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Home My WebLink About2956 BIMINI PL - Building Permits1 � . 1 CITY OF COSTA MESA - ; � BUILDIN6 DIVISION � � DEVELOPMENT SERVICES DEPARTMENT °• PERMIT PE i� �o�m � 698-01524 (714) 754-5273 • Fax (714) 754-4856 , 77 FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 2956 BIMINI PL Suite: Vicinity: Parcel Nunmber: 13922317 Applicant: SAHAGUN, JOAQUIN Address: SAHAGUN, REGINA BEKSA COSTA MESA,CA 295681MINIPL - i�,��' BUILDING PERMIT Zoning: R1 R1 � " Phone: ' � Zip: 92626 � Status: ISSUED Applied: 08/24/1998 Issued: 08/24/1998 545-8823 Owner. SAHAGUNr:IOAQUIN�� -.� Address SAHAGUN('REGINABEKSA`. � �" ��-� � i .� _ / t COSTAMESA,CA �.-' - . =.Phone ' -V�� \ \ �2956-81MINI PL � �.' _ - � Zip: 92626 - �\ _ C �- � � � V'.� �. � � ., . : ' ` . ' � ��. Contrador:. /� ` �,� � , � i � � Address: , ' . � � � �' � ' .��. '��. � :- ' Phone: . � �._ .�. . Zip: ` ��:. �' �,�•. ' _ , - � . - License: _ ';<i) -'�, � 'Arch / Eng : - � � . . _ � . , � ,n �. . � "�., . �' Address:- . ' ,�. 'i' „ . , . - '� - . . . - . ,.� r - � . �� - .r .�� .. - . a "Ptione: �\ � . . . � / �� . - . , . . - ' ,� Zip: � , ='i � �. . . � ', , . �. License: ' _ � ., _-�- ., _ ' . � � i `. , SCOPE OF PERMIT ` � � � � �TEAR OFP 8 REROOF WITH 20 YEAR COMP: SHINGCES. '. � � � �-> �- . �� ' � . _ �. , . . _ y . . � ' , .. ... ... - - . .. ,.... .._ ' � . , �1. Plan Check: Permit: SMIP Res: SMIP Com: �: Other. : Inspecfion: ;. Total: j� •' $O.00 ' $48.50 , $0.50 $0.00 $0.00 �� $0.00 $49.00 ^ SETBACKS MAINSTRUCTURE�Front �0-0 ACCESSORY Front 0_0 PARKING Existinq: o NOTES: FEE SUMMARY � � _ ; , �` , - --- - - �-is. ` %�.� Calc Valuation: _ , _ , - ��J - ' Claim Valuation: ; �. -- i: „� . � p �'.. .'. � Rear `0�0 ` ' Rear 0- 0 Re uired: 0 : ' $1,500.00 s�,soo.00 `�; � } �' , ,. �ING&ZONING-.�: _- � " � �� - . �. - ,��; � � � /:� i Left ' 0- 0 Right '��0- 0.� � Lefl 0-,0 � Right .0-0 '� Proposed: � 0 � EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or it work Is suspended or abandoned for a period of 180 days. INSPECTIONS: In orde� for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inapeetlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permR. FOR INSPECTIONS CALL: (774) 7545826 WORKERS' COMPENSATON PECLARATION: ' . � � I hereby effirtn under penelry oi perjury one oi ihe following declarations: ❑ I heve end will malntein e catliticete ot consen� to sefl-Insure tor workers' compensetion, es providetl for by section 3700 of the LeDor Cotle, tor ihe peAormence of ihe woM tor which Ihis Dertnil is issued. 0 I �eve en0 wlll maintein workers' compensation insurence, es required by sectian 3700 ot the Labor Cade, for ihe peAortnence of �he work for which this pertnit is issuea. My workers' compensation Insuranca cerrier end policy number are: Cartier. � Policy Number. (lhls section need not be comp/ated i/ the permlf is veluetl et one hundred dallars ($100) or Iess.J ❑ I cetlify ihat In Ihe peAormance of the work for which ihis pertnit is issued, I shell not employ eny pereon in a�y manner so as to become subject to Ihe workers' cnmpensatlon laws ai CelHornla, and egree that It I shoultl become sub�ect ro the workers' compensetlon provisions of Sectlon 3700 af the Lehor Cotle, I shell fonhwith canply wNh ihese provisiot�s. Applicen� Signeture: Dete: WMNINO: FAILURE TO SECURE WORKERS' COMPENSATION ODVERAGE IS UNUWFUL AND SHALL SUBJECT AN EMPLOVEii TO CRIMINAL PENALTIES AND CIVII. FMES UP TOONE HUNDRED THIXISAND DOLLARE (E1 W.000). IN AODITION TO THE COST OP COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3]O6 OF THE LABOF CODE, INTEREST, AN� ATTORNEY'S FEES. UCENSED CONTRACTORS DffCLARATION: I hereby eNirm ihet I em licensed untler provisions ot Chapter 9(commencing with