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Home My WebLink About255 BROADWAY - Building Permits(714) 754-5273 • Faic (714) 754-4856 • www.ci.mste-mese�y��MBING PERMIT » FAIR DRIVE, C0.STA MESA, CA 92626 JobAddress: 2SS BROADWAY Suite No Vicinity: Parcel Nunmber: 11721223 Applicant Address: Owner: Address Contrector. Address: LUSN, CFlARLES W 255 BROADWAY COSTA MESA, CA LUSH, CHARLES W 2558ROADWAY COSTA MESA, CA OWNER-BUILDER Phone: 949-400-4231 CELL Zip: 92627-2817 Phone: Zip: 92627-2817 Phone: Zip: License: 000000 SCOPE OF PERMIT REPLACE PLUMBING PERMIT P00-00246 (RRIP) REPLACEMENT OF EXISTING SEWER LINE AND ADD NEW GAS LINE. 1 GAS OUT (1-0), 1 SEWER PRIVATE LINE ISSUE FEE Backflow irrigation Backtlow Preventer Bathtub Clarifer System Conned pce,Soda,eic) Dental Units Dishwasher Drain, Floor Orein, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valvq Gas (1-4 outlets) Gas (Over 4 oullets) Gas Repipe Gas Service Interceplors (Grease, Oil) Interceptors (Sand Auto ) AMT 523.50 50.00 50.00 50.00 50.00 50.00 50.00 SO.oO 50.00 50.00 50.00 50.00 50.00 50.00 56.15 50.00 $0.00 50.00 50.00 $0.00 arr 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 FEE SUMMARY AMT LaundryTublWasher 50.00 Landscape Irrigation 50.00 P-Trap 50.00 Pressure Regulator 50.00 Process Piping (per 10 ft) 50.00 Receptors 50.00 SepticTank 50.00 Sewer Cap for Demo 50.00 SewerConnect 30.00 Sewer Private Line 524.65 Shower 30.00 Sink, bar 50.00 Sink, commercial 50.00 Sink, Floor 50.00 Sink, kitchen $0.00 Sink, service/mop 50.00 Spa (private) 30.00 Spa (public) $0.00 QTr 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 COMMENTS / SPECIAL CONDITIONS Slalus: ISSUED Applied: 09/i6/2005 Issued: 09/16/2005 SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr BkOow(1-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (foileq Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION �J AMT so.00 $0.00 $0.00 50.00 50.00 50.00 $0.00 50.00 $0.00 50.00 $0.00 50.00 $0.00 $0.00 50.00 $0.00 50.00 $0.00 50.00 TOTAL CALCULATED FEES: 556.30 Qrv 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and relatetl regulatlons. (Ord. No. g248, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void i� work is not commenced wilhin 780 days, or if work is suspended or abanUonetl for a period of 180 days, INSPECTIONS: In order for the work authorized untler this permit to be considered legel, such work must comply with all applicable codes, and all required Inapectiona end tinel approvel must be obtained. Failure to obtain inspectlons and final approval vrill result in the expiratlon of thls permit. FOR INSPECTIONS CALL: (714) 754-5628 20a818�BND) WORKERS'COMPENSAnON DECLARAnON: I hereby aHirtn under penelty at perjury one of Ihe following declarations: ❑ I heve end will meintein e cenificate at consent to selt-Insure for workers' wmpansatbn, es provlCetl For by sectlan 3700 oi iha Lebor Code, lor the peAortnence ol the work for w�ich this pertnit is Issuetl. ❑ I have arW wlll mainfain vrorkers' compensatlon insuranca, as required by sectlon 3700 oi Ne Lebor Code, lor ihe pertortnance of Ihe work for which this pertnil ls issuetl. My workers' compensatlon Insuranca carder entl poliq numDer are: Cartier. e! one hundretl tlollars Pdity Number. iYl I certity thet in the pertortnance the work to jl�ich Ihis pertnit L9 issuod, I shell not employ eny person in any manner so es to become subJecl �o t�e workers' ��compensatlan laws ai C i A a ree 1 4t II I 6houltl become sub�ecl lo the workers' compensation provisions of Secllon 3700 af Ihe Lebor Catlo, I 5hell Iorihwllh tanply wlth these pro � �� " Md��s�pnen,re:=---- �oet� b WARNINO: FAIl.URE TO SE CERS' G17lAPE SATION COVERAGE IS UNUWFUL AND SNALL SUBIECi AN EMPLOVER TO CRIMIN/ L PENALTIES RND dNL FlNE$ UP TO ONE HUNDRED TIIOUSPND DOLURE (5100,000). IN ADDIiION TOTNE COST OF OOfdPEN$/TIdJ, DAMAGES AS PROVIUED FOR IN SECiION 31060F THE LABOR COOE, IlREREST. AND ATTORNEY'S FEES. ' LICENSED CONTRACTORS DECLARATION: I �ereby eHlrtn that I em Ilcensed under provisions ot Chapter 9(commencing wlth Section 7000) at Division 3 of ihe Business antl Prolessians Catle, end my license is in full larce end ettect. lic. a Cless q ContractoYs Slgnetura: Date: CONSTRUCTION LENDING AGENCV: ❑ I hereby aflirm that there is e consWction lending egency for the paAormance ol the work br which ihis pertnit is issuetl. (Sec. 3097, Civil Code). Lentlefs Name: Lender's