : 0
NOTES:
Status: ISSUED
Applied: 1 011 5/2 001
Issued: 10I15/2001
ISSUED BY: '
��
i j `�
_ - � ' �. .. .�
� , ' � �
�
. , . � ' ' `,
�
�
, . \
� � , . Phone: , _ � �
� � License: �
�UYC Uh YtKMI l , ' �
�PPIY 30 YEAR COMP SHINGLE ROOF. �, � �
FEE SUMMARY
-, Calc Valuation: ; s�o,000.00
Claim Valuation: - $to;000 00
Rear 0-0
Rear 0-0
� Required: - �0
PLANNING 8 ZONING
Left 0- 0
Left 0- 0
Proposed: 0 ,
Right 0- 0
RigM 0- 0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis 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 Inapeetlona and tinal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
24aE48 (8�00)
WORKERS'COMPENSAnON DECLARAnON: —
I hereby aHirm under penalry oi peryury one of ihe following declarations:
❑ I heve end will maintein a certificate ot consent to self-Insure tor workers' compensetion, as provided for by section 3700 ot tha Labor Code, for Ihe pertortnance of ihe
work for which this pertnit is issued.
❑ I heva and will meintain workers' compensatian insurance, as required by section 3700 of the Lebor Code, tor Ihe pedortnance oi tha work for which Ihis pertnit is Issued.
My workers' coy�pepsqpon Insuren arder and Dolicy number ere:
Cartier. l �`�6 • � . PolicyNumber.
�s secNon need not�-cromplefed i the permit is valued ef one hundred tlollars ($100) or less.)
I certify that in Ihe peAormance of lhe work toi which Ihis permit Is issued, I shall not employ eny person in any manner so es to becoma subject to the workers'
compensetion laws of Califomie, rttf egree ihat if I s�ould ecome subject to the workers' compensation provisions of Section 3700 of ih Labor Code, I shall torthwith
cromply with these pravisio s I�( / S 1� �
Applicant Signature: �v i — Date: � �
WARNINQ: FAILURE TO SECURE WORKERS' WMPENSATION COVERAGE IS UNL4WFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE TIES � CIVII FlNES UP TO ONE HUNDRED
THOUSAND DOLLARE (3100,000), IN A�DITIqJ TO THE COST OF COMPENSFTION, DAMAGES AS PROVIDED FOF IN SECTION 31W OF THE LABOR CODE, IMEREST, AN� ATTORNEI"5 FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aflirtn that I em licensed untler provisions of Chapter 9(commencing with Sectlon 7000) ot Division 3 of the Business and Professions Code, end my license is In full
force and eHaCL Lic. a Class N
Gontractor's Signeture: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby aRirm ihat there is a construction lending agency for the performanca of the work for which �his pertnit is issue0. (Sec. 3097, Civil Code).
Lentlels Neme: Lender's Address:
� SignaWre: Date:
OWNER•BUILDER OECLARATIONS:
I hereby eHirtn thel under penalry of perjury thet I am EXEMP7 FROM 7HE CONTRAC70RS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business and Professions
Cotle: Any ciry or counry which requires a permit to conslrucL alter, improve, tlemolish, or repair any stmcture, prior to its issuance, also raquires ihe applicant for such permit
to file e sipnetl statement that he or she Is licensed pursuant to the provlsions ot �he Conirectors License Law (Chapter 9(commencing with Section 7000) of DlNslon 3 ot the
Business antl Professians Code) or that he or she Is exempt therefrom and Ihe basis for tha alleqetl exemption. Any violation of Section 7031.5 by any epplicant for e Oem+'
sub�ects iha applicant to a civll penalry of not more than fiva huntlretl tlollars ($500).):
f� I as ownar of the property, or my employees with wages as Ihelr sole compensation, WILI DO THE WORK, end ihe s�ructure is not intended or ottered fo� sale (Sec.
