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Home My WebLink About2444 BOWDOIN PL - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa��DING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 � Job Address: 2444 BOWDOIN PL Suite: Vicinily: EXISTING RESIDENCE Parcel Number: 141441 17 Zoning: Applicant AMORDE, SCOTT STEPHEN Address: 2444 BOWDOIN PL " , �... �� . ._ ISSUED BY: _ �::�.:. .� .�__ , - � - -- . Phone: 714-241-0696'...- '- = -. COSTA MESA; CA'�� i � Zip: 92626-6304 �� '' : i.' - . 7 • . . �"' : ' ' - Owner. AMORDE;��SCOTT STEPHEN � � � �� , Address 2444'BOWDOIN PL'�- �� - - , ' � �' i! , . - . - . � �-� . � �, . . . Phone: - ' ' , i � � � _ � 1; COSTA MESA; CA' �" � , Zip: 92626 6304 � ��., ��;: ' �` �i�..%��. Coniractor: - ; ,.. iAddress:, ��j'��j� , ,,:� � Phone:;- � /,' � Zip:_,' �� • Llcense:E. %/ „ Slatus: ISSUED Applied: 01/15/2003 Issued: 01/15/2003 QA" yI'`�` � i. �;' F`. - �a�� `� "V ��`:' . .,�.. �� .�A . � ' �. � Arch : � � .., � �_ � Eng: .. ' � ,��" " - ��- A � �i. : '�_ ' . �A ' ..� - Address: . . � _ ' � � ; , _ . Address:� . � ��, ', � ,`� , � . i .. � � � � P-hone: _ . ' ,; A ; /� �� Phone: - �'� ��1 ' � � � . i � � -��.'i \,1 _ �i 1, � �. �i 1�I i � ~�Zip: ,! ` �-License: c —�� License: � � � ' � ` , , > ��_ , � � �, SCOPE OF��PERMIT - - ' , � � ' - � � � � > LEGALIZATION Of BATHROOM ENLARGEMENTS IN EXISTING RESIDENCE. NO RELOCATION�OF PLUMBING OR�ELECTRICAC.` '. �� I .. . . .. _ . . � :.si:, . - ' _'..�r l:.. _' . .,.., � � � �: ` \ ..� ' • � - ;y, � REF: C01-2590. � - , 1 i "�' . .. _ ' i _ � � �li� ��, �� in ' � ` - FEE SUMMARY�%' ,;,, � � , �- � �� Plan Check ��.' $72.31 � � .� — �� %� _ ` _ Calc Valuation �� l , Ss;000.00� � � � Permit ,`, ,$111.25 / Claim Valuation �� L, Ss,000.00 )SMIP Res: $0.50 /'.� , � ii%i SMIP�Com $o.00 � = "_:_ _ j��;� (�� - „i - ' �� ' Other �"$0.00 .., �-1 _ - � iJ/ / C� ; j " � �Inspection:'� ��$0:00 „4�,:dr� � , "f,� , % �� .. �� % , �Total: ��'5184.06�: ��_, . _ ; . � , �� t ;- � �;%� � -� / �/ `. �i � :�� , � . � . %il j, % � �, �,% PLANNING&ZONING 'i ,��:\ y� /;' � SETBACKS� �� , � �� -- ` �? �� . � /% � MAINSTRUCTURE�Front. 33-�0��% �� Rear � 8-0 Left - 6-�0� Right =;6�0� � ii -:� � ' - . �i .., !/,.�' ACCESSORY Fronh, 0 �0- _ . Rear � 0- 0- � � �Left : 0- 0 - , � � Right � 0-,0 j" PARKING Ezistin : 0'-� . Required: ��0 '. . Proposed: 0 . - . ._ " „ .,_� �/� _ INOTICE: The work authorized by this permit shall comply with all applicable 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 not commenced within 180 days, or if work is suspended or abandoned for a period of 780 days. INSPECTIONS: In order for the work authorizetl under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspeetlons and flnal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CA�L: (714) 7545626 � WpRKERS'�OMPENSArON DECLARAnON: � � I hereby ettirm under penalty ot perjury one oi the following tleclaralion5: ' ❑ I heve and will meiNain e Gartificate ol consent to seN-Insure for workers' compensation, as provided for by section 3700 ot the Labor Code, for ihe peAortnance ot the work for which lhis permit i5 issuetl. ❑ I have end will maintain workers' compensatlon insurance, as required by section 3700 of ihe Lebor Code, tor the peAo�ance of ihe work for which Ihis pertnit Is Issuetl. My workers' compensallon Insurance cerder and policy number ere: Cerder. ' Policy Number: (Th/s section need not be complB�ed i! the perm/t is veluetl et one hundred dollers ($100) or less.) ❑ I certity that in the peAormance of the work for which ihis parmit is issuetl, I shall not employ any person in eny manner so as become subject to the workers' compensation laws at Califomia, entl eqree Ihat if I^ come subject to the workers' wmpensation provisions