Address: Signeture: Date: OWNER•BUILDER DECLARATIONS: I hereby atfirm thet under penelry ol perjury that I am E%EMPT FROM 7HE CONTRACTORS LICENSE LAW for the tdlowing reeson (Sec. 7037.5, Business end Professions Cotle: Any city or county whitli requires a permil ta construct, elter, Improvo, tlamolish, or repair eny structure, prior to its issuance, elso reqWres the epplicant tor such pertnit to lile e signed stetement thet ha or she Is Iicensetl pursuent to the provlsions ot the Camredore License Lew (Chapter 8(cammenGng with SecUon 7000) ol Divlsion 3 of t�e Business anE Prafesslons Cade) or thet he ar she Is ezempt Iherefrom end I�e besls lor t�e alleged exemption. Any Nalatlon of Section 7031.5 Dy any epplicam br e pertnit Ls the epplicent ta e civil penalry of not more than live hundred ddlers ($500).�: es ov.ner of the property, or my employees with wages es Nelr sole compensa6on, WILL DO THE WORK, antl Ne struciure is not intentle0 or otteretl tor sele (Sec. 7044, Business end Pmfessions Cade: The Can nse Lew does not appty to en ownar ot property who builds or improves Ihereon, end who does such work him'setl or hereelf or Ihrough his or her own emp es ovitletl that such impmvemems are not intentled or oflered tor sale. H, however, tha building or impravement is soltl wit�in ona year ot completion, tha ownerbuil vo the �urtlen of proNng ihat he or she tlitl not build or imprwe lor purpose ot sale.). • ❑ I, es owner of the property, em EXCLUSIVELV LO TING WITH LICENSED CONTHACTORS to construct tho project (Sec. 70aa, Business entl Professions Cotle: The contractors LJcense Lew does noI epply to wner ol propeny wha builds or improves thereon, and who contracts lor such pro�eq wil� e contractor(s) Jjcense pursu�c{ to the Contractors License Lews.). Owner sec. by af Business end Pmlessions Codo tor this reason: tax blll Or tleed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: � I hereby certity that na excavetlon tive (5) or more faet In depih Into which e person Is requiretl lo tlescend, will be made in conneclion with work eu�horizetl Dy thls pertnit, antl ihat no bulltling structure, scaHolding, talsework, or demolitlon or dismentling ihereoi, will be more Ihan thirry-si. (36) feel high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Tltle 8, CaIlPomia Atlmini5tratNe CoOe). ❑ As owner-bullder, I wlll not employ enyone to do work w�lch would requlre e pertnit trom the Division ol Industriel Sefery, es notetl ebove, unless suc� person has e permit to do such work trom t�e tlivision. SignaWre: Date: Division o1 Industrial Satery Permit Numbec CERTiFlCATE OF COMP 0 AIfiHORVA710 O ENTR : I certify under penalry ot perjury that I have read Ihis application and state that the iniormation given is cortecL I egree to com t ell tate laws end ciry tlin nces r lating to builtling conswciion, and authonze representatives oi the Ci ol Costa Mesa to emer upon the ebove�escribe0 prop � sp ction Durpases. I e e t to cupy or allow occupanq af any building eu�horizetl by this pertnit� ti I inspectio/Q. , ./��,`� /�� '�1�I11M (N I wnal (]wAinr . . - • AnNOr Authonzed Applicant Date FOOE�, INSPECTIONTYPE P9IE UQIDALS 7616 Fi:ed System Final Fire Prevention 1286 200 201 202 203 Pool Spa Finel Finel Re�Rool Finel BIocWRatalning Well Flnal Factory Fire Place Finel Slgn 204 Final Demolltion CODE� INSPECTIONTYPE 206 Final Mechanical 20B Finel Plumbing 210 Finel Electricel 212 Flnel Fire Preven�on 220 Final Planning Approval 222 Final Slte 250 Final Building/Occupancy PdIE II�LS �t ' �' : (714) 754-5273 • Fa�c (714) 754-4856 Job Address: Suite No Vicinity: Parcel Nunmber: Applicant: Address: Owner: 255 BROADWAY 11721223 LUSH,CHARLES 255 BROADWAY COSTA MESA, CA LUSH.CHARLES Address 255 BROADWAY COSTA MESA, CA Contrector: O W N ER-BU I LD ER Address: Arch / Eng : Address: CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT PLUMBING PERMIT Phone: (949) 548-4545 Zip: 92627 Phone: (949)548-4545 Zip: 92627 i . � PERMIT NUMBER P00-00246 T7 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Status: ISSUED Applied: 05/11/2000 Issued: 05/71/2000 EX,pIR�D Phone: z�P: �ATS License: 0 Phone: 2ip: License: SCOPE OF PERMIT PLUMBING PERMIT FOR REPLACEMENT OF EXISTING SEWER LINE & ADD NEW GAS LINE. ISSUE FEE BackFlow irrigation BackFlow Preventer Bathtub Clarifier System Connect (Ice,Soda,etc) Dental Units Dishwasher Orain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 