7044, Business and Professions Code: The Coniractors License Law tloes not apply to an owner of property who 6uilds or improves ihereon, and who tloes such work
himself or her@etl or through his or her own employees, provided Ihat such improvemenis ere not intended or o%aretl for sele. If, however, the builaing or improvement is
sold within one year of completion, ihe owner-builder will have ihe burden ot proving that he or she did not build or improve for purposa of sale.).
❑ I, as owner of Ihe property, am EXCLUSIVELV CONTRACTNG WITH LICENSED CONTRACTORS b construa the project (SecJ044, Business and Pmtessions
Code: The contractors License Lew does not apply to an owner oi propehy who huilds or Improves Ihereon, and who wntracts tor such proiea with a contractor(s)
license pursuent to the Coniractars License ws.).
❑ I em exem�% Business and Professions Code for ihis reeson:
Siqnawre: / Date:
Owner ID veritietl by tlnver's license. ❑ Ve5 � No Dnver's License No. xpir85:
Verification ot Ownershlp by (type of tlocument, i.e. - property tex bill or deed):
DIVISION OF INDUS7RIAL SAFE7Y PERMIT CERTIFICATION:
❑ 1 hereby certity iha� no axcavetion five (5) ar mare feet in depih into which e person is required to descend, will be made in connection wlth work euthorizetl by Ihis
permit, and that no building stmcture, scaflolding, falsework, or demolition or tlismantling ihereof, will be more Ihan thirty-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Ti�le B, Celitomia Adminisirative Coda).
❑ As owner-builder, 1 will not employ anyone to do work which would require e permit from the Division of Indusirial Safety, as noted above, unless such person has a
permit to do such work fmm the division.
Signature: Date:
Division of Indusirial Safety Parmit Number:
CERTIFlCATE OF COMPLIANCE AND AUTHORVATION OF EMAY: I certity under penalry ot perjury that I �ave reatl this application and state that ihe information given is
correct I egree to comply with eil state laws a iry ordinences relating to building construction, and authodze representatives of the Ciry of Costa Mesa to enter upon the
above- s 6 ropeny tor s � ses. I agree not to ocapy or ellow occupancy of any building authorized by�isperm� ntil JinTnipection.
� / / ��
� 7 Signature Of Legel Owner(s) ��^—� Date
Antl/Or Authodzed Applicant
CODE �. INSPECTIONTYYE
1616 Fi:ed System Final Fire Prevention
1266
200
Pool Spa Final
Final Fe-Roof
201 Flnel8lock/Reteining Wall
202 Final Factory Fire Place
203 Final Sign
204 Final Demolition
2erE uuna�a
�O( (v�
COOE 1 INSVECTION TYGE
206 Final Machanical
20B Final Plumbing
210 Final Electricel
212 Final Fire Preventlon
220 Final Planning Approval
222 Final Sita
250 � Final Building/Occupency
�PPOJECT AOUflE55: UNIT:
- OWNEP'S NpMF. c�419 - BONNIE PL .
aoosess: ANKLAM, MICHAEL JAMES
ANKLAM I.HEkYL
2414 BbNA7IE LN
i C(�S7'A MESA,CA 92627
ARCHIENGINEEH: G 3 I— Z 3 8 Z flEG.NO.:
aooeess: ALLEN C�ESIGNS S2urGi7
h] /A
PEflMITTEE: �IA CA gO�OO
nooness: MIKE ANRLAM (714)631-23A2
(2M419 BONNIE PLACE �^n p )
LICENSEU CONTHACTNt UECUIRATION: I here�y a�tirm �ha� I am IicenSeU unde7�praviSioM1��lfa�r 9(commencing wii� Sec�ion
�7000) ol Division 3 of ihe Business antl 7m�essions Cotle, antl mV license is in lull force and eflect.
CITY LIC.: STATE LIC.: \ CLASS: ' .
�ate� Signa(ure�.