Section 7000) of Division 3 of ihe Business antl Professlons Coda, entl my license is in full torce end eHect Lic. M Class N Contractors Signature: �ete: CONSTRUCTION LENDING ❑ I hareby affirm Ihet ihere is e construciion lentling agency for iha perfortnance of Ihe work for which ihis parmit is issued. (Sec. 3097, Civil Cotle). Lendels Neme: Lendels Atldreu: Signature: Date: OWNER-BUILDER DECLAPA710N5: I hereby eflirtn Ihet under penalry oi pehury that I em E%EMPT FROM THE CONTRACTORS LICENSE LAW tor the following reeson (Sec. 7031.5, Business and Professions Code: Any ciry or county which requires e pertnit to consiruct, elter, Improve, aemolish, or repair any siructura, prior to its issuance, elso requires the applicant for such permlt to file a signed stetement thet he or she is licensed pursuant b the provisions oi the Conirectors License Law (Ghapter 9(commencing with Section 7000) of Dlvision 3 of the Business and Professions Code) or thet he or she is exempt therefrom end the basis tor the alleged exemption. Any violation of Sedion 7031.5 by any applicant for a permit sub�ects the epplicant to e civil panalry of not more ihan five hundreG tlollars ($500).): ❑ I, as owner oi ihe properry, or my employees with weges es ihair sole compensailon, WILL DO THE WORK, end the structure is not intantled or oHered for sale (Sec. 7044, Business antl Profe55ions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, antl who does such work himseH or herseN or t�rough hls or her own employees, provitled ihat such improvements ere not Intended or ottered for sale. If, howevar, the building or Improvement Is sold within one year of completion, the owner-builtler will heva the burtlen of proving ihat he or she tliG not build or improve for purpose of sale.). ❑ I, as owner of Ihe property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruc� the prqect (Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an owner of properry who builds or improves ihereon, and who contrects for such projact with e conirector(s) / license Qureuant to the Co��ors License Laws.). undersec. Busi�ss and Protessions Code tor ihis reason: �rifletl� drivar's licensa. � s ❑ No oi Ownership by (rype oi docume t, i.e. - properry tax blll or DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: ❑ I �ere6y cenify thet no exGevation five (5) or more feet In tlepth-Into which a person is requlred to descend, will be made In connectlon with work euthodzed by this pertn0, antl Ihat no building sWcture, sca8oltling, falsework, or demolition or dismantling ihereot, will be more then ihirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Celifomle AdmlMstrative Cade). ❑ As ownervbuilder, I will not employ anyone to do work which would require e pertnit trom ihe Dlvision of IndusMal Safery, as noted above, unlass such person hes e pertnit to do such work fmm the tlivision. Signature: Date: Divisian ot Industrial Safery Perm�� Number. CERTIFlCATE OF COMPLJANCE AND AUTHORIZATON OF ENTFiY: I certify under penalty of perjury thet I heve read this applicetion end state that the infartnetion given is correct. egree to compty with II siate laws and city mdinances relating to building construclion, end authoriza represeMatives M the Ciry ot Costa Masa to enter upon the abova scribed properry for' peaion puryoses. I agree not ro occupy or allow occupency of eny building authonzed by this permit until final inspedion. -9 igne e Of Legel ner s a(e AndOr Authonzed Applican� Data COOE I. INSPECTION TYPE 1616 Fized System Finel Fire Preventian 7288 Paol Spe Final 200 Finel Re-Root 201 Finel BIocWRetaining Well 202 Final Fectory Fire Plece 203 Finel Sign 204 Flnal Demolition � � I�dlS CQpE� INSPECTONTVPE 206 Final Mechanical 208 Finel Plumbing 210 