outlets) � Gas (Over a outlets) Gas Repipe Gas Service Intercepmrs (Grease, Oil) Interceptors (Sand Auto ) AMT 523.50 50.00 50.00 $0.00 50.00 50.00 $0.00 $0.00 50.00 $0.00 50.00 $0.00 50.00 $0.00 56.15 $0.00 $0.00 $0.00 $0.00 50.00 on FEE SUMMARY AMT Laundry Tub / Washer 50.00 Landscape Irrigation 50.00 P-Trap 50.00 Pressure Regulator 50.00 Process Piping (per 10 ft) $0.00 Receplors 80.00 SepticTank $0.00 Sewer Cap for Demo 30.00 Sewer Connect $0.00 Sewer Private Line $24.65 Shower $0.00 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor $0.00 Sink, kitchen $0.00 Sink, service/mop $0.00 Spa (private) $0.00 Spa (public) $0.00 QTY 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 COMMENTS I SPECIAL CONDITIONS SumpPump Swimming Pool Trap Primer Unnal Vacuum Brkr Bkflow(1-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Waler Closet (Toilet) Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service Water Sokener OTHER VIOLATION PLAN CHECK REINSPECTION TOTAL CALCULATED FEES: AMT so.-oo So.oO 50.00 50.00 50.00 $0.00 $0.00 $0.00 $0.00 b0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 50.00 554.30 Qn 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicabie handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is noLcommenced within 180 days, or if work is suspended or abendoned 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 ell requlred Inapectlona and final approvel must be ob�ained. Failure �o ob�ein inspections and final approval will result in the expiretion of ihis permi�. FOR INSPECTIONS CALL: (714) 754-5628 WORKERS' COMPENSATION DECLARATION: � I here6y eHlrtn undor penalty oi per�ury one ot lhe Iollowing tleclereiions: , ❑ 1 heve antl wlll melntain e certificate ol consont lo sell-Insure tor workars' compensatlon, es provided lor by sectlon 3700 of the Labor Cotle, tor the peAortnance of the work for which Ihis permit Is issued. ❑ I have antl will malntein warkers' compensatlon Insurance, as required by sectian 3700 of Ihe labor Cotle, for ihe pertormance of the work for which ihls pertnit is issuetl. My workers' compensation Insuwnce cerrier end policy numbar ere: . Cerrler: Policy Number: (This secfion need not be comp/eted il fhe permit Is velued et one bundred dollers ($100) or less.) � ❑ I certity Ihet In the peAormance of Ihe work for which Ihis permit is issued, I s�all not employ any person in any manner so es to 6ecome subject ro the workers' compensatlon laws of Califomla, entl agree thet If I shoultl become sub�ec� to Ihe workers' rnmpensetlon provislons ol Section 3700 of �he Lehor Cotle, I shell fonhwith comply wiih these provislons. Applicant Signelure: Date: WARNINp: FAILURE TO $ECURE WORKER$' CQMPENSATION CAVERAGE IS UNLAWFUL AND SFiALl.SU�ECi AN EMPLOYER TO CRIMINA� PENALTIES PND GVI� FINE$ UP TO ONE HUNDRED THWSAND DOLLARE (5100.000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTIIXJ 31080F TME LABOR CODE, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I herehy eNirm thel I em licensed under provisions of Chapter 9(wmmencing with Section 7000) ot Division 3 ot iha Business antl Protessions Cotle, and my license is in tull force end ettect. Lic. # Class q Con�rectofs Signeture: Dete: CONSTRUC710N LENDING AGENCY: ❑ I hareby aHirtn Ihet Ihere is e construction lending egency lor the pertormance ot the work tor which this permit is issue0. (Sec. 3097, Civll Code). Lentlefs Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby ettirm thet untler penalry of perjury thet I em E%EMPT FROM TME CONTRACTORS LICENSE LAW tor tha following raeson (Sec. 7031.5, Business entl Professions Code: Any ciry or counry w�ich requires e pertnit to construct, elter, improve, demolish, or repair any strucWre, pnor to i�s issuance, elso requires Ihe applicant lor such permit to file e slgned statement Ihet Ae or she Is Ilcensed pursuant ta Ihe proWsions ol Ihe Contraqors License Law (Chapter 9(commencing with Section 7000) ol DiNsion 3 ot the Business and Pmfessions Code) or that he or she Is eaempt therelmm end Ihe basis br the ellegetl eaemptlan. Any WolaOon of Secibn 7031.5 by any epplicant for a permit suD�ec eDP��ent to e clvll penalry ol not more than tive huntlretl Aollers ($500)J: I, es owner of the properly, or my employees wlth wages es their sale compensation, WILL DO THE WORK, end the structure is not intentled or oMeretl for sale (Sec. 704d, Business entl Professions Code: The Contrectors