of Sadio 3700 ot th bor Code, I shall forthwith comply with t�ese Drov�sions. - { � r\1 Applicent Sipnature: �� ete: V WARNINO: FAILURE TO SEC WO KERS' WPAPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE ($100,000), IN ADDITION TO THE COST OF CAMPENSATION, DAMAGES AS PROVIDED F9R IN SECTION 3]OB OF THE LABOR CADE, INTEPEST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby eifirm that I am licensed under provisions of Chapter 9(commencing with Section 7000) ot Division 3 of the Business and Professions Code, and my license is in tull brce enC eHect Lic. a Class N Contractors SignaNre: Dete: CONSTPUCTION LENDING AGENCY: ❑ I here6y aHirtn tha� ihere is a conswaion lending agency for the pedormance ot the work tor which this permi� is is5ued. (Sec. 3097, Civil Code). Lentler's Name: Lentlers Address: Signeture: Date: OWNER-BUILDER DECLARATIONS: I hereby aflirtn the� untler penalty a� perjury that I am EXEMPT FROM THE CONTRAC70R5 LICENSE LAW for the tollowing reason (Sec. 7031.5, Business entl Professions Code: Any ciry or counry which'reguires a permit to wnstruct, alter, improve, demolish, or repair eny sWcture, Prior to its issuance, also requires Ihe applicant tor such pertnit m Nle e signed statemenLtha(he�orshe is Iicense0 Oursuant to the provislons of the Contractors License Law (Chepler 9(commencing with Sectlon 7000) of Divislon 3 ot ihe Business entl Pmfessions Code) oyNat ha or she is e:empt theretrom entl the basis for the ellegetl e:emption. Any violetion of Section 7031.5 by any applicant for e permit subjects ihe applicant to e civil pe�alry of'not more than five hundred dollars (5500).): Si 1"i. ❑ I, es owner of the Oroperty, o� my employees with wages as iheir sole compensation, WILL DO 7HE WORK, entl Ihe structure Is not intended or o%eretl for sele (Sec. 7044, Business end Professions Cotle: 7Yie Contractore License Law does not apply lo an owner of property who 6uilds or improves thereon, and who does such work himself or herself or ihrough his or her own employeas, provided Ihet such improvemenis ere not intendetl or oflered for sala. If, however, Ihe building or improvement is sold within one year of completion, the owner;builder will have ihe burden ot proving that he or she did not build or improve for purpose of sale.). � ❑ I, as owner of the properry, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct ihe project (Sec. 7044, eusiness end Professions Code: The contractors Ucense Law does not eppl to an owner ot property who builds or Improves Ihereon, and who comracts tor such project with e comractor(s) license pursuant to iha Contractors Licens ❑ I em exempt untler sec. Business end Professions Code for ihis reason: Signatura: Dale: Owner ID verified b nver's Ilcense. ❑ Ves ❑ No Driver's License No. Espires: VedBcation of Ownership by (typ� of tlocument, I.e. - property tax blll or deed): DIVISION OF INDUSTRIAL SAFETY PERMR CER7IFICATION: ❑ I hereby certify that no exca�ation five (5) or more feet in tlepth Into which a person is required lo descend, will be made in connection with work authorizetl by this permit, antl that no building structure, scettolding, falsework, or demolition or dismantling ihereot, will be more than ihirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Californla Administrativa Cotle). ❑ As owner-builtler, I will not employ anyone to do work which would require a permit irom ihe Division of Indusinal Setety, as noted above, uniess such person hes e permit to do such work frort� ihe division. Signature: Date: Division of Industnal Sefery Permit Number: CERTFlCATE OF COMPLIANCE AND AUiHOR12AT10N OF EMRV: I ceniy under penalry ot perjury Ihat I have read Ihis application and state ihat the infortnation given is correct I agree to comply with all stata laws end ciry � �y es relating to building conswction, and authorize representatives of Ihe Ciry ot Costa Mese to enter upon �he above-describetl prope�ty 1or i ecf' n uryos agree bf lo occupy or allow occupency of any buildirg authorizetl by this mit uniil fi ns ction. �� /.