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Home My WebLink About2386 CARLTON PL - Building Permits,lobnddress: 2386, CARLTQN PL Suite: . • : Vicinity: KITCHEN PrimaryOcc: R3/U1 Parcel Number: 11913204 Applicant: KAREN ANN FRANCIS Address: 2386 CARLTON PL COSTA MESA, CA Owner: FRANCIS, KAREN ANN Address 1839 JAMAICA Rp COSTA MESA, Cq Contractor. Address: Zip: Aroh : Address: Type of Constmction: V-N Zoning: � ,:� ��('µ ,. P o e. 4 -642-3149 �� J Zip: 92627 ' � t . Phone: -t �' � .. '• � . ' �••1�:.• �•�- . ,Zipr • L'icerise: Phone: Zip: 92626 Phone: License: Eng: Address: `, • � ;� ' • Status: ISSUED • . Applied: O7/26/2006 Issued: 12/08/2006 ISSUED BY: 1 • Phone: , '1 License: SCOPE OF PERMIT ADD 710 SF TO EXISTING SINGLE-S70RY S.F.D. AND ADD 107 SF COVERED ENTRY. WORK TO INCLUDE: NEW KITCHEN. AITERATION OF EXISTING SFD AND GARAGE TO INCLUDE: REFRAME EXISTING ROOF AND CEILINGS: ROOF WITH COMP SHINGLES; INTERIOR WALL MODIFICATION BETWEEN DINING AND LNING ROOM; CONSTRUCT N�W DROP CEILING IN DINING; INSTALL ALL NEW GARAGE DOORS; RELOCATE WATER HEATER TO OUTSIDE AND FAU TO ATTIC; ADD q/C UNIT; REPLACE ALL DOORS AND WINDOWS EXCEPT WHERE NOTED ON THE PLANS. RELOCATE MAIN ELECTRICAL SERVICE. � � ' . LOT COVERAGE: 31.6°/ EXISTING BUILDING: 988 SQ FT ADDITION: 240 SQ FT GARAGE: 441 SQ FT DRIVEWAY: 516.6 SQ FT FEE SUMMARY Plan Check: $675.06 Permit $1,038.55 SMIP Res: $10.73 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Calc Valuation: Sio�,3za.aa Claim Valuation: $o.00 Total: $1,724.34 PLANNING & ZONING . SETBACKS MAIN STRUCTURE Front 24- 6 ACCESSORY Front 0-0 PARKING Existina: 4 Rear 33- 6 Left 5- 0 Rear 0- 0 Left 0- 0 Reauired: 4 Pr000sed: 4 Right 5-0 Right 0- 0 0 _ �, NOTICE: The work authorized by this p�rmit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 7, 12-21-92) i EXPIRATION: This pertnit shall allomatically expire and become void if work Is not commenced within 1 BO days, or if work is suspended or abandoned I, for a period of 180 days. ' INSPEC710NS: In order for fhe vrork authorized under this permit to be considered legal, such work must comply with all applicable codes, and at( requlred Inspeetione and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiratlon of ihis permi. t�/ FOR INSPECTIONS CALL: (714) 7545626 j 2a4&46 (8�W) WORKERS' COMPENSATION DECLARATION: I hereby ettirtn under penalry ol per�ury one ol th9 �ollowing deCleretions: ❑ I have entl wlll malntein e certificete oi wn5ent to sell�lnsure for workers' compensetion, es provided for by sectlon 3700 of ihe Lebor Code, lor t�e DeAortnance of t�e work lor whlch this pertn0ls issuetl. ❑ I have end wlll meintain workers' compensadon insurance, as requiretl Dy section 3700 of Ne Lebor Catle, lor ihe peAortnance af t�e work for which Nis pertnil is Issued My workers' compensatlon Insurance cartier end pallcy number ere: Cafrier. I,cenly ihat In ihe ( compansatian laws comply with these { ,WARNINO: FAILURE TO SECURE TIIIXISAND DOUARE (5100.0001. Policy Number: af t�e wo c �or whioh this partnit is issued, I shell not employ eny parson in any manner sa as to become subject to Ihe workers' , enda t�at it I s�ould becoma sub�ect to Ihe workers' compansation provisions o1 Section 3700 of the Labor Cotle, 1 s�ell lorthwith .r�, ":`D"eie`i' � I/`'CJ "'(7To i5' COMPENSA N COVEMGE IS UNLAWFUL AND SHALL SU6IECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TO ONE HUN�RED IIXJ TO THE �T OF CAMPENSATION, DAMAGES AS PROVIOED FOR IN SECTIqJ 3�O60F iHE LABOR CODE. IFIrEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aNirtn t�et I em licensetl under provisions of Chepter 9(commencing with Section 7000) of Division 3 0l Ihe Business and Professions Coda, entl my license is in full torce end ettect Lic. � Class a Contredors SlgneWre: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby aflirm that there is a construction IB�tling agenq tor the pertortnance ot the work for which ihis permit is issued. (Sec. 3097, Civil Cotle). Lender's Neme: Lender's Address: Signeture: Date: �, OWNER•BUILDER DECLARA710NS: I hereby aflirm ihat untler penalty of parjury ihat I em EXEMPT FROM THE CONTRAC70RS LICENSE LAW for the following reason (Sec. 7031.5, Business and Protesslons Cotlo: Any ciry or county which requires a permit to consiruct, elter, improve, demolish, or repair any structure, pnor �o its issuance, also requires the applicant tor such pe��t to file e signetl statemant Ihat he or she 151icensad pursuent Io Ihe prOvisions oi ihe Contrectors Llcanse Lew (Chapter 9(commencing with SecliOn 7000) oi Divislon 3 of t�e Business end Professions Code) or t�et he or she Is exempt iherelrwn end tha basis tor the alleged exemption. Any violation oi Section 7031.5 by eny aODllcant for e pertnit suh cts t�e epplicant to e civil penalry M no� more than tive huntlred dollars (5500).): I,`es owner ol the property, or my employees wl�h wages as their sole compensation, WILL DO THE WORK, end Ihe siructure is not intanded or ottera0 for sale (Sec. �'7044, Busineu antl Protessions Code: The Coniractors License Law dces not appty to en owner ol property who builds or improves thereon, antl who does such work himself or �erself or ihrough his or her own employees, provitletl Ihat such improvemants are not Intended or oNerad for sale. If, however, the building or improvement is soltl wit�in one yflar ot complation, the owner-huilder wUl have Ue hurden ot proviag that he or sha tlid aol buiW ar fmprove for qufpose oi sele.). ❑ I, as owner ol the pmperty, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct tha prqect (Sec. 704d, Business and Protessions Code: The contrectors License Lew tloes nP� epply to an owner ol property who builds or Improves thereon, and who contracts for such pro�ect with a contractor(s) liten5e pur5�n� Io �he Contrac�ors f„icense �.eNs.). Business and Protessions CaOe lor ihis reeson: Ownor ID ve�iAed b river's license. ]$V�s" ❑ No L Venlication of Own hip by (rype oi tlop�merit, i e. - property �a: bill or deed�: DIVISION OF INDUSTRIAL SAFETV PERMIT CEAnFICATION: ❑ I hereby certify that no excavation five (5) o! more teet in depth into which a person is requiretl to tlescend, will be matle in wnnection with woAc euthonzed by Ihis permit, and that no building sirudure, scaflolding, talsework. or Oemolition or dismantling thereoi, will ba more than thirty-siz (36) teet high. (Chap. 32, Grp 2, An 2, Sec. 341, Title B, Califomia Administrative CoOe). ❑ As ownervbuiltler, I will not employ anyone to do work which would require a permit from t�e Division ot Industrial Safery, es noted ahova, unless such pereon has a permit to do such work irom the division. SignaWre: _. . _ . Date: Division of Intlustrial Safery Pertnil Number: CERTIFlCATE OF OMPLIANCE AND AUTHORITIFTION OF EMRY: I certity under penalry of perjury that I heve read this epplication and state that the information given is wrrect I agree to mply with ell statg�faws end ciry ortllnances releting to building construction, and authorize representetives of the City of Costa Mesa lo enter upon the above-0escnbe o e or insp4cT�' -0 . I�jree not to acupy or allow occu0ancy of eny building authorized by this pertnit until f ins ction. U �-�o �Signature w, g O�'�ner(s) (�,:,:Oate_ Antl/Or Amhonzed Applicant Date cooe r. ixsaeenoxrne QdIE INTRIALS 7616 FixeA System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Raol 201 Final BIaWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Finel Demolition cooe� ixsveenoNrrre 206 Finel Mechanical 208 Final Plumbing 210 Finel Elecirical 212 Flnel Fire Prevention 220 Final Planning Approval 222 Final Site 250 FInalBuiltling/Occupancy PA7E 1t�S� (714) 754-5273 • Fax (714) 754d856 • vnvw.ci.costa-mesa.ca.us . 77 FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 2386 CARLTON PL Suite No Vicinity: Parcel Number: 11913204 MECHANICAL PERMIT � � � ; npp�icane FRANCIS, KAREN ANN -Y ''��L.�e, Address: 1839 JAMAICA RD �,��r�,+� �1`�'"!v.