Ucense Lew does not apply to an owner of property who builtls or improvas thereon, and who tloes such work himsell or herself or Ihrough his or her own em yees, O�oNded lhet such impmvemenis are not intended or ottered tor sale. II, however, Ihe building or improvement is soltl within one year of completlon, ihe owne tler vnll have the burtlen of proving that he or she did not builtl or imprOve tor purpose of sale.). ❑ I, as owner of t�e prope , em E%CLU E CONTRACTING WITH LICENSED CONTRACTORS ro consiruct the pwject (Sec. �044, Business antl Professions Code: The comrec c se Lew do t epply ta en awner ot property who builtls or improves thereon. and who comrects tor such pmjed wilh a coNrector(s) license pursuant o ectors Lic s Laws.). i ❑ I em exempt. �¢r�ec. Business antl Professions CoOe tor this reason: Signature: �� _ . Owner ID voritia efs Gcense. lO Yes ❑ No Drivefs License No. Venfication ot Ownership by (rype of document, I.e. - properry tex blll or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICA710N: E<pires: ❑ I hereby certlty Ihet no eacavatlon tNe (5) or more feet In depth Into which a person is required to descend, will be made in connecNon with work authorizetl by this perml�, entl thet no hulltling structure, sceMolding, talsework, or tlemolltlon or Gismantling thereoi, wlll be more t�an ihirry-six (36) feet high. (Chap. 32, Grp 2, Atl 2, Sec. 341, Title 8, Celilarnia Administretive Cotle�. ❑ As owner-hullaer, I wlll not employ anyone to do work whlch would require e permit from the DiWsion of Indusirlal Sefery, as noted ebove, unless such person has a permit m do such work trom t�e tllNslon. Siqneture: Date: DiWsion af Indusirial Safery Pertnit Number: 40pE I. INSGECTIONTYPE 7616 Fixetl System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Fina181ocWRetaining Wall 202 Final Fectory Flre Place 203 204 2M648 Final Sign Finel Demolition QAIE II�L$ COUE� INSVECTIONTYFE 206 Final Mechanical 20B inal Plum mg � 10 inal Elec ical e 220 Final Plenning Apprwal 222 Final Site 250 Final Bulltling�Occupancy P�IF INTRIRLS / /I / i•;y i (714) 754-5273 • Fex (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 255 BROADWAY Suite: Vicinity: DUPLEX & ATTACHED GARAGE Parcel Number: 1 y 721223 Applicant: LUSH, CHARLES W Address: 255 BROADWAY COSTA MESA, CA Owner: LUSH, CHARLES W Address 255 BROADWAY COSTA MESA, CA Contractor: OWNER-BU ILDER Address: Zip: Arch : Address: Phone: Zoning: Phone: 949-400-4231 Zip: 92627-2817 Phone: Zip: 92627-2817 Phone: License: 000000 Eng: Address: Status: ISSUED Applied: 09/77I2004 Issued: 09/17/2004 ISSUED BY: , -, �, -', Phone: Zip: License: License: SCOPE OF PERMIT REROOF DUPLEX (255 8 257 BROADWAY) WITH ATTACHED GARAGE: T/O EXISTING ROCK ASPHALT ROOF, REPAIR/REPLACE SHTG, 2 LAYER 15# FELT, APpLY "40-YEAR PRESIDENTIAL COMP SHINGLES " WORK TO ALSO INCLUDE REPLACEMENT OF DAMAGED FACIA; AIR VENTS WILL BE ADqED TO THE REAR 8 SIDE OF THE DUPLEX (NO STRUCTUAL WORK TO RAFTERS). PITCH APPROX 3:12 28 SQUARES � Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total $0.00 $12525 $0.60 $0.00 $0.00 $0.00 $125.85 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 Rear 0- 0 Rear 0- 0 FEESUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Calc Valuation: Claim Valuation: Right 0-0 Right 0-0 � � �� %6/D S ss,000.00 5s,000.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under Calitomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92). EXPIRATION: This permit shall automatically expire end 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 ihis permit to be considered legal, such work must comply with all epplicable codes, and all requlred inapectlone and }inal approval must be obtained. Failure to obtain inspections and tinal approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 zaaaae�sroo� WORKEqS'COMpENSAnON DECLARAnON: �� , � � i , • I hereby affirtn under penalry of perjury one ol the following tleclarations: � ❑ I have entl will maimain e certlficete oi consent ro self-Insure for workers' compensatlon, es proNdetl tor by sectlon 3700 of the Lebar Gode, lar Ihe pertortnance of the work lor which t�is pertnit is Issued. ❑ I have en0 wlll maintain workere' compensation insurance, as required by sectlon 3700 of the LeUor Cotle, Por the pedortnance of [he work tor which this pertnit is issuetl. My workers' Gompensation Insurence cerrier and policy number are: Cerrier: POlicy Number: (TTIs