�%�,� SlgnaWre L elOwner(s) -�^ Date AnNOr Authorized Ap0licant CO�E I. IHSPECTIONTYPE 1878 Fixetl System Final Fire P�even�ion 1266 Pool Spe Finel 200 Final Ra-Roof 201 Final BIocWRetaining Wdll 202 Final Factory Fire Place 203 204 Final Slgn Final Demolition � �[lTITIRLS COOE� IXSVECTONTYPE 206 Final Mechanical 208 Final Plumbing 270 Final Electncal 212 Final Fire Prevention 220 Final Planning Approval 222 Flnal Site 250 Final Builtling/Occupancy D�re 11i�ALfl August 29, 2003 CITY OF COSTA MESA P.O. BOX 1200 • 77 FAIR DRIVE • CALIFORNIA 92628-1200 DEVELOPMENTSERVICESDEPARTMENT Scott Amorde 2444 Bowdoin PI. Costa Mesa, CA 92626 PERMIT NUMBER (S): FOR: PROJECT ADDRESS: BUILDING DIVISION NOTICE OF PERMIT EXPIRATION B03-00074 Legalization of Bathroom Enlargements 2444 Bowdoin PI., Costa Mesa Our records indicate the above listed permit(s) were obtained for property improvements or alterations at the above address. Per the 1997 Uniform Building Code, Section 106.4.4 Expiration, permits are valid for 180 days from the date of such permit, or the date of your last inspection for the project and additional fees may be required to finalize expired permits. According to our records, the permit(s) listed above have not had an inspection for a period exceeding 180 days. If you have a signed inspection card indicating an inspection was conducted within 180 days from the date of this letter, please contact this office so we may correct our records. A time extension may be granted if you intend to commence work and complete the project. Requests must be made in writing addressed to Ed Petros, Chief of Inspection, at the above address, detailing circumstances and listing an estimated date of completion. If you need to request an inspection please call our Inspection Request Line at 714.754.5626. If you do not contact this o�ce within 10 days, your permits will expire on September 17, 2003. If you have any questions, between 8:00 a.m. and 4:30 accuracy of records affecting with us to resolve this matter. Sincerely, ��i;�� . Mary Jane Weidenkeller Office Specialist II cc: Code Enforcement please contact the Building Division at 714-754-5273, i.m., and a staff member will be happy to assist you. The your property is our goal and we appreciate your working Building Division (714) 754-5273 • Code Enlorcemen� (714) 754-5623 • Planning �ivisian (714) 754-5245 FAX (714) 754�85fi • TDD Q14) 756-5244 • vmw.ci.wsta-mesa.fa.us (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.��LDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 2444 BOWDOIN PL Suite: Vicinity: Parcel Number: 14144117 App�icant AMORDE, SCOTT S Address: 2444 BOWDOIN PL COSTA MESA, CA - Owner: AMORDE, SCOTT S Address 2444 BOWDOIN PL COSTA MESA, CA Contractor. Address: Zip: Arch : Address: Phone: Zoning: Phone: 714-247-0696 Zip: 92626 Phone: Zip: 92626 Phone:, License: Eng: Address: Status: ISSUED Applied: 11/73/2000 Issued: 11/13/2000 ISSUED BY: �� .- �� , �. . � - - Phone: . . Zip: License: License: , SCOPE OF PERMIT � ' ' 178 SQ FT ROOM ADDITION TO EXTEND LIVING ROOM AND KITCHEN AREA ON ONE SIDE OF AN EXISITNG SINGLE , FAMILY DWELLWG. � � � � ` ' , Plari Check: $172.41 Permit: $265.25 SMIP Res: $1.52 SMIP Com: $0.00 ` Other: $0.00 Inspection: , $0.00 Total: $439.18 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front . 