\ ��\�Y � Pho�ne: 949-642-3149 COSTA MESA, CA �� Zip: 92626 Owner: FRANCIS, KAREN�ANN Address: 1839 JAMAICA RD COSTA MESA, CA Contractor: O W N ER-B U I LDE R Address: Phone: Zip: 92626 Phone: Zip: License: 000000 1 ti Status: ISSUED Applied: 12/07/2006 �y`� Issued: 12/OB/2006 � /i ///}, �� ISSUED BY: ' ' " ' ' SCOPE OF PERMIT ADD 710 SF TO EXISTING SINGLE-STORY S.F.D. AND ADD 107 SF COVERED ENTRY. REF.: B06-00129 MECHANICAL TO TO INCLUDE: RELOCATE FAU TO ATTIC, ADD A!C UNIT, 1 HOOD W/MECH EXHAUST, 3 VENT FANS AND 3 TO 15 HP. ISSUE FEE Inst FAU <100 k BTU Inst FAU >100 k BTU Repair/Alt CoolinglHeat Inst / Rep. Recess Wall Htr Refrig Sys <100 k BTU Refrig Sys >100 k BTU Gas Piping Factory Fireplace Hood w/Mech Ezhaust VAV Box Vent Fan! Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000cfm AirHandlers> t0000cfm FloorFurnace Floor or Suspend Heater $23.50 514.80 50.00 $13.70 50.00 50.00 $0.00 50.00 50.00 510.65 50.00 sz�.�s 50.00 50.00 50.00 50.00 so.00 50.00 50.00 $0.00 Quantity FEESUMMARY Repair / Alt Absorbtion Unit Repair / Alt Reirigeretion Unit Ventillalion System Evaporative Cooler C o m m e rc i a l I n c i n e ra to r Domestic Incinerator Comoressors / Absorotion Svstems Upto3hp/100kBTU 3 To 15 hp / SOO k BTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 1,750 BTU Boilers Upto3hp 3To15hp 15to30hp 30 to 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Plan Check Fee Reinspeclion Fee TOTALCA�CU�ATEDFEES COMMENTS I SPECIAL CONDITIONS Quantity 50.00 0 50.00 0 50.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 50.00 0 50.00 0 50.00 0 50.00 0 50.00 0 527.15 7 50.00 0 50.00 0 S0.00 0 30.00 50.00 50.00 E111.55 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, arN all required Inapeetiona and finel approval must be obtained. Failure to obtain inspections and (inal approval will result in the expiration of ihis pertnit. FOR INSPECTIONS CALL: (714) 7545626 v 2448d8 (B/00) WORKERS' COMPENSATON DECLAAATION: � I �ereDy ettirm untler penelty of per�ury One ol Ihe following declaretions: ❑ I heve entl wlll melnteln e ceniticele of consenl lo sell�lnsure for workers' crompensetlon, es provldetl tor by section 3700 of the Lebor Cotle, for the pertormence of Ihe work for which this permit Is issued. ❑ 1 have arM wID meintain workers' compensetlon �nsurance, as required by section 3700 0l Ne labor Code, for Ne peAortnance ot Ne vrork tw whiU this pertnit is issued. My workers' compensation Insurance carrier ana policy number ere: Cartier. Poliry Number. (Th/s secfion need nof be completed il ihe pemtit is ve/ued e( one hundred dollers (5700) or less.) i�„�I�certity that in ihe pe rmance oi iha work for hich Ihis aertnit Is issued, I shall not employ any person in eny manner so as ro bacome subject to t�e workers' compensetlon laws i alifomia, a�d egrgg,t t II I should ecome su�ject to Ihe workers' compensetion provisions ot Saction 3700 of the Labor Catle, I shall fotlhwith complywit� t�esa 's; � p �Applicant Slgn � . ��ete: ��-� IJ �� WARNINO: FAILURE TO ECURE W R ' COMPENS dJ VERAOE IS UNLAWFUL AND SHAIL SUBIECT rW EMPLOYER TO CRIMINAL PENALTIES AND CNIL FINES UP TO pNE HUNORE� T/qU^uAND Oq1ARE (5100,000), IN OITICN TO THE COST OF COMPENSATION, DPMAGES AS PfiOVI�ED FOR IN SECTION 3]Ofi OF THE LABOR CODE, IMEREST. AND AT70RNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I herehy aflirtn that I em licensetl under proNsions ol Chaptar 9(wmmencing with Saciion 7000) of DiWslon 3 oi the Business and Professions Code, entl my license is in full torce and eHect. Lic. A Class A Contrectofs Signature: Date: CONS7RUCTON LENDING AGENCV: ❑ I hereby eHirtn thal Ihere is a cons��+ction lending egency br ihe peAormance of t�e work for whic� this permit is issuetl. (Sec. 3097, Civil Code). Lender's Neme: Lenders ACdress: Signeture: _ _ . Date: OWNER-BUILDER DECLARATIONS: I hereby efllrm ihat under penalty of perjury thet I em E%EMPT FROM 7HE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any ctty or county which recyuires a permit to construcl, after, improve, tlemWish, or repair any stmcture, prior to ils issuance; a4so requlres Ihe epplicant for such permit to file a signetl stetement that he or she �s Ilcensetl