WOXREHS' COMPENSFTION OECIAHPTION: I �ereby aflirm t�at I �ave a certilicale of conseni to self-insure or a cendicaie oi Workers'
ComDensation Inm�ance. or a cenilietl copy Ihereol (Seciion 380q Lab. C).
POIICY NO.: EXP. ORTE:
COMPANY:
❑ Certifie0 copy is heBby �umi5he0. ❑ Certi�ied capy is �iletl wiih IM1e ciiy Building Divisian.
,
ate: ADPI�canC,
I ceriity ��at in t�e petlormance oi the work br whjt
SuDlecl Io Ihe Workers Compensalion Laws o�Lal
Oa�e: Sign
' NOTICE: IL aRer making �his tleclaration. yoa
Code.,you must �otlhwith campry wilh such'p
CONSTflUCTION LENOING AGENCY: I �ereby�5lfi
w�ich Ihis permii is i=5uetl (Sec�ion 3097, Civ. C).
LENOEF:
POOflESS: �
he comple�eU i� Ihe perrml is �or one Auntlrea �$100) or less�.
no� employ any person in any manner sa as �o become
iecame su�le�� �o the WOBers' Compensa�ion provisions of Ihe Labor
'� or �h�s permit shall be deemed revoked.
Ihere is a conslmclion IenOing agency br ihe pedormance oi the work for
OWNEB BUILOEfl OECLAflPiION: I herehy afiirm �ha� I am exemp� �mm ihe Conlractors' State License Law tar the tollowing reason'
(Seclion 7031.5 Business antl Prolessional Cotle: Any city oi counry which reQuires a Dermi� to cons�mct, alter, impmve, demolish, or
repair any slmcture, prior lo its issuance, also requires ihe apolicant for such permit lo file a signed statement that helshe is licensetl
pursuam m the pmvisions ol lhe ConVaclors' Slate License Law (C�apter 9(commencing with Seclion 7000) ot �ivision 3 o� ihe Business
anU Prolessmns Cotle) or 1�a1 he/s�e is erempt �herefrom an0 Ihe basis br the alleged exemption. Any violation al Seclion 7031.5 by
any applicant tor a permit sublec�5 t�e applicanl lo a civil penalty ot nat more �han live hundred dollars (5500�.
� I, as owner'ol ihe properlV ar my empioyees wilh wages as Iheir sole campensa�ion, will tlo �he work, antl Ihe.
slmciure is na� in�entle0 oroflere0 for sale (Section 7044. Business and Pmfessional CoOe: The Con�rac�ors' S�ate License Law
does not apply Io an owner ol a pmperty who �uilds or impmves t�ereon, antl who does such wotk himself/�erself or IhrouAh
nis or �er own employees. pmvidetl Ihat suc� impmvemenls are no� imentletl or ofteretl �or sale. tl, however the buil0ing ar
impmvemen( is sold within one year ot comple�ion, ihe owner will have ihe �urtlen o� pmving he/she dia noI builA o� imD�ove
�ar the purpose of sale�. �
I. as awner o� �he pmperty, am exclusively contraciing wi�h license� comracmrs lo consimc� �he D�ojec� (Seclmn 7044, Business
❑ antl Pmtessions Coae: ihe Contracbrs' Siate License Law tloes noi applY �o an owner oi pmDe�Y who bui105 or improves �hereon
and who coniracts br such prole��s wi�h a contmctor�s) license pursuant �o �he Con�raciors' Sia�e License Law),I am aware
@al Oroof ol iheu Worker's Compensation insurance shoul0 be provitled to me.
� I am eKemO� under Seciion. 8. 8 P. C.