0-0 PARKING Existina: o - FEE SUMMARX — - - - — - Calc Valuation: > ' _ g�5,zis.00 Claim Valuation: � ,. � � So:oo y ., , PLANNING & ZONING c ,' , Rear 0- 0 Lek 0- 0 Right - 0- 0, �' Rear 0- 0 Lek 0- 0 Right `� 0- 0 ," Required: 0 Proposed: 0 - f��-e-e- �-�-► CQ � d�'� � EXPI�ED n x� a►��an. ° � e� 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, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned for a period of 1 BO 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 requlred inspections and (inal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 2466d6 (CY00) WORKERS' COMPENSATON DECLARA7��N: I hereby eRirm under penalry oi perjury one o� the following declarations: ❑ I have antl will maintain a cenificate ot consent to self-Insure tor workers' compensation, as provided for by section 3700 of the Labor Code, for the pertormance of Ihe work lor which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by secuon 3700 of the Labor Cotla, for Ihe pertormance of the work tor which Nis pertnit is issued. My workers' compensation Insurance ��er antl policy number are: Carner. Policy Number: (This seclion need not be complefed il fhe permit is velued at ane hundred dollars ($100) or /ess.) ❑ I cenity that in the performance of Ihe work for which this pertnit is issued, I shell not employ any person in any menner so as to becoma subjed to tha workers' compensation lews ot Califomia, and dgrae that if I should become subject to the workers' compensatlon provisions of Section 3700 of Iha Labor Cade, I shall forthwith comply with these provisions. � Applicent S19naNre: Date: WARNING: FAIWRE TO SECURE WORKERS' COMPENSATIIXJ COVERAGE IS UNUWNL AND SHALL 5�61ECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOIXJE HUNDRED TTIOUSANO OOLLAiiE (5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SEGTION 3]O60F THE LABOR CODE, INTEREST, PND ATfORNENS FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm that I am licensed untler prov�sions of Chapter 9(commencing with Section 7000) oi Division 3 0l the Business and Prolessions Code, and my license is in full force entl eHed. Lic. # Class # Contractor s Signature: oare: CONSTRUCTON LENDING AGENCY: ❑ I hereby aRirm �hat Ihere is a constmdion lending agency for Ihe peAormance of ihe work tor which ihis permit is issued. (Sec. 3097, Civil Cotle). Lendefs Neme: Lentler's Atltlress: Signelure: OWNER-BUILDER DECLARATIONS: Date: I hereby aHirtn Ihat untler penalry of perjury that I am E%EMPT FROM TME CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Protessions Cotle: Any ciry or county which requires e permit to constmct, alter, improve, demolish, or repair any stmcture, prior to its issuance, also requires the appliceM for such permi� to tile a signed stetement Ihat he or she is licensetl pursuant to ihe pmvisions oF the Conirectors License Lew (Chapter 9(commencing with Section 7000) oi Divislon 3 ot ihe Business end Professions Code) or that he or she is e:empt lherefrom antl the basis For ihe alleged exemption. Any violation ot Section 7031.5 by any applicant for a pertnit sub cts the applicent to a civil penalty of no� more than five hundred dollars ($500).): I, es owner oi the property, or my employees with wages es iheir sole compensa�ion, WILL DO 7ME WORK, and the siructure is not intended or oHaretl for sale (Sec. 7044, Business and Professions Code: The Contractors License Law dces not apply to an owner of properry who builds or improves thereon, and who tloes such work himself or herselt or ihrough his or her own employees, provided �hat such improvements are not iniendad or oHered tor sale. If, however, the builtling or improvement is sold within ona year ol completion, the owner-builtler will have the burden of proving that he or she did not build or improve tor purpose of sale.). ❑ I, as owner of the pmperty, am E%CWSIVELV CONTRACTING WITH LICENSED CONTRACTORS to constmct the projact (Sac. 7044, Business and Protessions Cotla: The contrectors License Law tl0as not apply to an owner of property who builds or improves thereon, and who coniracts for such prolect with a contractor(5) license pursuant to the Contractors LiGense Laws.). dmers ❑ NO Business and Professions Code for this reason: C�ie l/—/'S— � Dry s Lic se No. pires: _! 