pursuant to the provislons ot the Contractors License Law (Chapter 9(commencing with Sectlan 7000) 01 Divislon 3 of Ihe Business end Pmfessions Code) or thal he or she is eaempt therefrom and the basis tor the allegeA e:emption. Any Nolation of Section 7031.5 6y eny epplicent for e permit �sub�e �ihe apD�icant to e civil panelty c� not more then five hundred dollere ($500).): as owner ot the pmperry, or my employees with wages as iheir sole compensation, WILL DO THE WORK, end Ihe swcture is not intendetl or oflered br sale (Sac. /7044, Busines5 and Pmfessions Cade: The Conlracbrs License Law dces no� appty to en owner at O�operty who 6uilds or improves thereon, flntl who does such work himsell or hereelt or through his or her own employees, pmvitled that such impmvemems are not intendad or oHeretl tor sale. If, however, t�e building or improvement is sold within one year of completion, the owner-builder will have the �urtlen of proving that he or s�e did not build or improve tor purpose oi sele.). ❑ I, es owner ot Ihe property. am EXCLUSIVELV CONTRACTNG WITf LICENSED CONTRACTORS to con5truct lhe prolect (Sac. 7044, Business end Professions Code: The �ontreciors License Law does not apply to en awner of pmperry who builds or Improves thereon, and who contracts br suc� prqect with a comrector(s) licen5e purspent to ihe Contrd��➢1� Ucense La�Os.). ,J., ,' n/ eusiness and Pwfessions Code for this reeson: Ovin�IDv9Fified�dnveFs`license."" 94� ❑No Vedfication ol Ow rship by (type of doc e i.e. - propeny tex bill or DIVISION OF INDUSTRIAL SAFETY PEAMIT CERTIFICATION: � I hereby cenity Ihat no ezcavadon fNe (5) or more feet in deQih inlo which a person is requlred to descend, will he made in connection wit� work authnAzetl Cy this permit, ena that no builtling slruMUra, swNoltling, lalsework, or demolition or tlisman�ling �hereol, will be more than Ihirry-six (36) faet �igh. (Chep. 32, Grp 2, Art 2, Sec. 341, Title 8, Califomia Atlminisirati�e Code). ❑ As owner-builder, I will not employ enyane ta tlo work which would require a Oermil Irom the Division of Intlusinal Safety, as noted above, unless such person has e permit to do such work from Ihe dihsion. Signeture: Date: Division of Indusinal Sefery Pertni� Number: CERTIFlCATE OF COMPLIANCE AND PllT1�ORIZA710N OF EMAY: I certity under penalty of perjury that I have read this epplication anC sta�e t�at ihe Iniortnation given is correct. I agree to comply with a state laws end ciry o�'�nances �eleting to building consiructlon, end euthonze representatives ol Ihe Giry ol Costa Mesa to enter upon Ihe above-described regeKy-t eclion urposesUa r e ot to oc py or allow occupancy ol eny building authorized by this pertnit u�i�el ins ction., ..� � �'�ignat re '� Date J . AnNOr Aulhonzed Applicent Date COOE �. INSPECiIONTYPE QA7F INIlI1965 1616 Fixed System Final Fire PrevenNon 1268 Pool Spa Final 200 Finel Re-Rool 201 � Flnal Block/Retaining Wall 202 "Final Fedory Fire Place 203 FinalSign 204 Final Demolition ' CODE� INSPECTIONTYPE 206 Finel Mechanical 200 Flnel Piumbing 210 Final Electdwl 212 Flnel Flre Prevention 220 FI�alPlanning Apprrnal 222 Final Siie 250 Final Builtling/Occupency - �.1 WI t) �� hone: COSTA MESA, CA - Zip 92626 Owner: FRANCIS, KAREN ANN Address 1839 JAMAICq RD COSTA MESA, CA Contractor: O W N E R-B U I L D ER Address: ,, ` : . � .�� . ISSUE FEE Temp service test Res. a/c package New,Res (1-2 units) New Res (3+unils) Pool / Spa Lighting Fix�s � Recept OuOets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over 1000a Motars to 1 hp Molors to 10hp Motors to SOhp . Motors to 100hp . Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole . . � ADD 710 SF TO EXISTING SINC B06-00129 Phone: Zip: 92626 Phone: Zip: License: 000000 , � �1�` ., � . SF COVERED ENTRY.REF.: ELECTRICAL TO INCLUDE: RELOCATE MAM ELEC SERVICE, 30 OUTLETS, 44 LIGHT FIXTURES, 21 SWITCHES, 5 HARD WIRE SMOKE DETECTORS, 1 MOTOR fOR AC UNIT, CIRCUIT FOR RELOCATION OF FAU TO A7TIC. $23.50 $0.0p $0.0p 50.00 $0.0p $0.00 539.52 529.30 $22.73 So.00 528.50 $30.5tl $0.00 50.00 $O.OD $12.30 50.Ob $0.00 $0.00 30.Ob 50A0 $0.00 50.00 50.0p $0.0p Duantily 0 0 0 44 30 21 0 6 1 0 0 0 1 0 0 0 0 0 0 0 0 0 FEE SUMMARY Temp Disl System / Cighting Busway/t00ft Standing Section Misc Electrical Equipment Transformers up to 1 kva/kw ................up l0 10 kva/kw .................up to 50 kva/kw .................up to 100 kvalkw � ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misa Conduit � Misa Conduclor � Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand� Fireworks Stand - � - � Other ElecUical Fee Imestigation Fee Plan Check Fee Reinspection Fee Quantity 50.00 0 $0.00 0 $D.00 0 50.00 0 . 50.00 0 $0.00 0 50.00 0 50.00 0 �0.00 0 50.00 0 50.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 50.00 50.00 $0.00 TOTAL CALCULATED FEES $186.35 COMMENTS / SPECIAL CONDITIONS \ l�'.. '� ��y� \ NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-g2) 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 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 eil required Inspectiona and final approval must be obtained. Failure to obtain inspections and tinal approval will result in the expiration of this permit� ;�� FOR INSPECTIONS CALL: (714) 754.5628 �� 2M8�66 (N00) WORKERS'COMPENSA710N DECLARATON: I hareby aNirm under penelry of perjury one of the tollowing decleretions: ❑ I heva entl will melntein e cenificete of consent ta seli-Insura for workers' compansatlon, as provided for by section 3700 of the Labor Cotle, For the pertortnence ot the work for which this permit Is issuetl. ❑ I have and will maintain workers' compensation insurance, as required by sedion 3700 ol tha Labor Code, for tha peAormance oi the work for which this pertnit Is Issued. My wollcers' compensatlon Insurance carrier and policy number are: Cerner: Policy Number: (This sectlon nsetl not be complefed i! fhe permi( is valued et one huntlred tlollers ($100) or less.) i$— I oe'rtity that in ihe pedqrmence of the�ork for which ihis permit is issued, I shell no� employ any person in any manner so as to become subject to Ihe workers' �-compensation lews Qelifomia, epA ree thatif I should become subject to the workers' compensation provisions of Section 3700 oi the Lebor Code, I shell iorthwith comply with these G io s. �� ^ ^' ��..Y � Applicent.SigneNr : Date:"'. � '�!y WAR_NWO:�FAILURETOS CUR ORKERS'fA PEI COVERAGEISUNLAWFULANDSHALLSUflIECTAN 5�� VERTOCRIMINALPENALTIESANDCIVILFINESUPTOONEHUNDRED T}KK15AN0 OOLLARE (5100, , N ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PqOVIDED WR IN SECTIIXJ 3]O60F THE IABOR CODE, INrEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS OECLARATION: I hereby attirtn that I am licensetl under provisions ot Chapter 9(commencing with Section 7000) of Division 3 0l ihe Business and Professions Code, antl my license is in full force and eflect. Lia p Cless & Gontractofs Signature: Date: CONSTRUCTION LENDING AGENCV: ❑ I hereby aXirm ihat lhere is e construction lentling agency for the pertormance of the work for which �his permit is issuetl. (Sec. 3097, Civil Code). Lendefs Name: Lenders Address: Signeture: Date: OWNER•BUILDER DECLARATIONS: I hereby aflirm Ihat under penalty of perlury ihat I am EXEMP7 FROM 7HE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7037.5, Business and Protesslons Cotle: Any ciry or county which requires a pertnit to con5iruct, alter, improve, demolish, or repair any s�ructure, prior to its issuance, also requires the applicant for such permit ro file a signed statement that he or she is Iicensed pursuant to Ihe provisions oi the Contrectors Licensa Law (Chapter 9(commencing with Sectlon 7000) ot Division 3 oi Ihe Business end Professions Code) or that he or she is exempt theraFrom end ihe besis for the alleged exemption. Any violatlon of Section 7031.5 by any epplicant for a permit sub�9pts the epplicant to e civil penalry of not more ihan five huntlred tlollars ($500).): j� I, as owner of ihe property, or my amployees with wages as their sole compensation, WILL DO THE WORK, entl the structure is not intendetl or