se ed nof be compleled 111he permit �s veluetl ne hundred tlollers ($100) or Iess.J 1lcenify ihat in ihe pertorma t rk f r wh i ermit is issued, I shall no� employ eny person in any menner so as to becoma subject to ihe workers' compensation lews ot C' gra ecome sub�ect to ihe workers' compensation provislons af Sectio� qQ oi ihe Lebar �otle, I shell torthwit� Comply wi�h Inese prov' i / ��/� � Applicant Signature: � Date: � � �—�/� WARNING: FAILURE YO SEC E' COMPENSATION COVEMGE IS UNLAW FUL AND SHP115UBJECT AN EMPLOYER TO CRIMINAL PENALTIES RJD CIVIL FlNES UP TO ONE HUNORED TIIIXISPND DOLLAFE (5100,000), N ADDRION TO THE COST OF COMPENSAiION, DPMAGES A$ PROVIDED FOR IN SECTIIXJ 31080F THE IABOR CODE, IMERE5T, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby ettirm Ihai � am licansetl untler provisions of Chepter 9(commencing with Section 7000) of Division 3 of ihe Business end Pmfessions Code, end my license is in tull force entl eflec�. Lla � Class M Contrectors Signeture: Date: CONSTRUCTON LENDING AGENCY: ❑ 1 hereby eflirtn thal there is e construction lending egency for Ihe pedormance of the work tor which t�is permit is issued. (Sec. 3097, G�il Code). Lenders Name: Lendefs Adtlress: SignaNre: Date: OWNER-BUILDER DECLARATIONS: . ��r,>� �� ` I herehy aftirm ihat under penelty,of per�ury thaLl am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Protessions Code: Any city or county which reqWrea.e,permit lo,Constmct, elter, improve, tlemolish, or repair any sWctura, prior to Its Issuance, also requires the ep011cent tor such pertnil to tile a signetl statement ihet he or she Is IlcenseC pu`rsuam to the D�o�sions oi the Contrectors License Lew (Chepter 8(commenGng with Sectlon 7000) ol DlWslon 3 of Ihe Business and Protessions Code) or thet he or she�is�ezempt thereimm and tha Dasis for the allege0 e:amption. Any violatlon of Section 7037.5 by eny applicent for e peRnil su ' s tha epplica�t to a civil penelry ot not more then tive hundred dollars (5500).): I� as owner of Ihe properiy, or my employee3�wlih weges as iheir sole wmpensation, WILL DO THE WORK, antl ihe strucWre is not intended or oNared tor sale (SeC. - 70a4, Business and Professions Cotle: The Contractors License Law Ooes not apply to an owner of property who builds or improves thereon, an0 who does such work himsell or herSelt or through his or her own employees, provided ihat such improvements ere not intentled or offered for sale. It, however, ihe building or improvement is sold wiihin one year ot completion, ihe awner-builtler will have ihe burden ol proving ihet he or she tlid not build or improve tor purpose oi sala.). � ❑ I, as owner ot the property, am EXCL SIVELV CONTRAC7ING WITH LtCENSED CONTHAC70RS to construcl the project (Sec. 704b, Business entl Professions Cotle: 7he conVectors License Law s not app en owne of propeny who bulltls or Improves thereon, and who conirects tor such prolect wlih a con�ractar(s) license Oursu�nt to the Contracto� ense L.�w .� f ❑ I em exemp� y�A� usiness and Pmlessions Code br ihis reason: SlgnaWre: %�� -�_ Date: Owner ID venti tlnve�lic ns . � Yes ❑ No Driver's Licensa No. ��/_ Verification of Owne�ship by (rype of tlaument, i.e. - property tex bill ar tleetl): DIVISION OF INDUS7RIAL SAFETV PERMR CERTFICATON: ❑ 1 hareby certity lhat ao ezcevation tive (5) or more teet in tlepth iato whict� e Derson is requiretl to descsnd, wiA be made in confreclion witfi woAc euthorizetl by this permit, and iha� no builtling simclure, scaHoltling, felsework, or tlemolition or tlismantling thereof, will be more ihan thirry-six (38) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title B, Ca�itornia Adminis�retive Cotle). � As owner-builder, 1 will not employ enyone to do wark which would require e permit from the Division of Industriel Sefety, es no�ed abova, unleu such person has e pertnit to tlo sV�h work from t�e division. SignaNre: Date: Division ol Industnal Safery Pertnit Number. CODE �. INSPECTIONTfPE 1616 Fixetl System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roa� 20� Final Block/Retairting Wafl 202 Final Factory Fire Place 203 Final Sign 204 Finel Demolitian •. i .nu . �� i �� CODEt INSPECTIONTYPE 206 Final Mechanical 20B Final Plumbing 210 Final Electncal 212 FIaaI Fire Preventlon 220 Final Planning Approval 222 Final Site 250 Final Builtling/Occupency PAIF. Ili� �:ITY OF COSTA 1VI�.SA CAIJFORNIA 8262&1200 DEVELOPMENTSERVICESDEPAFTMENT December 22, 1999 Mr. Charles Lush 255 Broadway Costa Mesa. CA 92627 RE: REBUILDING OF NONCONFORMING UNITS 255 BROADWAY, COSTA MESA fiZ�Ta►I��:� P.O. BO% 1200 co� �� . �i-��/�rcl.r�-e -r� _.