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Home My WebLink About2390 CARLTON PL - Building Permitsr� 4 \ ! (714) 754-5273 • Fau (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DFiNE, GOSTA MESA, GA 92626 ELECTRICAL PERMIT ,lobAddress: 2390 CARLTON PL Status: ISSUED Suite No Applied: 08/04/2004 Vicinity: Issued: 08/q4/ 004 ��"_"_ " 91 �� 5 Parcel Nunmber: 11913205 App�icant: PENSO, JOHN ISSUED BY: Address: 3366 E LA PALMA AV ANAHEIM,CA owner: ROBLAN, CAMERON K Address 2390 CARLTON PL COSTA MESA, CA Contractor. ECONO AIR Address: 3366 E LA PALMA AV ANAHEIM, CA ISSUE FEE Temp service test Res. a/c package ' New Res (t-2 units) New Res (3+units) Pool / Spa Lighting Fizts Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over 1000a Motors to 1 hp Motors to 10hp Motors to 50hp Motors to 100hp Motors over t00hp Communication drops Sub panel to 200a Phone: (800) 503-2666 Zip: 92806 Phone: Zip: 92627-1504 Phone: (800)503-2666 Zip: 92806 License: 445220 �./ SCOPE OF PERMIT REPLACE FAU AND INSTALL NEW A/C UNIT IN REAR OF PROPERTY. REF.: M04-00410 ELECTRICAL TO INCLUDE: 1 MOTOR TO 10 HP $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 50.00 50.00 50.00 so.00 $0.00 $12.30 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity FEESUMMARY Temp Dist System / Lighting Busway /100 ft Standing Section Misc ElecMcal Equipment Transformers up to t kva/kw ................up to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Volt Winng System ! Ckt Misc. Conduit Misa Conductor Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Electrical Fee Investigalion Fee Plan Check Fee Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 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 $0.00 0 so.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 NOTICE: The work authorizad by ihis permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or it work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all �equlred Inspeetlone end finel approval must be obtained. Failure to obtain inspections and final approval will result in ihe ezpiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2d48�48I�00) WORKERS'COMPENSAnON DECLARAnON: I hereby affirtn under penalty ol perjury one of the lollowing declarations: ❑ 1 have end wlll meintein e cenificate ot consent to selt-Insure for workars' compensetion, as pravidetl for by section 3700 of the Labor Gode, for t�e pertortnence of �he work tor which ihis pertnit Is Issuetl. �have antl will maintain workers' compensatlon insurance, as requiretl 6y section 3700 of the Lebor Catle, for Ne peAormance ot the work for which this pennit Is issued. r�y workers' compensatian Insurenca cer r end policy number ere: ! � cema�: 7 s �.o �� ,�. P n�,nB�:_ 1 7 6'� y (Th� !s sectlon neetl no( be complefed i! the permitls valued af e hundred dW/ars ($100) or /ess.) ��---. �� ❑ I certity thet in the pertormance o1 the w lo ic ' permit Is issued, I shall not employ eny person in eny manner so as to become subject to t�e workers' campensatlon laws of Celltomia, entl re it h Id become sub�ect lo the workers' compensailon provisions of Section 3700 of the Labor Catle, I shall forthwlth comply with these provisions. � /J A�pplicre�nt. 'Sgn,eNie� te:— 8 - � - � �%' WYAMlIWy.