2'// -v � Venfication of Ownership by (rype ot tlocumeN, i.e. - property tax bill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify Ihat no excavation five (5) or more faet in depih into which a parson is requiretl to descend, will be made in connection with work authorizeG by thls permii, and t�at no builtling sWdure, scattolding, talsework, or tlemolition or dismamling ihereof, will be more ihan thirty-six (36) feet high. (Chap. 3.2, Grp 2, Ar12, Sec. 341, Title B, Celifomia Atlministrative Code). ❑ As owner-6uiltler, I will not employ enyone to do work which would require a permit trom the Division of Indusinal Safery, as notetl above, unless such person has e pertnit to do such wark from the divisipn. Signature: Date: Division of Intlustrial Safery Parmit Number: CERTFICATE OF COMPLJANCE AND AUTNORVATION OF EN7TiY: I certify under penalty of perjury that I have read this application and state Ihat the information given is conect. I agree to comply with all state law5 antl ciry ortlinances relating to building construction, antl authonze representatives oi the City of Casta Mesa to enter upon the ebove-describad property for i spec io purposes. 1 a e not to occupy or allow xcupancy of eny building authorized by ihis permit until final inspection. /- / 3 -ae� ignat ga -- And/Or AUNorizetl Applicant Data COOE 1, INSPECTIONTYPE �TE INIIDEL@ 1616 Fiaed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Root 201 Final BIocWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition , COOE I INSPECTION TYPE 206 Final Mechanical 208 Finel Plumbing 210 Final Elec�rical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Siie 250 Final Building/Occupancy Qn1E li�e�a � , �� ,.. . _ , -, ADo��ant to fill in ail soaces ezceot �hose within heavy Oortler Iines ana si9� all approDriate tleclarations. ;iTY OF cOS7a MESr�n�,/[,C/ONSTRUC/JT tON PERMIT ProjectAddress �/'/ / ��Q'�/^ � � � Applicant's Mailing Address � 2S�yy '� a��/ � i Owner's Name "%/ON E� Phone - i Address n/iOG . � n �i/�irAh �.• ��— 0 Arch/Eng.` License No. ' Address �Contracfor's Name Phone - ' Address (mailing) - � - � � ', City License No. : LICENSED CONTRACTOR DECLARATION • - � I M1er¢by atfirm [hat P am licensetl untle� provision5 o('Charter 9(commencing with section 7000) of Division 3 of the Business antl Protessions Cotle, antl my license is in tull (orce antl'.effect. { ' �icense Class � � License No. � ate � - Si9nature WORKERS' COMPENSATION DECVIRATION { � I hereby affi�m lha[ I have a tertificate of consent to selt-insure o� a<ertificate � bt Workers' Gompensation Insurance, or a' certifietl copy thereoi'(Section ", 3800, Lab. C.) ' ' , Policy No. - � ' Company � � eCertifietl copy is hereby furnisnetl. ' ' ,. � ' ' Certifietl copy is tiletl with the city Builtling Dlvision. Oate ' Appliwnt � - ' 'EXEMPTION FROM WORKERS' COMPENSATION'DECLARATION' '; (Thi55eciion neetl not be comple[etl i( the permit is to� one huntlretl ($100J o� 1255). ' , � � � I certity that in tM1e performdnce of the wo�k fo hich this per Is issuetl, I shall not employ any person in any manner �as to eco �ject to the , Worker Cqry pepj� Ion�Laws of Califomi Date �/ u '-Q52_Si9nature � ' . �NOTICE: 1f, afte� making this tleclarat on, you 5 oul e subject to tM1e_' Warkers' Compensation provisions of tM1e LabOr Co e, you must fortttwitM1 comply wilh Suth p�ovisions