oHeretl for sale (Sec. �,., 7044, Business antl Profassions Code: The Coniractors License Law tloes not apply to an owner oi properry who builtls or improves theraon, and who does such work himself or hersetl or ihrough his or her own employeas, providetl that such improvements are not Intended or ottered �or sele. If, however, the building or improvement is sold within one year of completion, the owner-builder will heve the burden of proving that he or she tlid not build or improve for purpose ol sale.). ❑ I, as owner oi iha property, am E%CLUSNELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Prolessions Cotle: The�ontractors License L,aw tloes not epply to an owner of pmperty who builtls or Improves �hereon, entl who contracts tor such project with e contracmr(s) license ppr�uan� to ihe Coryra�X�rs License Laws.). Business antl Professions Code for ihis reason: Owner'ID vArifi�tf ��veYs license. bes ❑ No �-'' Driver's Licenso No. Verification of Ownership by (type oi dau ent, i.e. - property taz bili or tl'�ed)C�"�"`� �� DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cartity Ihat no excavation five (5) or more feet in depth into which a pereon is required to descend, will be made in connection with work authonzetl by this permit, and ihat no building siructure, scattolding, talsework, or tlemoli�ion or dismantling ihereof, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title B, Calitornia Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require e permit tmm Ihe Division of Intlustrial Safery, as noted above, unless such person hes a permit to do such work from Ihe division. Signature: Date: Division ot Indusinal Setery Permil Number: CERTIFlCA7E OF COMPLIANCE AND AUTHORVA710N OF EMAY: I certity under penalty of perjury that I have read this application and state Ihat �he information given is correci. I agree to wmp with ell siate lews nd city adi nces relating to building consiruction, and euthonze represen�atives ot ihe Giry ot Costa Mesa to enrer upon the ebove-describad for inspection b s. iPree ot to occupy or allow occupancy of eny building authorized by ihis permit untB fnel ins ection. %G o Qp2ture Ot L I r s),; . ,, ( oate�,,,;,^ AnNOr Authonzetl Applicent Date QOUE t. INSVECTIONTYPE 1616 Fixed System Flnal Fire Prevention 1266 Pool Spa Finel 200 Final Re-Rooi 201 Final BIocWRetaining Well 202 Final Factory Fire Place 203 Final Sign 204 Final Demolilion j1� INTRIpLS CO�E 1 INSPECTION TYPE 206 Final Mechaniral 208 Final Plumbing 210 Final Eleclrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site ' 250 Finel Building/OccuOency PeIF I[i�l'L$ (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us PLUMBING PERMIT Job Address: Suite No Vicinity: Parcel Nunmber: 2386 CARLTON PL 11913204 Applicanc FRANCIS, KAREN ANN Address: 1839 JAMAICA RD COSTA MESA, CA Owner: FRANCIS, KAREN ANN Address 1839 JAMAICA RD COSTA MESA, CA 77 FAIR DRIVE, COSTA MESA, CA 92626 ! •� '{ , �, Phone: Zip: 92626 Phane: Zip: 92626 �+ ' " ' 1S�atus: ISSUED Applied: 12/07/2006 , Issued: 12/OB/2006 r ISSUED BY: Contractor. OW NER-BU I LDER Address: Phone: ' , • . Zip: ,�.,i ��' . . � � 1 ` ' � ' ' � License: 000000 � � �. r � ..''� ; . ` a, ..: � , r. � ` SCOPE OF PERMIT ADD 770 SF TO EXISTING SINGLE-STORY S.F.D. AND ADD 107 SF COVERED ENTRY. REF.: 806-00129 PWMBING TO INCLUDE: 2 BATHTUBS, 7 DISHWASHER, 1(1-4 GAS OUTLETS), 1 LAUNDRY TUBM/ASHER, 'I SHOWER, 2 KITCHEN SINKS, 1 WASH BASIN, 2 WATER CLOSETS, 1 WATER HEATER AND 1 WATER PIPING. � ISSUE FEE Backflow irrigalion Backflow Preventer BathWb Clarifier System Connect (Ice,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oiq Interceptors (Sand Auto ) .i' AMT S23.50 $0.00 $0.00 579.60 50.00 $0.00 $0.00 59.80 $0.00 $0.00 50.00 50.00 $0.00 50.00 56.15 $0.00 $0.00 50.00 $0.00 $0.00 QTY 0 0 2 0 0 0 1 0 0 0 0 0 0 t 0 0 0 0 0 FEE SUMMARY AMT LaundryTub/Washer 59.80 Landscape Irrigation �0.00 P-Trap $0.00 Pressure Regulator $0.00 Process Piping (per 10 ft) 50.00 Receptors $0.00 SepticTank � � $0.00 SewerCapforDemo 50.00 Sewer Connect