Flnal ElectflCel 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Flnel Building/Occupancy OA7E It�NIS '/ PB0.IECTAODflESS: 29SE1 BIMINI PL OWNEfl'SNIIME: SAHAGUN, JOAo UliV nooxEss: SAHAGUN, REGTNA BEKSA � 2956 EZMINI PL COSTA N,ESA�CA 9267.6 (719)545-5159 UNIT: ' APCNIENGINEFH: XEG.NO.: AOONESS: UNIi: $$Z� PENMITTEF. JOA�UIN & REGINA SAHAGUN ( 71� ) 545—G'�`i aooness: 29 6 HIMTNI PL COSTA MESA CA 92626 LICENSED CONTBACTOB UECIABATION: I �ereby affirm thal I am licensetl unJer Drovisions of C�aD�e� 9(cammencing wit� Sec�ion 7000) ol �ivision 3 0l the Business antl Pmfe55ions Cotle, antl my license is in full brce antl ¢ilect. C17Y LIC.: STRTE IIC.: LLASS: Dale'. Signalure: WOPNEFS' COMPEN5a71oN oELLAHFTION: I nere0y atfirm Ihat I nave a certiticate ot consent to self-insure or a ceniticate of Workers' ComDensa�ion Insurance, or a cetlifietl copy Ihereol (Section 3800, La�. C�. POLICY NO.: E%P. OATE: LOMPRNY: ❑ Certifi¢tl copy is hereby fumis�ed. ❑ Cenitied capy is �ile0 with �he ciry Builtling Division. f� ';J, Daie: 'ApplitdnC' I Ce�i�y IM1dI in U¢ D¢��O�mant¢ Of IOe wa�k �ocwM1iC� 1lIi5 sublecl to �he Woorkers' Compen5ation Laws ol Calilomi oate: 9'�b'g�� SignaWre: NO7ICE: I1. after making ihis Aeclaration, you shaul Cade. Vou musi forihwi�� comply wi[h such p�ovisi CONSTBUCTION LENOING RGENCY: 1 �ereby a��irm tf which I�is Oeimi� is issue� (Seciion 3097. Civ�C�P�/ lFNOEfl: '� ' FDDNESS: ! sedion neetl notbe completeai�,{�e permitisforone hurdretl�5100�orless). ; i55ue0, I shall not employ a�yye�son in any manner so a5 io become e suti � fo �Ae WOBers' Compensa[ion pmviSioASof �he La6or iis rmit shall �e tleemed revaketl. is a consimclion lentling agency �or t�e pedormance of Ihe work �or OWNFB BUILDEN OECIAflFTION: I hereby affirm �hat I am exemp� imm the Caniracmrs' S�a�e License Law for ihe following reason (Section 7031.5 6usine55 ana Pmiessional Catle: Any ciiy al counry which r¢quir¢5 a permi� to con5[mct, alier, impmve, Oemolish, or repair any simcNre, Drior �o its issuance, also reQuires the applican� �or such permii �o �ile a 5igne0 sta�emenl Iha[ h¢/she is licen5ed pursuant to Ihe pmvisions o� ihe Contracmrs' State License Law (Chap�er 9(commencing with Section 7000) o� Oivision 3 oi Ihe Business antl Pm�essions Code) ar Ihal he/she is exempt Iherelrom antl �he basis �ar ��e alleAed exemplion. Any viola�ion of Sec�ian 703L5 by any applicant for a permit suUlecis Ihe aDPlicant to a civil penalry oi not more [han five hundretl Oollars (E500). � I, as owner ol �he pmpehy or my employees wi�h wages as I�eir sale compensa�ion, will tlo �he work, and the stmcmre is not intended or oifered lor sale (Section 7044, Business antl Pmfessional Code�, TAe Coniractors' State license Law tlaes no� apDty Io an owner oi a pmperiy who buil�s or impmv¢5 �hereon, and wlw does such woM1 himSelV�erself or �hrough his or her own employees, pmvitletl that suc� improvements are not intended or oHered lor sale. I�, however the builtling or impmvemem is soltl within one year o� comple�ion, Ihe owner wiil �ave t�e hurden o� pmvinA he/she diA not huiltl or impwve �or Ihe purpase o� sale�. I, as awnerof the pmDehY. am evclusively contrac[ing wi�h Iicense0 cantrac�ors �o constmct �he pwject (Section IOA4, Business ❑ anU Pmtessions CoOe: The Conlrac�ors' State License Law dces not apDty to an owner oi proDeM who bml0.s or impmves ihereon antl w�o comracfs tor sucn Dmjec�s with a con�ractor(5) license pursuant m the Contractors' State LicenSe Law�. I am aware �hai pmal o� ��eir Worker's Compensalion insu�ance ShoulO be providetl �o me. � I am exemp� untler $eclion: 8. 