or this' permi[ shall �e tleemetl revoketl. CONSTRUCTION LENDING P.GENCV' - ' ` ' � I hereby affirm Ihat there is a construction lentling a9ency for the periormance o� the work to[ which thi5 permlt is , iSsuetl �(Section 3097 Civ. G.)' ' Lentler's' Name.. � ' Lentler's Atltlress - 1 � OWNERBUIIDEH �ECLARATION ' ` ,�� - �' 1 hereby atfirm Iha[ 1 am exempt from the Contractor's License .Law for the - foilowing reason (Section ]03L.5� Business antl Professional Cotle: Any city or oounty whith repuires a permit to conz[ruct, alter, improve, demolish o� repair my Structure, priOr to it5J55uanC¢, also �equire5 [he applicanl (Or such permit n. nin a c�nnon ctatemenYthat he2he is.licensetl.oursuant ta the p�ovisions of ' therefrom.antl Jne basis for tne aiiegea exerr ,7031.5 .by any�applicant for a permiY sul pena�ty of not more tnan five huntlretl tlolla�s "Q I; as owner ot the' property or my�emp cort�pensa8on, wlll tlo the wo�k, antl [he'SVu t0� sale (Section 7044, BuSin¢55 antl Profe License law tloes not apply to an owne� of a [hereon, antl;who'tloes such work_nimself/hi employees, provitletl that su2h imiprovements sale. If, however, [he builtling or imp�ovemer pletion, [M1e owner wilL have the burtlen of pr prove tor the•purpose of sale). ' , ❑ I,'a5'ownet ot the praperty, am exUusive i�actors to conslruct the project (Set[ion ]04� The Contractor'S License Law tloes not app builtl5 or im0�o�es thereon, antl who contra� tractor(51 license pursuant to the Contractor' proof of their Worker's Compensation i sur l�i,am�exempt untler Section U Da[e � � Owner� I herebv cer[ifv [hat I M1ave �eatl Ihif aoolii uith SecUan /000)�ot that ne/she is ezempt iy violation of Section �. appliGant to a civil � y ' . th wage5 a5 [hei� sole ot intenGetl or oiteretl ' �tle: The Contractor's . .vho builtls ar improves i h�ou9h hls onh¢r Own 1 nientletl or ofieretl far iitnin one year ot com- 1 �.he tlitl not builtl orim- � mn[ractinq witti Ilcensetl con- Buziness antl Protessions Cotle: � �to an ownero( prope�ty�who .- i fo� such 0/ojects with a con- Llcense Law). I am aware that' �ce shOultl be provitletl ta� me. — B,.BN�C. for this reason ' TYPE OF CONSTRUCTION LJ NEW U ADD iLJ ALTERATION LJ,REPAI R ❑ CONVERSION� ❑ DEMOLISH ❑ OTHER = � DESCRIPTIONOF WORK/USEOF BLDG. ��I9�r f l , x� . TVPE�OFPERMIT ' GRADING FOUNDATION � STRUCTURAL ' . O TENANT ❑ ELECTRICAL ❑ PLUMBING � MECHANIGAL ' -� OTHER PROJECT�DESCRIPTION Sa. FT. � � ' 'oCC�UPANCv � CONSTRUCTIONTVPE � 'VALVATION$ � ZONE' GRADINGCU.VOS. � �ACRES -� Remarks: . . ' ' . ' , . ; - � ' . , , PLUMBWG � , FEES Sink � ' ' <flow Preventer �flow Irriqation Drinking FOuntains Floor D�ainsl Floor Sinks . Gas Service �� Interceptors' �' I(itclien Sink � . � Lavatories _ � � P=TraP .' ' , � Roof Drains � � � � ._ ' . -Reinspection Fee � . . $15 '_ I .- 1 . _ , . � Boiler I . ' j , f Duct - Under Ground � � Duct-Structural . ' � � Duct = Ventilating - �- ExhauSt System ❑ Muitiple 0�� Fi�repUFact.�BIt.ICBO# ; Heating System & Ducting � Oai oo,000 sru O i oo.000 eTi infotmation is correcL I agree to'comp witb all clry antl counry oramances � � � antl'state laws relati ito builtling ruction, antl�hereby autnorize repre- - ; � � sentatives oC this , t nt u n the above-mentionetl property for � inspectian p s. �� ' /' // ' Signature Date(�[��, � - Drivers':License or 55 � - ReinspeMion Fee CMF 0865-46, rev. 30/84 White - Builtling; Canary - Applicant; Pink - Atcountin9: Goltlenrotl - Hsseszor $15 Sewer Cap � I Sewer Connection Solar CAllectors ' -- Solar Piping' ' Solar Tank ' 9oviTww�g�Pee1`W/$pa � � Urinal �� Water Closetl ' Water Heater � . Water Service � � Aum-Wash � ' � LaundryTraysr � '.