i0.00 Sewer Private Line $0.00 Shower 59.80 Sink, bar 50.00 Sink, commercial $0.00 Sink, Floor 50.00 Sink, kitchen 519.60 Sink, service/mop $0.00 Spa (private) � $0.00 Spa (public) $0.00 QTY 1 0� 0 0 0 0 0 0 0 0 1 0 0 0 2 0 0 0 COMMENTS / SPECIAL CONDITIONS SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr Bkflow(i-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Healer / vent Water Piping Qnst or Rep.) Water Re-pipe Water Service WaterSoftener , OTHER VIOLATION PLAN CHECK REINSPECTION AMT $0.00 50.00 $0.00 50.00 $0.00 $0.00 $0.00 59.80 $0.00 $19.60 $1230 $9.80 $0.00 $0.00 50.00 $0.00 30.00 50.00 $0.00 TOTAL CALCULATED FEES: $149.75 � , ` �: . � � \', i �•� � ; 1 ti QTY 0 0 0 0 0 0 0 1 0 2 1 1 0 0 0 NO710E: The work authorized by ihis permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 92-28, § 1, 72-21-92) . 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 pe�iod ot 1 BO days. INSPEC710NS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes,�d all requlred inspecllons and tinal approval mus� be obtained. Failure to obtain inspections and final approval will result in the expiration ot this /pe/miit. FOR INSPECTIONS CALL: (714) 7545626 v 2446d6Ifi/00) WORKERS' COMPENSATION DECLpRA710N: I hereby aHirm untler penalry of perjury ona of the following tleclarations: , ❑ I heve end will meintein e ceniiicate of consent to self-Insura for workers' compensatlon, es provided for by section 3700 of Ihe Lebor Code, tor the pertortnence of the work for which this permit Is issued. ❑ I have and will maintain workers' compensation insurance, es required 6y section 3700 ol the Labor Code, for the peAortnance ot the work lor which this pertnit Is Issued. My workers' compensation Insurance carrier and policy number are: ' Cerrier. af one orless.) Policy Num6er: �I certify ihet in �he performance of lhe woA,or which this permit is issued, I shall not employ any person in any manner so as to become subject to ihe workers' �compensation lews Califomla, and� that if I should become sub�ect to the workers' compensation provisions of Section 3700 of the Labor Code, I shell torthwit� complywiththese vi,� ,�, /J anCSl�n � Date:, r�� 9 IING: FAILURE TO ECU RS' C b O RAGE IS UNLAW FI/L AND SHALL SUBIECT AN ��M��.OYER-TO CRIMINAL PENALTIES AN� FlNES UP TO IXJE HUNOPED SPNDDOLLARE(5100,000 ADDITIONTOTMECOSTOFCOMPENSATION,DMMGESASPROVIDEDFORINS�CilON3]O60FTHEtABORCODE,IMEREST,ANDATTORNEV5FEE5. LICENSED CONTRACTORS DECLAHATION: I hereby aHirtn Ihat I em licensed untler provisions of Chapter 9(commancing with Section 7000) of Division 3 oi �he Business and Professions Code, and my license is in full force end etfect Lic. a Cless q Contrectofs Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby attirtn that ihere is a consiruction lending agency for ihe performance ot Ihe work for which ihis permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender'S AOdress: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby aflirm ihat untler penalty of perjury thet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business and Professions Cotle: Any ciry or counry which reQuires a permit to consWct, alter, improve, tlemolish, or repair any siructure, pnor to its issuance, also requires the applicant tor such pertnit to file a signetl statament Ihat he or she is Ilcensed pursuant to iha provislons of tha Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 ot the Business and Professions Code) or ihat he or she is exempt therefrom and the besis tor tha alleged e:emption. Any violation ot Section 7031.5 by any epPlicant for e pertnit �suJb'�cis ihe epplicant to a civil penalty c� not more ihan tive huntlred dollars ($500).): $j�-1, as owner ot ihe properry, or my employees with wages es their sole compensation, WILL DO 7HE WORK, and Ihe strucmre is not intended or offered for sale (Sec. �-7044, Business and Professions Code: The Contracbrs License Law dces no� apply to an owner of property who builds or improves ihereon, and who tloes such work himseif or herseli or ihrough his or her own