8 P. C. lor this r/eason: Daie: �' S� � 7 Z Owner i Oo nereby certify thai I am aware of antl untlerstan0 ihe requiremenis ol omia, Ith an0 Safery Cotle Sections 25505, 25533, an0 2559A antl Ihat I ar any �ulure bwlding occupanl will/will not (circle one) n lo comply wi�h said sta�e codes and the requiremen�s lor a permil �ar constmclion or moailicalion Imm Ihe Fir Oualiry Management iSVict. Fesitlential consimc�ion apDlica�ions are exemp� trom these pmvisions. oate: AOPlicant: I hereby certity ihat I �ave rea0 this apDlicalion anA slate Ihat Ihe above inlormalion is correci. I agree to c y witA all city antl county orainancesanastatelawsrelatinglobuiltlingconstmcliananOhere Wharizerepresen�ativesofthiscity�oe ruponiheabove-menlioneA property �orinspec�ion purposes � Dale'. q�� Lg Z._ Signature: Oriver's License or Social Securiiy #: � 1641�46 WM1ite-9wldmp; Green—Cotle Entorcemenl: Pink—Revenue: GOldenmE—Assesmr CZTY OF' COSTA MESA — BUILDING PEkN;II' PERMIT NO; B 059148 ( PLAN CHECK NO; 0275fi-92 L i CONSTRUCTION TYPE: 5—N PERMIT TYPE; STR JOB DESCRIPTION CLAIM VALUE; ADD��BED ROOM & N,ODIFY Bt1TH ROOM Yk:FtM NV; tl U�S24t5 GUVI; N bU Y; 1 PURPOSE: OTH SQ F'P; 328 CALC_—VALUE; 22,792,OU GROUP OCC; R-3 / COMMENTS: SMOKE DETECTOR(S) RE�UIRED TN HOME. iF1Elfif�E�E�1fiF3t3fIF3E�%�3F3fiE1'riFlfikiEiF%i(�3(�7EiEiF-l(��lf 3(�dE%�iEif-%if�i�k3EiFif-�Eif�jEiF3EiFifiEiEiElEi6ifiF�IklE3fi[�iE3FiE3(-iEitiEicifiF�3EiF�EiFi(�i£ib 2 O N I N G R E Q U I R E M E N T S 5 E T B A C K S ------------ MAZN BUZLDING ---------- --------- ACCESSORY BUILDING --------- FRNT; F"P IN REAR; 16 FT IN FRNT: FT IN REAR; FT IN LcFT; 46 FT IN RGHT; 5 FT IN LEFT; FT IN RGHT; FT IN PARKING REQ• PROV; PARCEL; 13922317 "LNE: R1 REF NO; PLANNING Nt3TES> ADDSTION O,RFjAR OF EX.SFD W/ SOME INTERIOR RF'MODEL.y.--ADD -> TU :COjJ53S� OF� A NEW BDR • CONVERT BDR TO DEN; ENLG BATii, it if if if it iE 3E X��E iE 3F 3F jf iE iF iF iF i't iF �)f iE��IE 3f �1('-7F iE,�1FiE � iE If iF iE �1E iF 3(-�lf iF it if # iE �f�-1'r 3F iE 3E;f !E iE �E iE ih iE IF iE i(� 1F iF iE iE X�7E if �kiE iE iE iF iF 3f 3E ft iE 3E iF IE.1(� iE D E V E�L O��P M�E; N;T t' S E R V I C E S R E Q U I R E M E NwT S ZONING APPROC'ED BY�� ; �— �� S�G DATE; ��I��O 2— BUILDZNG APPROVED BY .;' .,� %?� DATE; APPLICATION ISSUcD BY; �� I DATE• � I�� iEikiFititiFit*iEaFi4�lEiFth3EiE3fi(�iF'-lEfc�iEx�i�.��eFi�Fir��iF�FiF7Fi�Ffrx�i�. f ii� icx3rir�iFTtif3FiEiFiFiEitiF3t-if x c x#K� iE%iEifiF�FiElFififlElfiEifieieifKi[-ifiF1E�3Eif�IFii�iFlEi�ifif}piE�14iF3(�ifi(�IE*!ei'riEiEi iElElEiflEifiEiEiElEifit�7(�iF3f#ih�i�lFiEiEiflEiFlEiElFicii-icRiEifi(� LEGALI'LATION;N F E E S U M M A R Y �RiJCTURP.L 3EGMEidT;Y r .. . '" .:y r* BLDG PMT PLUMBING ELECTRIC �7ECHANIC Fg'ftE%; ; SMIP'/RES,T �GRADING PERMIT' 234.00 i . `2.28: n '•• � �a ^! Y SMIP,/NON—RES > PL1aN 1�2,10 ,v � f, ISSUE FEE �' ' � ,;h • " ? BDILDING—DIV—> PERMIT ISSUE P�LAN—CHECK TOTAL t"PASD .? DUE TOTALS----> 236.28 0,00 �� 152,10 388,38 �� ,� 3�A8�;38 � `,,.. ,00 � .; :i %; .-r ' RHVENUE DZVTSIUN TOTALS--> COI;LECTEp; 236,28 OVER�.SHbS�7'i;� ' 00 HLDG PM1' PLIIMBING ELECTRIC MECHANIC FIRE SMIP/TOT�'sGRADING PLAN,CHECK 2 3 9. 0 0 1_:. 2:'2 8°�• ; '�, ..` `� =� i,`� f! " � , �' IF iF iE iE iE i(� 7E3f� k 1E iF IE if iE 3f jE iE 3e # il� it iF ff !F iE %)f it if iE if 3F iE iE iF.if iP iF iF �)E 3f if if �IF it * jf 3F iE iE iE i4 fE %i(� #E 3EjE iF k.k �'r iE i¢ i(vM� iF iE k iE if ii i(� if 3E �IE if )f �7k I N D 2 V I D U A�L1 F' E E H R E A K D"O`j�1 I�„j' � � TYP� QTY D E S C k I P T I O' N UNIT COS�J TOT1�.L� COST SFR 303 DWE—TYPE V—WOOD FRAME —GOOD ',�74506� �22.42?.00 SFR 75 DWE—INT, ALTER TYPE V—WOOD FR —GOOD ;t14;80 i!�370.00 END OF FEE5 �� ', ; -- ^ � �!ew �ca� u�°e a�8�9� ' '��22�43 - ,/ ��l Jf'i"'.'`:�-.' - ��n T. .�. � ., . � • -� `r" � � -� �- � `s � " 4 CONSTRUCYION AND PLANN�NG . . � PG. _& SPA APPROVALS Permit # Date Inspector qppROVALS Permit # Oate Inspector . � Ili1 i. Temporary Electrical Service or Pole - - 52. Pool & Equipment Locacion • `� ,' •� � 2. Soil Pipe•Undrgmd. � . .