� ., • � 1 '' � ' L � Ia�ueFee . $�3 Hood ori TYPe I � �� Canopy'� TYPe I I ❑ � Refrigeration System 00-100,OOO�BTU ❑100, System Repair/Alteration Fire Dampers ' Issua F88 ' ' $ 3 A.P. # S Main Building: E T .Front ARear C Right - K Left S . Ping. Ref. # Planning Notes: ' 0 _. 7628 6716%86 I8. ^ Zane � ' � A��oeeni.r Riiildinm � ' t :�i' ' , � . i -n :� Automatic Washer Construction PoleSub. Cookin9 Unit ' � Dishwasher ' . - ..._ Dryers ❑Gas ❑Electric Fani � � F.A U. r Fixtures . � Device Boxes � �� .. � . � Parking��Req./Provided ' t . � ELECTRICAL ' - Transformer � 15-50 KW ' � . ❑ 50,+'KW , Meter ❑up to 100�amps� - Meter .�over 100 amp's, _ . Sub Panel {'J . ' i Motors �0-1 HP �i,%'="8 , InaSolar�O9-75 HP �1�6-75} Pole Light Range Z O N I • � N G R E � Q , . .. M - T S TL Switches � � � Sign �1 ' Garbage Disposal � i ; Standing�Sections ' �Generator �0-5 KW �5�15 KW ' , Trash Compactor �' • , . � � . � _� +� � � � ,.[ � Reinspection Fee �§15 , Issue Fee; ' "i i$ 3 :VELOPMENTSEHVICESREQUIREMENTS: � � � I � ning Approved By . � •'Date � � iilding Approved By � � "'�Date � olintion luued BY ' � � Data �n� , . . SUMMARV OF FEES 1" :• � I �� BUILDWG PERMIT ,$ � ' SMIP, l i-u' $ i� �' PLAN CHECK � � $ �—�� PERMIT � •, 1 � � � PLUMBING � $ �� /U JSSUANCE � $ - . , , PLAN CHECK ,25%� $ ' � � ENERGV P-6. � $ � ELECTRICAL � � $ - I�.00 . GRADINGn � $ ' ' ' PLANCHECK �50°.6i $ � f � MICROFIL'N1: $ � f • � MECHANICAL � � $ { � i � TOTALFEE � $ � � c U� � PLAN CHECK �.25%� $ ` , , . i � "� � ..JL & SPA I ,' CONSTRUCTION AND PLANNIN� ' . i1 - Date Inspector ' � Date Inspector- �APPROVALS Permit # - APPROVALS Permit # - � 1. Temporary Electrical Service or Pole - . 52. Pool & Equipment Location . . 2. Soil Pipe-Undrgrnd. 53. St=?I Reinforcement �� • 3. Electrical Conduit Utility-Undrgrnd. 54. Forms- � � .� , _ 4. Electrical Conduit:Undrgrnd. 55. Electrical Bonding � ' 5. Steel Reinforcement .. � 56. Rough Plumbing & Pressure Test . . 6. ElectricalUFERGrnd.� � � 57. APPROVALTOCOVER-GUNITE � � � _ 7. Footings . 58. Electrical Conduit.Undrgrnd. � � 8. Foundation � 59. Gas Pipe, � Undrgrnd., Test ' � � � . 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, � Undrgrnd. � . 10. Structural Floor System . 61. APPROVAL TO DECK -� 11. Property Sewer Line & House-Conn¢ction � 62. Backwash & Receptor-Final� _ � _, . 12�. Sewer Cap 63. Heater & VenbFinal � - � . 13. Roof Drains 64. Plumbing System = Final 14. Rough Plumbing ' 65. Elect�ical-Final ,. . ,. 15. Rough Electrical-Conduit � "- 66. Solar System-Final - ,- � 16. Rough Electric Wiring. _ � 67. Fencing & Access Approval ' - �- - 17. Rough Wiring Sign �, � � 68. APPROVEO FOR PLASTERING 18. Rough Electrical-T Bar Ceiling . 69. POOL/SPA SYSTEMS FINAL . . 19. Rough Heating & Air Conditioning . . FIRE DEPT. REQUIREMENT i 20. •Rough Factory Fireplace APPROVALS Permit # ._ , • , '�21. Ducts, in Structure 70. Underground.Hydro 22. Ducts, Ventilating . � 71. Product Piping O Gas ❑ Oil " � • � 23. Gas Pipe-Rough & Test • 72. Underground Flush � 24. Roof Framing � - 73. Undergrnd. Storage Tank O Gas "O Oil - 25. Roof Sheathing �• 74. Overhead Hydro � � ,, 26. T-Bar Ceiling (Structural) & Monocoat � 75. Dry Chemical . ' � 27. Frame and Flashing � � t 76. Dry Standpipe - ' 28. Lathing & Siding � , " . 77. FIXED SYSTEM FINAL � 29. Insulation ' 78. FIRE PREV. FINAL ' 30. Drywall Nailing � HEALTH DEPT. REQUIREMENT ' 31. Plaster Brown Coat � 79. FINAL INSPECTION 32. Electrical Power MeterFinal � 80. FOOD CERTIFICATE,ISSUED � 33. Final Electric ' ' � Notes: � , , 34. Final Heating & Air Conditioning �D.� 35. Final Gas Pipe-Test � , ' ". �. . 36. Hood or Canopy , � - , 37. Final faaory Fireplace � � . " ' � _ 38. Final Plumbing : � ' � � 39. Water Service-Final � ' 40. Gas Service-Final , � . , � • 41. Solar pomesticFinal � . - . ,. _ . , , 42. Backflow Preventer � . , � � ' , 43.tBackflow Irrigation � � - ' 44. cLandscape Irrigation System . , , , 45.,Sound Attenuation � . 