�27_ i J� p J� — /�4��1 �075� ��oU.uc�' This letter is to confirm how the City would apply the nonconforming rebuild policy to the subject property. It is my understanding that two residences exist on the site. Because the property is zoned for single-family residences only, the property is nonconforming. The code states that if legally constructed residences in an residential zone are unintentionally destroyed by any means, the residences may be reconstructed. However, the following provisions shall apply to the reconstruction of legal, nonconforming dwelling units: 1. Any reconstruction allowed must be started within a period of one year. 2. Reconstruction must be carried out diligently to completion. 3. The restoration must be of an equal or lesser degree of nonconformity. Please be aware that this ability to rebuild units is only valid as long as the City's Zoning Code contains these provisions. If the Zoning Code provisions were to change, the code in existence at that time would be applied if a request to rebuild was made. If you have any other questions or concerns, please call me at (714) 754- 51 53; the best time to get a hold of ine is between 8 a.m. and 12 noon. Sincerely, ,� ; ' `' �% �1.. � ,, , , � �: �: l,� �. . � � ;1 i� / j . /. � - t: �, l � i. �_ i � r�/-�� r./--`. WILLA BOUWENS=ICILLEEVJ Senior Planner '"' - 77 FAIR DPIVE Buil4ing Division p14) 754-5273 • CaGe Enforcement (714) 754-5623 • Planning Division (71d) 754-5245 FAX (714) 754-4856 • TDD (710) 756-52t4 � PN0.IECTPDUflE55: ZSS BROADWAY UNIT: owNensName:SAUNDERSON, ELEANOR JANE � - • nooeess: TR 2769 BLUEBIRD CIR COSTA MESA,CA 92626 RflCMIENCINEER: AOONESS: sec.no.: UNIT: PENMITTEE:NOOR ELECTRIC ( 714 ) 631-8777 nooxess: �11 W, 17TH STREET J 4 COSTA MESA CA 92627 LICENSEO CONTBACTON OECLAHATION: I hereby allirm Ihai I am licensetl uneer provisions ol Chapl (com ing wi�� Section 7000) of �rvision 3 0l Ihe Business antl Prolessions CODe, an0 my license is in lulllorce antl e�lec ciTruc.:030877 srareuc.;�5277�4—__�-10 � Date: _ SignaWre: WOflNE ' COMPE SATION OE flATION: I �ere0y allirm thai I hav Jtic�e consen� to 5�insure or a certi�icaie of Workers' Compensalion Inwrance, or a certilie0 cooY ihereol 15eclion 3800. � O 1/ roucvxo.:0662629-93 ezv.onre comPaNr:STATE FUND ❑ Cenilietl copy is h¢r¢Gy Iumis�e0. n( C¢nilieG wpY �s �ileE vrit� I�e city B' in rvi Dare: � ApolicanC E%EMPTIONFBOMWONNfNS'fAMP ISATIONOECUNPTION: li' eeArwl e mp@(eOil�hepermili5forone�unEretl�5100�orleu�. I ceriily tlwl in I�e p¢Aarmance ol Ihe wo�k lor which Ihis 0 il is i etl. I Shall nol em0loy any person in any manner So a5 io becom¢ su�lecl to �he Workers' Compensation Laws ol Calilomi Dale: Signa�u . NOTICE: II. afler makinB �his tleclaralion, you S�oWE become suGleci lo the WOBerS' ComDensation pmvisions ol IAe La�or Code. you musl Iorlhwii� comply wit� such provisions or Ihis Dermit shall De AeemeA revoke0. CONSTflUC710N LENOINC AGENCY: 1 hereby allirm Ihai I�ere is a canSlmtiion lending agenty fOr Ihe De�ormance ol I�e work for wnicn �his oermi� is issuee �Section 3097. Civ. CI. LENDEfl: AOUFE55: OWNEfl BWLOEB OECLAflATION: I hereby a��irm �hal I am e�empi Iwm �Ae Conlrat�o�5' Siate License �aw lor the lallovnng reasan (Section 7031.5 Business ana Pmlessional Cotle: Any city of county wnith re�uir¢5 a Oermil to mnstmct, aiter, impmve, demolish, or re0ai� any stmtlure. o�ior �o its issuance. also rzpuires �he aoDlicanl lor such Dermil to IAe a signeG slatemen� tlut �e/s�e i5licenSeE Oursuani 10 Ihe pwvisians of Ihe Conuaclor5' Siale License Law �C�ap�er 9lwmmencinp xitA Seclion 7pp) ol Division 3 al ��e Business ane Pmiessians CaOe� ar inat �e/s�e is eeempi iAerefmm an0 tne Davs lor t�e alteeeG eeemption. Any violation ol Seciion 70.31.5 Dy any aDDlicani lor a permil su0le��s ��e applitani Io a civil penally o� not more ��an live AunareU Dolla2 �5500). I, as awner ol ine pwoerty ar my emVloyees wilh wdge5 as Ineir SOIe comoensation, will tla the work, ane ine ❑ stmcture is nm intentletl or ofieretl lar ule IS¢tlion 70C4, Business anC Pm�e55ional CoOe: The CqnVatiors' Slale Lit¢nse Law does nol apDly lo an owner ol a proDeny wM builds or improves I�ereon, and wlw daes such woA �imsell/hersell ar ihmugh �is or her Own emD�oyees. Orovidea I�al sucA im0�ovemenis are notinlenAeU o( aflered lor 5ale.lf. �Owever I�e UuilOinp or impwvemem is soia wii�in one year ot rompletion. t�e awner vnll Aave tAe EurEen ot D�ovinA he/sAe dia not �uilA or impmve br tne purvose ol salel. I, a5 owner o� �he property. am evtlu5iv¢Iy conlracting with lic¢nSeE coniractars �o conslruct �he pmiect (Section 7044, Business ❑ anA Pmfessians CoOe: T�e fqnlratior5' Slale �icense Law tloes wt apply to an owner of pmcehp �'ho bmlQs Ur improves �hereon antl w�o comracis lor such pmjecis wit� a coniracmqs) license Dursuam to �he Contracmrs' State Licenu Law�. I am aware t�at pmot ol ineir Worker's Campensaiian insurance s�oula Oe prmiUed ta me. � I am erempl un0er Seciion: B. 8 P. C. lor Ihis reason: Date: 6wner. I Do �ereEy ceriity Ihal I am avrare ol ane untler5tan0l�e �epuiremen�s ol Calilomia Heall� ana Safery Code Seciions 25505. 25533, anG 25534 ane I�at I or any IWure OuilOing occu0an� will/will nol (circle one) nee� �o comply vnl� 5ai0 state cotles an0 ��e �equiremenis for a permii br conslmc�ion or modilication Imm t�e Nir Ouality ManaBement Distnc�. Fesitlenlial conslmction applications are e�emp� Iwm Ihese Dmvisions. /J �a1e: ADOlitani: I heie0y ceriity �ha� I have reatl I�iS applicalion ane slate I�at t�e aEove ortlinances ana slaielawsrelaling�o building conslruclion anU �ereby aW�� propeity lor mspection purposes. Daie: _�� 7 \ Signalure:� 'J Driver's License or Sociafscunty •: � � comply wi�� allcity antl counly enteruDant�e above�mentione0 164n46 White—Builtling; Green—Cotle Enlorcemen�', Canary—Applicanl; Pink—Revenoe: Goltlonrod—Assessor • l CSTY OF COSTA MESA — HUILDING PERMIT PERM NO: E 062537 PERMIT NO; E 062537 PLAN CHECK NO; N GOVT; N SUPP: N CONSTRUCTION TYPE; 5—N PERMIT TYPE: ELE PURPOSE: OTH SOB DESCRIPTION ; ELECTRICAL UPGRADE SQ FT; CLAIM VALUE; CALC—VALUE: GROUP OCC: R-3 / COMMENTS: UPGRADE SERVICE 6 ADD SUB—PANEL �r*�r*r�r�r*+�r+�**�t**�r�r�r*�*��r*� *�r**�r�r�r�r�r**�***�r*�r�**�r*�r�r �r�r�r�r�r�r��r*�r�rx**�t**�t+t�r***�r*+r+r* 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 REQ • PROV; PARCEL; 11721223 ZNE; REF NO: PLANNING N13T'ES> i �r*�r�r�r«**�r�*�r�r�r�t*«,r+r*�r�t�t�t*�t�t�t�t�t�t�t***�*�t+e*�r*�,r�r*,r*x�t*�**�t�t��t*�r*+r�t�t�t**�t�t+t**�r*�r�*�r** D E V E L O P M E N T -5--E= R V I C E S R E Q U I R E M E N T S �.�. - • ZONING APPROVED HY �ri� DATE; BUILDING APPROVED BY : !�� n � ii DATE; APPLICATION ISSUED BY; if iE if k if ik if iF iF 1F 1F M if �E iE �F iF�tlFlF 1E iE�if iE if 1E ik if iF iF if if k k M if iF iF 1F iE iF if ff if iFiF if k LEGALIZATION:N BLDG PMT PERMIT F E E S U M M A 1f It iF iF if ik if ik ik ik iF iF iF k iF 1k iE iE i! k 1E iElE if iF ik �! If iEik Y STRUCTURAL SEGMENT:N PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING 48.00 SOR SMIP/NON—RES PLAN ISSUE FEE 15,00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECR TOTAL PAID DUE TOTALS----> 48.00 15.00 0,00 63,00 63,00 ,00 REVENUE DIVISION TOTALS--> COLLECTED; 63.00 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 63.00 iF k1flt �flf Ik M 1f M M iF 1f iliE�! 1k 1f 1f ik if iE k ik iF iFfFif ik iF iE k if ik if if if ik ik ik iE k iF if ik iE iF i! iF iF k iF iE ik iE k k if 1k 3F iF if iF iF �lf iE 1F k if ik 1F iF iF if iE iF iE iE iF 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 2 SERVICES BELOW 600 V 6 BELOW 201 AMP 18,50 37,00 ELE 1 SUB—PANEL 11,00 11.00 END OF FEES O1 �0140702—�014D7U2 T UT b's.OD DATE: 06/09/43 TIhE: 14:56 � ' � I +}'�•CONSTRl1GT16N AN��PLANNtNG. n � �' � ��. � P�OL & SPA� � �.� � �. � �� ` ' '� � - '�Date �lnspector ' '- ' - DaYe Inspectori . � APPROVALS Permit #T- APPROVAIS Permit # `� � / - " ' t. Temporary Elect�ical Serv �e or'Pole,; -, � ^ ` ' ' '� ' 52.-;Pool�& Equipmenf'Location � . - - � 2,-� Soil-Pipe-Undrg�nd� '- ` "i"' �,:`` �, �.:r � ' ; . � 53.' �Steel Reinforcement : • � � ^ 0•3: Electricai Conduit-LJf�lity�Undcgrnd �� .,:._ _ ' S4?Fo'rms= . �• - �' ` -. _ .. .._ � ., - • _ ' 4'� Electticai Conduitl7ndrqrnd, ,_ �� !'%� i r� 55. EleCtrical Bondina . � .>.� - ". .. .s. x 5. Steet-Reinforcemer+n -.� Vx �; �� , � 56. Rough Plumbing & Pressure Test �:G F�i"ecicicalUFEB�riM_ s'� �� _ 57.,APPROVAL-TQCOVEft-GU��ITE �' �. .:� � ��7,: Fqot�ngs %'- - � - : _ " 58. Electrical Conduit�Undrgrnd. � ,� � � 8? Foundation '�' . � �r�� ` 59.�GasPipe,O�Undrgrnd,,,T.est ' � '� +�.. i, �_ .I., -� �%, . 