� 53. Steel Reinforcement - - � � ,�^ i 3. Electrical Conduit Utility-Undrgmd. 54. forms , -� � 4. E�ectrical Conduit�Undrgrnd. �- 55. Electrical Bonding 5. Steel Reinfofcement ' � 56. Rough �Plumbing & Pressure Test 6. Electrical UFER Grnd. _y1Q Z� 57. APPROVAL TO COVER�GUNITE - �/ -. 7. Footings U/Oy- 58. Electrical Conduit�Undrgmd. (! 8. Foundation ,: �� 59. Gas Pipe, � Undrgrnd.,�Test �� 9. Water Pipe-Undrgrnd. : j 60. � Backwash �ines, P�Trap, O Undrgmd. ; 10. Structural Floor System - 67. APPROVAL TO DECK .;.� '� 71. Property Sewer Line & House Connection 62. _Backwash & Receptor-Final ' � 12. Sewer Cap �ti_ � 63. Heater & Venf-Pinai 13. Roof Drains " y�" ' 64. Plumbing System�- Final - ' 14. Rough Plumping - 65. Electrical-Final ��:� _ �. , 15. Rough Electrica6Conduit ' 66. Solar System-Final � �� ' 16. Rough Elect�ic Wiring j`" 67. Fencing & Acce'ss Approvaf � 17. Rough Wiriog Sign = j 68. APPROVED FOR PLASTERING � � � 18. RoughElectrical-TBarCeiling � 69. POOUSPASYSTEMS�FINAL ' � 79. Rough Heating & Air Conditioning ' FIRE DEPY: REQUIREMENT � � 20. Rough Factory Fireplace APPROVALS � Permit # �' 21. Ducts, in Structure . 7p, Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test _ 72. Underground Flush ,. 24. Roof Framing � 73. Undergrnd. Stora9e Tank � Gas ❑ Oil 25. Roof Sheathing - �..�j-� -�74, Overhead Hydro 26. T�Bar Ceiling (Structural) & Monocoat � 75. Dry Chemicai 27. Fra d Flashing i� Z�..Ct � 76. Dry Standpipe , 2. Lathing iding /� -�.rQ i 77. FIXED SYSTEM FINAL 29. Insulatlon 7�`�qy� 6W� 78. FIRE PREV. FINAL 30. Drywall Nailing � � S.�-�G/ �(,�% HEAITH DEPT. REQUIREMENT , 37. Plaster Brown Coat ��,��(.( ,�� 79, FINA� INSPECTION 32. Elecirical Power Meter-Final � i j 80. FOOD CERTIFICATE ISSUED ;� 33. Final Electric _ � Notes: ��7Jo� �+�__�� -�_t-' L 34. Final Heating & Air Conditioning i � ' 35. Final Gas Pipe-Tes[ I �- _� - � ' i 36. Hood or Canopy . � 37. Final FactorY Fireplace � 38. Final Plumhing , 39. Water Service-Finai i 40. Gas Service-Final . � 41. Solar pomestic-Final ; 42. Backflow Preventer � ' I � " � � �' Zs-- 2::- _� �. � 43. Backflow Irrigation - _ _!iD_ry�pt3'-11f�, Gr� 44. Landscape Irrigation System � 4,��_�� ` 45. Sound Attenuation � _..�-'-�"�� - 46. Handicap Regulations , 47. FINAL STRUCTURE & BU�LDING l,Z, Z3:1Yi/ , W��„ Q�L .4� �-A� �� r� �� 1 V' •.. ' - ! 48: FINALPLANNING � �L_Z;_!d(,�_ �c�y,�r/��`�/�0„G ✓ � ��c 49. Electric Release to Edison _ s� £�... 6 C� r c�' - l'e 4.�--- 5Q. Gas Release to Southern California Gas Co - j 51. CERTIFICATE OF OCCUPANCY No. Date � `� ��b:� I C�STA MESA BUILDING-SAFETY DFPARTMENT P.O. BOX 31� COSTA MESA. CALIFORNIA fOR APPL/CANT TO �f/Ll /N COMPLETELY � TYPE OR PRINT eui�oiN� 2956 Bimini Place ADDRESS COSTA MESA, CALIFORNIA re... �.'�.�f.,.�.�v ��` p�or,;.�L ; �.J �f� //-.� 7 �l F�;�(��,?;C/�E t;�r�', �.'�:,1� l�': liJO: ,� ��iL�'��) APPLICATION FOR PERMIT BUILDING FOR OFF/CE USE ON[Y I RECEIPT NO. . I AERMIL MAIL BOX 6J pE��, ADDRESS c�TYBalboa jsland�Calif. TNo4r3-4220 B��LDINc CONTRAGTOR 1.�CC0 AODRE55 HOX 6S)B' �F«a,ar��N� � �oT 15h NO • LIC. NTO. 98808 �+P�'ROVED BY Island,Calif. COSTA MESA. CALIFORNIA TYPE y GROUP �� DATE ZONING r ty �_pC„ , NO.OF USE OF / IpLANS � Y� I BWLD /� ��/U. r v Y . � DATE � I^ %-' ] � SIZE 7000 No. oF a�DGS. O ypRDS OF LOT rvow oN �OT REqU1RED USE OF ICENTER LINE ST.) EXISTING BLDG. FRONT SETBRCK LINE FFOM 1 CENTER OF STftEET SO REAR YARD � R. SIDE SIDE YARD IIEFT � IRIGHT � L.SIDE DESCRIPTION OF WORK ftEAR NEW I X .II ALTERATION I II ADDITION I ' I �� I II I BUILOIN /�� NO.OF o SIZE �5��/43� ROOMS V STORIES 1 EXTERIOR WAL�UCCO I ROOF rock GOVERING COVERING � USE OF BUILDING AND WORK TO BE PERFORMED Q�,t � ��(� O I HEREBY ACKNOWLEOGE THAT 1 HAVE REAO THIS APPLICATION• ANO STATE THAT THE ABOVE IS COFRECT AND AGFEE TO COM- PLV WITH ALL CITY ORDINANCES ANO STATE LAWS REGULATING BUILOING CONSTFUCTION.