�or Ih�is Jreason: •
�ate: _. [_��� • Owner� ���� /
I no hereby wnily Ina� I am aware oi an0 understan0 ihe re0uirements o� Calilor i ealt� and Sa�ery CoOe Sections 25505, 25533. and
25594 and Ihat I or any WNre builtling occupant willlwill not (circle one) neetl �o ply wiih sald state wAes antl �he repuiremen�s �or a
permil for conslmclian or moai�icalion fmm ihe Nu Ouality Managemen� Oisbicl. Resideniial constmc�ian apPlica�ions are exempt tmm
Nese pmvisions.
�ate'. AOPlicanl:
I hereby cetlify I�at I have reatl this application an sta�e Iha� I�e a�ove inlormalion is correct I agree to comply wilh all ciry and coun�y
ortlinances antl staielaws relalingio bmlding con udion and here0y authorizerepresenlaiives olthis ciiy�a enteruponihe above-men�ione0/
prOp¢tly IOr in eciion � �rpns¢5 � �..,/��/ /
oate: _,�Z����_ signature: ! ' '
Orivei's License or Sacial Secumy nr � �
16u1-efi W�i�e—Bmltling�, Green—Cotle Enlorcemen�� Canary—Applicant; Pink—Revenue; Goltlenroa—Assessor
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: B 053063 PLAN CHECK NO: U2736-41 S
CON$TRUCTION TYFE: PERMIT TYPE; STR
JOB AESCRIPTION ; SOrT HIGH AMATfiiJR RADIO AN1'ENNA
CLAIM VALUE; SOO.UO CALC--VRLGE; 500,00
PERM NO; B. 05306=
GOV1: N_SUPP: N
PURPOSE; NEW
5� F'P: 500
GROUF OCC; R-3 , /
COMMENTS: X
x�+r��*���***��x���**�*�+�**�**��-�*�x**�*��*���x�***xx*�*�r��***��***�*��*�**��*� �?��r
Z O N I N G R E Q U Z R E M E N T S ,
S E T H A C K S -
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILD'I.NG ---------
FRN'P: 30 FT IN REAR; 38 FT IN FRNT; FT IN kEAR: FT IN
LEFT: 31 FT IN RGHT; 69 FT S IN LEFT: FT IN RGHT: FT .TN
PARKING REQ• PROV: PARCEL; 4391�306 ZNE• Xi REF NO:
PLANNTNG Nt51ES> PROPOSED 50'HIGA AMA'TEUR RADTO ANTENNA ALONG TAE SIDE YARU A
> AREA(PER SECT'ION 13-313(5) Oe THE CODE);OUTSIDE R^'�7,SiDE YD, '
ikiFa4M�?f3t�lFiEM�iFiEiflfleiFi'rkifihitlFiEif�fie9EiP#iE�E3fif�3Eifif�lfiEaEif3f�lE{:.i'riEiF1'riFiEiEifif�fEi'rit3FifiEifiiii3Eaf#!E?fli� iF3i�'y3eirfE3.+Eliif�?E+`#
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
t,
7,ONZNG APPROVED BY PATc: '
HiJII,DING APPROC�ED BY : DAT'c;; •.t
APPLICA'PION ISSUED HY; � DATE• ��
iF ik aE iF iE iE 1f 3E iP #� iP ih iF iE *�lf� !4 iF iE ik �lf iE7i�F3F3F7F i�'3€7� iF iF �F7F'3FiF3f'iF $r'ii'K'iFit3r3i3r?r 3r7F�3F3:%3�F #f if� #?F ae If Jf iE iE 1i7F i6 +E
if iE IE iF iE lE iF �lE 3E � iE iF iF iE ie �1E k iE iF iF iE iE if 3f 3F,iF iE iE aE �li 3f 3h 3E-1F lE 3f ih �E iE 3F k iE ih �E iE iF jE �1'r af 1'r ic ii iE ff K 1E iE iF iF �E if Y.� i!� �Y fE iF it 14 iE � R±E %iE Y?(� 3f iE 3F