empioyees, provided that such improvemenis ere not intentled or oHered tor sale. If, however, the building or improvemem Is sold within one year of completion, Ihe owner-builder will have ihe burden of proving Ihat he or she ditl not huild or improve tor purpose of sale.). ❑ I, as owner ot ihe property, am E%CLUSIVELV CONTRACTING WITM LICENSED CONTRACTORS to construct the projeci (Sec. 7044, Business and Professions Cotle: The ntractors Licensa w does not apply to an owner of property w�o builtls or Impmves ihereon, antl who contracis lor such project with a contractor(s) Ilcense pur ant to ihe Co ra rs Licerrse Laws.). �� I am eae t ypdy��@c. Business and Prolessions Code for this reason: ,_, .. � _ i Owner ID vetfied b driver's license�"'" �'j] Ves ❑ No Verification of Own ship by (type ot document, i.e. - property tex bill DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify ihat no axcavation five (5) or more feet in depih into which a person is required to descend, will be mada in connac�ion with work authorized Dy ihis permit, and �hat no buildinq siructure, scaHolding, felsework, or demolition or dismamlinq ihereof, will be more than ihiny-six (38) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, California Administrative Code). ❑ As owner-buiitler, I will not employ enyone to do work which would require e permit from ihe �ivision of Indusinal Safery, as noted above, unless such person has e pertnit ta do such work irom the division. Signeture: Date: Division of Intlustrial Safety Permit Numbar: CEHTIFICATE OF COMPLIANCE AND Al7fHORIZA710N OF ENTRY: I certity untler penalry of perjury that I have read ihis application and state that the infortnation given is correct. I agree to mply with all sta�e ws end city ordinences rela�ing to building construciion, and euthorize represanta�ives ot ihe City of Costa Mesa to enter upon Ihe ebov ' e perty for insp cti rpos�s.} egree not to occupy or ellow occupancy ot eny building authorized by this permit until tinal inspection. // / � /,//d�/ /?�r�� n wner(s). Date ��_�. And/Or Authonzed Applicant Date CO�E t. INSPECl10NTVPE 1616 Fixed Sysiem Final Fire Prevention 1266 Pool Spa Finel 200 Finel Re-Roof 201 Final BIocWRelaining Well 202 203 206 Final Factory Fire Place Final Sign Final Demolition I�pTE IMRIALS COOEt INSPECTIONTYPE 206 Final Mec�anical 20B Finel Plumbing 210 Final Electricel 212 Final Fire Preventlon 220 Final Planning Approval 222 Final Site 250 FinalBuilding/Occupancy � P�17E INTIII�LS - Costa Mesa Building Department APPLICATION FOR PERMIT '� _ •� 111 EAST 20th STREET �o��-� B U I L D i� N G � � COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY FOR APP�.ICANT TO FILL IN ReCeipt No. Pe ft No. Building �T j( �p� � Addreu 7 Costa Mesa, �ia�OTlll& Received by Date Rec'd/. Date Issued Nearest p/ � "' � "� /0 �� CrouSt. Address ��6@ �C/ ��-eQ Owner Costa Mesa, California Mail Address �q 7�;_ 17}.h S*�qt Nearest � Tel. Cro55 St. City Cnvtn Mwaw No,j,S. 8-1159 Zone D i I No.of I Type � I Group/ Address aarden C.r�ve City Lfc. Contractor ��e en� ColegrovcN°• %'H'�i nddress h �'t.r0et Legal Lo Description No. n Bloek Tract Size oi Lot Use of iow on �oc n�n 'o.of No.of amiiles Hoom: Rear Vard /fi_ Date CORRECTIONS _' _' '� _ r �. i t•'� r�,- I IY- 1 aT�. . R�� . v.r I / � •.. �LI � No. of Exterior Covering Use of N Buildina Stories ering f!nm; residence APPROVAi,C iundatlon LOCation InspeCtor Date Forms, Materials, Under-Pinning �ame: Fi re Stops, Bracing, Bolts x I hereby acknowledge that I have read this Application Lath. Int. arid state that the above is correM and agree to comply Lath. Ext with all City Ordinances and State L.aws regulating building cronstruction. Signature of Plaster, Int. Permittee Tllke qnA .nlwmv�� ' Plaster, Ex1 Authorized Agt. Masonry R� Valu,ation Permit Fee $ - �� Plan Check; - Bond Beam S Total p-e Fee $ �� FINAL FONM 204 G-H 2M 9-54 PLOT PLAN Show Iocation and distances from property line and between buildings. � , .. .. =, COSPi Q ` —'-r'P�...� ��'1�. 'r�'� �?�j �O �, '�.- ^'��. ,ii .