� SIGNATU �IJ�EI�E HOMES�INC• � THE AMOUNT SHOWN UNOER VALUATION IS FOR THE PURPOSE OF ESTqBLISHING r� PERMIT FEE ONLY. VALUATION PERMIT FEE � 3S $ /�� / ' O PLAN CHECK $ � � � O TOTAL FEE $ J a. � � / �� Pfl0.1ECT ROOflE55: SAHAGUN , OWNEP'S NAME: SAHAGUN noonFss: t. A ) N . uxir: BEKSA 92626 AflCH/ENGINEEH: flEG.NO.: R�OPESS: UNIT: PENMITTEE: fOA{�UIN S REGINA SAHAGUN ( 714 ) 545-5759 aooness: Z956 HIMINI PL COSTA MESA CA 92626 LICENSED CON7BACT08 OECLAl1ATI0N: I hereby allirm Ihal I am Iicense0 un0er proNsions of Chapter 9(commencinA w��h Section 7000� ol Oivision 3 of Ihe Business antl Professions Cotle. an0 my license is in full tome an0 eflec�. GTY UC.: STRTE LIC.: LU15S: Da1e' Signature: WOflNEBS' COMPENSATION OECLANATION: I hereby afiirm Ihal I �ave a cerlilica�e of conseni Io sel4insure or a certi�icate o� Workers' Compen5aiion Insurante. Or a cer�ilied Copy ��ere0f (Set�iOn 3800. Lab. C). POLICY NO.: E%P. DATE: COMPANY: ❑ Ce�ifietl copy is hereby furmshea. ❑ Certitiea copy is �ile0 wi�A ��e city Building Oivision. //,� �a�e'. Ap0licant: E%EMPfION FNOM WOPNEBS' COMPENSATIDN DECIAflATION: (This SeC�ion need nol be ton Iq� 0 i� IAe permil is �Orone 1lundr¢tl ($100) or 1e55�. I cetlily �hal in �he petlormance o� �he wark tor w�ich ��is perm i55ue0. I shall no� e�loy any person in any manner SoBs Io hecome sub�ec101o ��e Workers CComp�elnsa�ion LawS of Califomia. �� Oate:lY ��C— ` J SignaNre: NOTICE: II, a�ler making �his declaration. you shoula come SuUlect lo the Workers' Compensation provi5ion5 0� ihe Lahor CaUe. you musl �oMwith compty wiih such D�ovisi or Ihis Dermil shall be tleemetl revokeG. :''f CONSTflUtTION LENUING RGENCY: I A¢reby ailirm � Ihere is a tonSimClion lending agenty �Or lhe per�Ormante,o� �he wark �or wnich Ihis Oermil Is issued (Senion 3W7. Civ. C). b LENDEfl: /� nooxess: OWNEfl BIIIIDEfl UECLFflATION: I hereby aflirm Iha� I am exemp� irom ihe Contracbrs' S�a�e License Law �or the followinA �eason �Section 7037.5 Business and Professional Code: Nny ciry of counry which requires a Dermit to consimct, altec impwve, tlemolish, or repair any simcture, prior lo iis issuance, also requires �he apD�ican� for such permit to tile a signed stalement Iha� helshe is licensed pursuant m ihe O�ovisions ol I�e Coniractors' State License Law (Chapter 9lcommencing with Section 7000) oi Oivision 3 of �he Business antl Prolessions Cotle) or Ihat he/s�e is exemp� �herefmm and �he hasis for Ihe allegetl exemp�ion. Fny viola�ion ol Seclion 7�31.5 by anVy apphcantlor a permi� sublecis Ihe applicant to a civil Denalry oi not more Ihan five hunOretl tlollars �E500�. ,q I. as owner ol the pmpehy or my employees wiih wages as their sole compensalion, will tlo Ihe wOrk, and the LJ SINtiUre is not inlenAeO Or o��er¢tl for Sale (Set�ion 7044, Bu5ine55 and Pmle55ional COtle: The ConVatlor5' S�ate License Law tloes noi apply Io an owner of a propehy who OuilOs or impwves Ihereon, and who Aoes such wod Aimself/herself or Ihrough his or her own employees. O�ovide0 �hat such impwvemenis are noi imentled ar oflered for sale. I�, however ��e OuilJing or impmvemenl is solE within one year oi cample�ion. Ihe owner wiil have the burden o� pmNng he/she OiA no� builU o� improve lor ��e purpose ol sale�. I, as owner ol Ihe pr00erty, am exclUsively cOnlraciing with IiCen5e0 tOnifac�ors to tOn5�Nt1 i�e Orole�� (Set�ion 7044, Business ❑ ana Pmfessions COUe: The ConimctoK S�ate License Law Aoes not appty to an owner of property who UuilOs or impmves tAereon and