LEGALIZATTON:N F E E .5 U M N, A R Y STRUCTURAL S�GMEN'T':Y
HLDG PNT PLUMBING ELECTRIC �iECHANIC FIRr. . SMIP/RES GRAllING
PEkNIT 15,00 ,50
SMIP/NON—RES
PLAN 9:75 ,
zssuE FeE
BUILDZNG—DIV—> PERMIT ISSUE PLAh`—CHECR TOTAL PAID DUE
TOTALS----> 15.50 0.00 5,75 2�.2� 25.25 ,OU
ftEVENliE DIVISION TOTALS--> COLLECTED: 25.25 OVER/SAORT: .00
BLDG FM7' Pi.JNcBING ELECTRIC MECHANIC FIRE P,MIP/TOT GRADING PLAN—C?iECK
SJ.00 .JO 9.7J
ii"%' iE if'M� iE Ih iE iC iE ih iE it if if'K' iF 1f �f' iE �i' iE if 1f 3f'1f ii' if iE if iE iE 1E if' if iF if if iF iF' if if 1k 1f if if ik i4 i� 3t'"1f� iF ?4 ?� if ih iE if iE i�- iE'1E iF i(' ii' it iF?'t iI' � iF if 3e �k?E 4�f iF 3F
I N D I V I D iJ A L.'r' E E B R E A K D O W N
TYPE QTY A E S C R I P T I O N UNST COST TOTAL COST
SFR 500 STRUCTGRAL PY VALBB PER "�1,00 ' 1.00 500,00
. END OF rEES
�l t1004?���; DOU93Di7 + ��"� : •. �;�
UA7E: 0"r/2di9f TFl4Et '15:h7
��NSTRUCTION AND PLANNING .
APPROVALS Permit.# � ,
1. Temporary.Electrical Service or Pole
2. Soil Pipe-Undrgrnd. ,
3. Electrical Conduit�Utility-Undrgmd.
4.,Electrical Conduit-Undrgrnd. �
'5. Steel Reinforcement
6` Electrical UFER Grnd. .
7. Footings
B.,Foundation �.
9: Water Pipe•Undr9rnd.
10'. Structural Floor System � _
11. Property Sewer Line & House Connection
72. Sewer Cap .
.f
13. Roof Drains . -
14. Rough Plumbing � . ��
15. Rough Electrical�Conduit
16. Rough Electric Wiring
17. Rough Wiring Sign ,
18. Rough Electrica6T Bar Ceiting
19. Rough Heating'& Air Conditioning �
20. Rough Factory Fireplace . �
21. DuCts, in Structure , , ,
22. Ducts, Ventilating �
23. Gas Pipe-Rough & Test � "
24. Roof"Framing '
25. Roof Sheathing
26. T�Bar Ceiling (Structural) & Monocoat -
27. Frame and Flashing -
28. � Lathing & Siding . , .
29. Insulation - � ' �
�30. Drywall Nailing �
31. Plaster BrowrtCoat
32. Eiectrical Power Meter�Final
33. Final Electric � ,
34. Final�Heating & F.ir 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 pomestic-Final � •
42. �Backflow Preventer ' ' '
,,.43. Batkflow Irrigation ' .
44. Landscape Irriqation System �, " ,
45.:Sound Attenuation. • �
46. Handicap Regulations .
47. FINALSTRUCTURE&BUILDING
48.'FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Q
51. CERTIFICATE OF OCCUPANCY �
No. Dace
Date
m
e
Ins ector
-.� '
�
IL A
P APPROVALS Permit # n�`P �^s^Prr��
52. Pool & Equipment Location .
53. Steel Reinforcement "�
,
54.�Porms .
55. Electrical-Bonding' ,
56. Rough Plumbing & Pressure Test
, P 57. APPROVAL TO COVER�GUNITE
� p 58.' Electrical Conduit�Undrgmd.