9? Water Pipe-Undrgr,{id. � , `�'- -r�� ' . � 60. Backwash tines`, P�Trap; O U�drgmd. � �� - -' � � �, i iQ, Structural Floor SGs.em ' /_' �� , 61. APPROVAL TO DECK. %! � . l': .. i 7` Property Sewer Lin,�t2si House Cyn'rLc_ctio�n' �� _ , 62. Backwash &`Receptor: Final �� '^ ,� 72 Sewe7 CaP a-• , ciJ . � �✓ j;..' : ` 63.:Heater & Vent-Pinal • - �' ' 73. Roof D�ains �� ,� t' ��.. Y.�,� f!i �' ��.� . 64. Plumbing SY'stem � Ficr"�ii r - %"� ,�r-- � ` , i 74; Rough Pl�mbing �! � , iy � ' 65: Electrical-Fina� .. �_ • _ /� - I 15�. Rough Electricai�-C�nd�� ^ •� 66. Solar System-Finai : �'�^,� �= 16. Rough Electric4Viri �g' , - 67.� Penci�g & Access Approvai �'� �- I- 77. Rough Wiring Siy` . � -� 68. �PPROVED FOR PLASTERiNG ' � I 18. Rough Electricx�`1-T Bar Cei6ng � � 69. POOl1SPA $YSTEMS FINAL � 19�. Rou h HeaLin� & Air�Conditioning ' ' � FI�j E DEpT. REQUIREMENT � 1� :< Y,.^ f/J �Y::. t.' YJ'i� S.- %F :Tlt'-? 20.�_yRough F4ct4r�y FSSyspiace j i� a�. � � �:': `;APPRQVF�kS��;��errgit� '� ?� _ - � . 27:'pucts, in%Str$cti.ti:?t� i �•. .• r.5 x . � - �-+� �: %70. l'tldergit�ixisr'Hy((ro " •. r ec r - -�� y: ,�:.�::, ��. �,�. 22.� Du � E'nt7�'tin`_" � f.,, � ' :� K:,:e x•r ' T s i � S�-� �. •� 9.x i CJ � C.7 w, CJ !.-h� �r: aJt. Prodi�cfx�''i�L�ing C`i'�s '�..'�,;jJil ` � � ' 23. Gas-['ipu-Roagh &�esc i rr,, x tr � � �;� #� a: �-7y, V�dergrou`n6 Fl�isd� " `-- I ., � � ..� . ��. T =' .--� �� -. ._,.. � -N 24 r`fioof Fr`min ' tr�s. . '.- F-, ~�, >: ;;. p -,�- � :x �c ¢ .- , � �, 9 ;�*. � x � �-.. n . 3.,UndergmU'.Stora�a�ank �]Gas ❑Oi�' 25. Ro6� Sh9�3thing ��r v r i'� L �: w: ri '7qp;Ovefhead NYdroCE� � R K 26.2T'�Ba� Celli�g (St�u��ural) &�Vlo�'"'coat � ' ''' -' �.:` ` "� f F• C 7Jv v �� .>�° x� y. C,i�: a 75.`��Dry Chern�c�l _v_7 z -n,_ ( �.. t ,�. ... _ _.... , ..� .� ..... 27: tiFrama and Flash�aj� L; ,�,r ;- :a �,� 76. Dry Standp'r{se E�.a x ; i " �� i _ ?-28. Lath:ing'& Siding�'� �'-' y X� � x z' ..� .;r ;� 77:'}FIXED S��?E(�F�NALx �- �, =j � �� ,r '-� l Nr l.� .-� .. .. s, -I� .. � •, .�..•e � , r 29. �nsulation ,r�;x _q .. -. , I x v: 78; FIRE PREV. FINFKL '� %> ' _ •`30. Dry�^��ali�lailing `�';r _ � �,��,. I�r`�'�" �i HEAL7HYREPT,"kEQUIREMENT ' � fl -J iG >: � (' lI -t.. ti v' ' r.;c� �. . �31. Plaster Brow7nCa3tx: s � � :� � ( �'7 K �x ?-7g, FlNAL_ iN�SP.ECTIE2N � x ^ . _ ._ .. . ... � . � _... � �, ., . �� , �2._ElectricaCPo�orer j�l��rv'F'ynal� � z /� /�ij 1' .-80:�FOOD CERTIf��C/a't`E ISSU«EDti, _``�.', �' 1 -4 1 "1: 1 _r. �7 y;'�- . - : -cl' -'-�--�' . � � g33 _.Final Ele§triS> �M ,.3 i v, � N i�J ,{ � q. ��'NoSes:. �+ •-� r s: �. G` ?! _ � � . � . . i� �_ f � � ' � � J �_'� •134.•`Fina'I Heatin & A"u?Cenditidni'ar�f". C� �. -- .{,'z x , �--o� : � %��,' x .v - �[q ¢:, `I .l-Z< ;ei �35.�Final Gas Pipe�T- x �,�''' .. %x �-, � r' r,��` '' a .� � •.. �GO �C?h+ ct T : .'36. Hood or CanoPY s :� i •r�-- �, � %� 1.'�%�:; �< :' f�c � �c ^ =� •r � ' - � s +' �i�.; <.. .v. _( �.i��&:+� u .TI �KG: *p� .. .. ,� � 37.;EinhLFactory FireRl�ce ,{��, � y� � rl <:. a z `,� Y. �; j c.. � . ... i `--�=.- --°`. .� ,.� i�-----' �_38. Fina� Plumbing � ��J ' �^ i: i 'i�±x'� =� . ? �T � i x,r I �. � ,i.,t G '+ Li - 'x 7 .� x � J,�...�., i ..ATL ' �, 39. �Vater Service�Final* �. ;� A � I lt4- � y� �" ` ' ;t40. Gas Service-Fina( >.� t7 xrn�•- '" _' tT.' ' � � � .� i.s � acc :�: � ., - x .'� �n k � I u . , . : , x -r ,� � �'41. So�ar pomesticfinal� � " : CS f �1:Y x �,.c ',t- � h7 ..: � i..X rr ,O� _7 "�.: ,J r.r- ; � _ .. . _ { . . . . ... - � 42. Backfiow PreventerA ` �- :r ` i i la >_ �-5 �:� ;• � � ' f_ ; - � .� x�- x H v x .r rr(`. i: H I [ , CCJ'i. W. .<'r: _: -� L - ^. --� 43. Backflow Irrigatior�;: �; �;� :,�.K :. �'� c� •• � y44. Landscape kfipation SYSCeni�S'�"tJ :�7 � t•ry � t7 '-.Y ^ `C fi7 '"r. ' y ^: �� . �, - .�_r r � `1' Y. .. i ' "l T^ :C r :-� %'45.�Sound Attenuatior� ��r; '� M = •`' _" '-'�' �� " J-: cc . ` �. �,• ,% i=: :�7 u .. a 4I r'G . i � ' . . .. . .. ' _ ' ' ' �;46.�Nandicap,Regulations -+ x> � ��'.^ - " i :L,_.. � , n i� ^ :: { 1 �47. FINAL STRUCTUf�E & BUPLDING X, i I�'.� p x�=' 'LL'� ' y, ' .^ ��_� 48.:FINR� L Pl_ANNING: � 'f-.E• •ii r�u �,r:�.� �r �n •:C < '-`' . ' . I t. .µ�. �^> .i; s v. =49.'Elearic ReleSse to �Fdison ' �` � � ; � % `; ` " � . '� � .L' i C �'/y'�.'.. Y { .�^ .. I l u' �,50.-Gas;Release to Southern Californ�a Gas Cv �? t j'(�< ..� "• o r % O •• k :.: . ��o ^ c a^: r�r � c.�61. CERSIFICATE OFlOCCUPANCY , �+' �+ s �� . % �� ; %�� . No. Date �