who Conirams �ar Such pmleds wi�h a tOnVadoqs�lic¢nse pursuan� m Ihe ContraCtors' S�a�e Lic)ge Law�.l am aWare I�a� pmol al �heir Worker's Compensation insurance shoultl be pmvitletl to me. // � I am eKempt untler Seciion: B. 8 P, C, �ar Ihis reason'. Oale: � � Z� � � � Owne . I 0o hereUy Ceriilyl�at I am aware ol and understana Ihe reQuiremenls alif0 25534 and Ihat I or any IuWre builtling occupani will/will no� (circle on eetl �o permit lor conslmtlion or motlilicaiion �mm ihe FIr Ouality Manage n� �isVi< ihese Dmvisions. Oa�e: FpplicanL _ I �ere�y t¢tlilylhai I havereaU�hiS aD0litalion and Siale Ihat�he ordinances and s�alelawsrelaling�o builtlmg conslmc�ion and herel pmperty br inspection purposes. Oa�e'. �� ''� — �� S nalure' � Onver's License or Social Seeurily N.� CITY OF COSTA MESA — HDILDING PERMIT � PERMIT NO: E 063650 PLAN CHECK NO: N �6e r—I�S{]^�'�� CONSTRUCTION TYPE: 5—N PERMIT TYPE; ELE PURPOSE: OTH JOB DESCRIPTION : ADD BED ROOM 6 MODIFY BATH ROOM SQ FT: CLAIM VALUE; CALC—VALUE: GROUP OCC; R-3 / *�**********�**�rD*****�****�r**i�****D***�r*�**�r�e****B***�*�r�e*�r�r�*�*��r*x��r�r�e�*�r�*�r* Z O N I N GS ERTEB�AUCIRRSE M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGAT: FT IN LEFT: FT IN RGFIT: FT IN PARKING RE • PROV: PARCEL: 13922317 2NE: REF NO; PLANNING N T'ES> �. . �E �f k 1k 1t 1f iE k IElt�F�f iE if iF iE iE if �f 1Eit �t �f if �k It if �t iF 1f �t 1f it if �flf �F 1f it ik�t it ilif iF�1t iFif iE iEiElf iE �k �E �k1E itlt if 1E iFik if iFlk iFiF fE if iF iE iF if if 1F iE if 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: HUILDING APPROVED HY ; DATE; APPLICATION ISSUED BY: � DATE: '� � �Fitififikitkifikkikifififit�fifiFiFiEffkiFiF illflfk�flkik�Eik�E �Fik If if iF iE if if if iF if ik if if if if iF it if iFiF ik if iF 1f if if it if 1f if 1f if iF1f 1F if itif �f if k �f �k1f 1f �f �t 1F�f 1F iF if iF�f 1f �E�f �f �t �F ik iFlt iFik 3E iF if iFlE ik�k�E iklE if iF 1E ik if LEGALI2ATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 18.50 SOY SMIP/NON—RES ISSUE FEE 15.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECR TOTAL PAID DUE TOTALS----> 18.50 15.00 0.00 33,50 33.50 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 33,50 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 33.50 it 1Fif 1f k iF if if it �f it �lif �Fif if if iE iF iEif if if if if �kif �f iF 1Fif 1k 1F iFiF�f 1f itif 1F if iEiFiFlFif iflk 1F aFiE if iF iFik if k �Fit if k if �f if �E �E �F 3E iE iF if jFiE if if �t if iF iF I N D I V I D U A L F E E B R E A R D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST /�(_/�_ I ELE rtery Cotle 5ections 25505, 25533, antl ELE sta�e codes anJ ihe requiremenls for a ELE simction applicaiions are eeempt imm is correct. I agre� omply wi�h all city anJ coun�y nta�iveso�ihisci enleruponNeabove�mentionetl 16At�06 WMte—Builtling�, Green—Cotle Enbrcemen�, Canary—ApPlicanC Pink—Revenue; Goltlenmtl—Assassor 4 FIXTURES LIGHTING 1 ST 20 6 RECEPT/OGTLET 1 ST 20 1 SUB—PANEL END OF FEES A. ,75 4,50 11.00 11.00 O1 00145'fi7)—OOi4�b?1 T r�� 33.5�� DA?E: 03/2�!93 7IiiE: 2,:57 � ,�* � CONSTRUCTION AND PLANNING - POuL & SPA - I � Date � Inspector ' '� APPROVALS _Permit # t 1: APPROVAIS Permit # : t.' Temporary'Electrical Service oi Pole '� . -_ . 52. Pool & Eq�ipinent Location �:� 2. Soil Pipe-Undrgmd. - 53. Steel Reinforcement . '� R � i3�`E��cal Corttl�;;tn5ltility-Undrgrnd. - . 54. Forms _ - ' ,,..tt�-.., - _ . �, „ 4� �leqtucal Con�u�t.tiJndrgrnd. � 55. Electriwl Bonding � � i`-,5i Steen'Reinforc4rrierit � .� 56. Rough Plumbing,& Pressure Test V . � i� � i��:� _EfecLical UF��'R.G�nd. , 57. APPROVAL TO COVER-6UNITE �a�L7 � FooTtngs `^'-' ` 58. Electrical Conduit�Undrgrnd. /�+ 1 /' �.��,�L�F7oundation W y � �� 59. Gas Pipe, � Undrgrnd., Test J9t� Water Pipe-Undrgmd. . 