59. Gas Pipe, O Undrgrnd., Test
60. Backwash Lines, P�Trap, O.Undrgrnd,
61. APPROVAL TO DECK
. 62. Backwash & Receptor-Final -��;�%
63. Heater & Vent-Final , ��!
64. Plumbing System � Final �°'
65. Electrical-Final i
. 66., Solar $ystem-Final i
67. Fencing & Access Approval -
68.� APPROVED FOR PLASTERING
69. POOLlSPA SYSTEMS F1NAL
FIRE DEPT: REQUIREMENT
APPRO-VALS� . �Permit #
� �70. Underground Hydro �
� 71. ProductPiping�Gas ❑Oil
- . 72. Underground FIuSh �-.� . � -
� 73. Undergrnd: Storage i'ank O Gas ❑ Oil
� -� 74. Overhead Hydro � �
- 75. Dry Chemical , ,
76. Dry Standpipe '
� • � 77. �FIXED SYSTEM FINAL �
�' 78. FIRE PREV. FINAL r
� �:. , HEALTH DEPT. REQUIREMENT
j 79. FINAL INSPECTION
; . 80. FOOD CERTIFICATE ISSUED .,
� Notes:
�
�
s
�
Lot;� .
Tr 4969 I $662
COSTA MESA BUILDING-SAFETY DEPARTMEHT
P. O. BOX 91] Cp97'p MBSA. CALIFORNIA
For Applican/ /o Fill In Complefely .
� - � TYPE OR PRINT
BUILDING 2414 Bonnie Place
ADDRE33
COSTA MESp, CALIFORNIA
owNeaMesa Baya Homes, Inc. '
no"'RES9 Suite 21$, 1801 Newport Blvd.
�,�. Costa. Mesa, Calif. , �T,o • LI 88C
ARCHITECT ' ' . TEL.
O USE
roR Mesa Baya Homes, Inc..
Suite 218, 1801 Newport Blvd.
Costa.Mesa, CaTif.
200735 No•LI 8_8080
SLA/ V� V irre� • I u�w0^4 LDOB. O
�
DESCRIPTION OF WORK
2249Csf ao°oMs ZO g'�ORIES 2
WALL ' '-ROOF Wood Shakes
, .StllCCO r.nvFw�n�rs
S in�le Famil.y Residenc e
Plan
II HEREBY ACKNOWLEDOE THAT 1 XAVE RPAD THIB APPLIGTION
AND BTATE THAT THH ABOVB �g CORftECT ANO ROREE TO COM•
PLv WITH ALL CITY ORDINANCgg ANq eTATB I.AW9 R6OULATINO
BUILDINO CONBTqLLq11yJ._ /�( _ , i j /]
�. AUTHORIZEDAGENT
rtt KECEIVED
�EEB e iee�'-
FlNANCE� DEPt.
CIiY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Oifite Use Only
". AHC81KN0.: I I r{pMJIl3A
I TV�V� /
I lJV4dL
RECE 6DCY OATCR6CHIV8� I owratssuao
%e- �—� 6'::s MAR 7 19 3
ZONIN(i '
ZON � NO. OP e� Y660R NHY� 'L1 '
�` PLANB / BIIILDIN� 11/�k }-} �'�
/�� a�,�.�.,A A
� G �
�a.� -�k �%6=q !�T
�68CR�P�ION
A. P. NO. �"�Q� ' .
NOTE: NO EAVE OVERHANG BHALL 88 LESBTHAN
90' TO SIDE 8 REAR P. L,. -
EAVES
ALLOWED (U.B.C.RE�UIREMED
, YARDSAPPROVED YARDSAPPROVED
MAIN BUILOIN6 ACGESSORY BUILDII
VAR. SC
BET. MAIN @
ACCE55. BL[
OATE
�,�3�6 64�.�. 9�'�vi p'
THE AMOUNT 6HGM'!✓UNOEH VALU�TION 18 ROR TH!
p11RPO8E OR BBTABLIBHIN� A pERMIT FE8 ONLY.
LUATION I seov�r eee A �// �
s � 5; .5%3
� ��