46. ;Handicap Regulations , � , , - ' � 47. `FoINAL STRUCTURE & BUILDING q �g ,�� ,e ii..G S�.G, .�� '��J� fJAgC �D, . 48. Special Requirements Completed � � � 49. Electric Release to Edison - 50. Gas Release to Southem California Gas Co ��,` 51. CERTIFICATE OF OCCUPANCY . . No. Date NOTARI2ED STATEMENT O� TO WHOM IT MAY CONCERN: I 'g. Permit # _ .SPONSIBI Lll'Y This Permit # � � a��/�o�o��, C��s,��%��s� = Street Address AP Number property, do hereby authorize: ��_� T7" ✓`/"/�% O ,� Q E ame � �� City State as Owner in Title of the above referenced �ry' ��//- D� 9� Telephane No. zip � to obtain permits in my behalf, as owner/builder, for the construaio�, alteration, moving, demolitian or repair of the above referenced property. . . Should anv person become an employee engaged in the improvement of the property, I shall immediately provide Worker's Compensation Insurance coverage and cause a certificate of that coverage to be filed with the Buiiding Division of the City of Costa Mesa, as required by State of California laws. As owner/builder in fact, I understand and accept that rtiy responsibilities do �ot transfer to any other person, company or corporation. * I agree to indemnify and hold the Gty of Costa Mesa and its employees or officers harmless from any claim resu�ting in damage or personal injury to myself or any other parties. ' �C/L� -� Printed Name Oregon - State of �S3�ofX� � I,�, Countyof$AaPog!(�'��"Y3�n . ' . �i�y�o'd��to u�e �River On this �day of �U� 1 QRf, personally appeared before me Jack Amorde and Mari lyn Amorde , known to me (or proved to me on the basis of satisfactory evidence) to be the person whose name is subscribed to this instrument, and acknowledged that he/she executed it. In Witness Whereof, I hereunto set my hand and official seal7�i� \r� / CMF0779�46,rev.3/B3 CORIff11SS7011 expires 9/25/89 Date owxEu Coliunbia Homes ,� Inc. DATE 8-29-58. . � ]OB ADDRESS 21�.4 -Bowdoin Pl . . . � " BUILDING PER1l3IT NO. �_ _ 7357 . . � GENERAL CONTRACTOR� Dike & Colegrove Inc. VAL[iE $ i5,139•00 � -- AP. No. LOT 43 �uacT 2954 Fixe zorrs DESCRIPTtON OF WORK Res. w att. garage GROUP I& J TYPE V ZONE R1 coat Final Final Gas Test DATE I gUBCONTRACTOR � DATE PERMITS ISSUED a a � �-- ;.� . � � '7�8 � COSTA MESA BUILDING DEPARTMENT P. O. BOX 31] COSTA MESA. CALIFORNIA ' FOR APPLICANT TO FILL IN BUILDING ADDRE55 2QL,li. Bowdoin Place COSTA MESA. CALIFORNIA . owNEaColumbia Homes Inc. ADDRE55 �� F'• 17th St• : �� V��;,:��l�� A�� 1958 �n�.��:- �- -��-„.�•L Ccr% ,� � � c. APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY RECEIPT NO, pEQYI�!(IVAj CITY C�$}'a �'.'Zesa, C+3�.1.f• 1N0. Ll• 5-1159 qDDREI55 ARCHITECT C�'1$Qrj �y LIC. OR ENGINEER NO. AooREss Garden Grove Ilike Rr cirv �ic. 8�. CONTRACTOR NO. ) • n ADDRESS �lg E• l�th S}.• TNO. LZ• 0-1 LEGAL LOT oesceivnor+ NO. BLOCK TRACT 2 A.P. NO. SIZE ry�] X'I O�1 NO.OF BL�GS OF LOT �4 1/ riow orv �o. � Y10IIE USE OF EXISTING BLDG. CENTEFNOF STREETM SQ' REAF YARD 2gi SIDE VARD RIGHT 6� LEFT 6� DESCRIPTION�OF WORK � ' NEW X ALTERATION ADDITION FIRE ZONE COSTA MESA. CALIFORNIA APPROVED CORRECTIONS SIZIEDING 1/go $/� {''tROOMS V STORIES 1 4 '1 EXTERIOR WALL � ROOF• COVERING S�iuCC� COVERING COIR • USE OF NEW cln BUILDING V gle family residence with attached double garage. � Plan '130AR I�MEREBV ACKNOWLEDGE TNAT I HAVE PEAD TMIS APPLICATION ANO STATE TMAT THE ABOVE IS FECT AND 4GREE TO COMPLY WITH ALL CITY OF�INANCES f�ND 5 T L4W5 VLATING BVILDING CONSTRVC� norv. VALUATION SIGNATURE OF PERMITTEE iv � ' s 15,139.00 AUTHORIZED AGENT1J1ke & COlegrov2� IriC. PERMIT FEE $ j�rJ)�UU PLAN CHECK S �o�OO TOTAL FEE S S�+�OO yOMi