60. Backwash Lines, P�Trap, O Undrgrnd. tOj Structural Floor System � �. 61. APPROVAL TO DECK �' _ 11�.` Pcoperty Sewe� Ljne & House Connection �r� 62. Backwash & Receptor�Final �,� 12. Se�er Cap > y '' -� 63. Heater & Vent-Finai � / 13. Roof Drains . �, 64. Plumbing System - Final ' � 14. Rough Plumtiyg "� 65. Electrical�Final � �; 15. Rou9h Electr"�r 6Conduit 66. Solar System-Final ,�� ^� � 16. Rough E�ectrie W�ring l,/L!,/ • _� 67. Fencing & Access ApP�oval ,� , � V� 17. flough Wiring.�ign �� 68. APPROVED FOR PLASTERING ' 18. Rough ElectrPcBI�T Bar Ceiling � 69. POOL/SPA SYSTEMS FINAL � 19. Rough Heating & Air Conditioning ' FIRE DEPT. REQUIREMENT lr C^r�� a. • � 7P 2(iq RQygh�actory,f,iveplace � �xvi �y'7 � �J '� �=� K,: AppROVALS�� Pe~i-mit# `� � '�'�-� �• � f _ t � � i •��i� ,. �r , rp��i-, ir 21' D`�Cts:i $t1UC3-r ! FN ?:S � �-� " 7i: r. S S:1":r;- •1 M M �a � �._f� `�; � i .. .. o-�.5 + J � �-:> a: � 70.HLJndeq9loun� tiydro 2. Ducts.r�WeqtilauAg!� i ij� .� r a:x� x � 7�, ProducLP-i�ingcOO � as �Oil 23� G5$ Pi�-R�gh'&�,Tes[ � i;J t i*7 r . �i,',�i� * i- 72. Unde�g`}eund FIus�Ti � E' 'J � l+ P t' V.J >i. .. ,� • 24, Rppf F�am.�g j,� i(��-: ..F� �� •J < f 5 73? Undergrad.�Stdra�Tank OGas ❑�Oih-- r� 25. Roof $jjeathin �' z- vl �: M c: _ t,:a i� • '� ��. . �� q�. ¢ •,. v r O p;;� < �4� OverheaciHydr,o, � � � -a . � .e _; ,a . � .., � 26� T�B,ar Ceiling (Sgucturatl SSft1onocoat .0 �� •.rk � 7g; Dry Chemica{ +�-� : s� 2i�r Freme and Flashirig � ^ '" ^�` � 76: Dry Star��ipe�c„� • �� `' `4j �-''�`d ,.� .� ma :.T .tr� :7a� � i .0 : r.?; � t ^ 1t p f i> F�rriy T Yx v • -a i.. .. .�v-.� „ 2$' LaFhing& Sidingx � �-�¢,,, �:, � r, 72' FIXED+SYSTEIV�FINA! -%F- � 29. Insulapon :� �' S"" � *''' �' 78f FIRE PREV. FIN,AI ��;, '��' ;v *. � � 30. Drywa 'Nailing-= S � � �: �� i t- �T� �+ i-HEALT; DEP7��REQUIR�EMEN7 �! 31. Plasterr'-�ro�n �'oa[ � '� ' � 73� FINAL kAISPECTIO�N � � `T �'�'"' � z. � I k f x r. i.: }: � :P ,.1 F _7 (..... � F,[� <.K mr� �-.'i� :e :.� - �, 3?r Electrical Pgwe;yVletgrFinai '. su �.. .e _ SQ FO00 CERTIFI:Cip�E 165UE�� i-+ � , . ., � I -� - . . _. 33S Fin"ai E ectric -C>� i tr 4'J/x�J'/ I- .. p Nbte : ` 'y'- '� << . � . .Ti 1 1 !2'-/�f lr n t i�-i a� ! 7! � y J � �,. : � ..� -r .a • � f-:1-: �� R , c x - ..J U.� " ' i� . n ,� , � 34� Fi�al Ci`�eatiny&`Air'CQPditjoniA�g C� ,� ,.:_ „� ,� �•,�; � ,_ ri � 35, Final Qas Ripe-T�st rr '7 •. " ,�. x nc--, o�: ;:ta x, �� il 4(l i. H �.Q JH �J �J «' ., 36: Hood o� Cano x :r k ' "~- -� . ..`-� . , °-., P`Yi i� i: - ti x�, `\ e c 3 '£ i',: r *� 37.i Pin'al Factory f.1�Eplace � �-=i` �v •T, '� x r, ' ` •-._ • •>. z I r � :�, , 38. Final P umhin ' x l � •- `t „ :�: � k r � �' - �. i 9:tix: w z r. � .S x Jt , 39. N.'ater�ervice�Fina1 � i �� I x f t� .., r *' .. s � r. > ;. ... ,; {: •� � z . _ �� . x .,q �r q0. Gas $ervice-FinBt � i � , ..ab� 4.:r� S �'t S.. i>�, ,.!U n . _ 41. $olar pomestiOfiiaal; r"�� •� 6� r <r.t; i-r � - +. ^ Y -c r 'y:_ tl' * x ' �- 42-. Backflow Prevent�'rf" `� x� i � ;� Q -J� u. � �' � � 43. Backflowlrr.igation�� ._;�� %: < � ir. %O � ., c v ��: � i � ~ c'1 r 44'. Landscape'=f'rrigat�on SysteW,�� ; � ;� y; � � ,�� ;: ; .� ,v �ji� . ' f'; '�''� � .: ...w.•. .' ` : . , % 45; Sound-Attenuation i-::.c- [*' a� z - - �-� v: [': ,-+ -: .: ,.� .;S +. r. .-1 • - . c T 7 a: . ^Y ;e ; 46: Handica;p Regulations `� � i ��' " 'x '' � ;� � _ "� , � 47c FINAL ST(�UCTURE & BUILDING x �' .;•��: x �- . ; `" + « : c. _ x z .48vFINAI.PLFtNNING :�j_ "`,.� c.^,;r' '� � . � �. R �. --1 .� 49T EI'ectric Re4ease to. Edison ; I� '� ' � � � .r'. � 50_, Gas, Release to SoGthem Califomia Gas Co � ;-�: R�: ' c'L •. `; •`, , ,�51. CERTIFICATEOf OCCUPA CY k .. i� ,,;-. ;� j; �., r_, No. Date �1 �` � Date Inspector h� p� � .n r.. 0