�FAR:URETOSECUR PS'COMPENSFTIONQ�VERAOEISUNUWFU�ANDSHPIISUBIECTANEM�R�TObitlhUW�LPENALTIESrWDGWLFlNESUPTOONEHUNDRED �iFIO�USAND DOLLARE (E100,000). IN ADDITION TO THE CQST OF COMPENSATIIXJ, DAMAOES AS PHOVIDED FOR IN SECTION 31O60F THE LABOR CODE, INTEREST, AND ATTORNEI"5 FEES. LICENSED CONTRACTORS DECLARATION: I hereby eNirm that 1 em licensed un�er p�ovisic CONSTRUCTION LENDING AGENCY: 9(commencinq wlth Soclion 7000) of Divlslon 3 of the Business end my license Is in full ❑ I hereby eflirm that there is e construction lending egency br ihe pedormence af ihe work lor which t�is permit is issued. (Sec. 3097, Civil Code). Lenders Name: LenOer's AOdress: Slgnalure: Date: OWNER-BUILDER DECLARA710NS: I hereby ettirm that under penelry ot perjury that I em EXEMPT FROM 7HE CONTFiACTORS LICENSE LAW for the following reeson (Sec. 7031.5, Business entl Professions Gode: Any ciry or counry which requires e permit to construct, altar, improve, demolis�, or repair any sWCWre, pnor to its issuance, elso requires ihe applicant for such pertnit b tile e signed statement thet he or she is Ilcensetl pursuant to Ihe proNsions oi Ihe Contrectors License Lew (Chapter 9(cammencing with Sectlon 7000) 01 DlWsion 3 01 the Business and Professions Cotle) or that he or she is exempl therefrom end tha besis for Ihe alleged exemptlon. Any violation of Section 7031.5 by any epplicant for e permit subjects the epplicent to e civll penelry of not more than five hundrad dollars (3500).): ❑ I, es owner of the property, or my employees with wages as Iheir sole compenseilon, WILL DO THE WORK, antl the siructura Is not inten0etl or oHered lor sale (Sec. 7044, Business end Protessions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, antl who does such work hlmsetl or herselt or through his or her own employees, provided that such Impwvements ere not Imentled or oNered for sale. N, howaver, Ihe bullding or improvement is soltl within one year of completion, the owner-builtler will have ihe Gurden of proving ihat ha or she did not Duild or impmve for purpose of saleJ. ' ❑ I, 85 owner oi tha proparty, am EXCLUSIVELY CONTRACTING WITM LICENSED CONTRACTORS to construct t�e project (Sec. 7044, Bu5ine59 Bnd Protas51on9 Cotle: Tha comractors Llcense Lew does not apply m en owner ot propeny who bullas or Improves ihereon, end who contrects for such pro�ect wlth e conirector(s) license pursuant to the Contrectors License Laws.). ❑ I em eaempt undar sec. Business and Professions Coda for this reeson: Signature: Date: Owner ID verifled by drivers Ilcense. ❑ Ves ❑ No Driver's Licensa No. Expires: Verificetion of Ownership by (type ot tlocument, i.e. - propeny taz bill or deetl): DIVISION OF INDUSTRIAL SAFE7Y PERMR CERTIFICATION: ❑ I hereDy cenily that no excavatlon five (5) or more feet in depih Into which e parson is required �o descend, will be made in connection wiih work euthorized Dy Ihis pertnii, and that no building siructure, scaHoltling, falsework, or demolition or dismantling thereoi. will be more ihan thirry-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Titla 8, Califomia AOministrative Code). ❑ As owner�Duilder, I will not employ anyone to do work which would requlre a pertnit from the Division ot Indusirial Safery, es noted above, unleu such pereon has a pertnit to do such work Irom the division. Signature: Data: Division ot Intlustnal Salery Permit Num6er: CERTIFICATE OF COMPLIANCE AN� Al7IHORVATON OP EN7RV: I cenify under penalty of perlury that I have read this application end state thet Ihe Information given is correct I egrea to comply with ell state laws end ciry ordinences relating to bulltling construction, and authodze representatives of the City of Coste Mese to enter upon the ebove-descnbed property tor inspection purpase.�. agree not to occupy or ellow occupency of any building authorized by ihis permit until finel insDection. CODE 6 INSPECiIONTYPE 1816 Fizetl System Final Fire Prevention 126fi Pool SDe Finel 200 final Re-Roof 201 FInaI8locWRetaining Well 202 203 204 Final Factory Fire Place Final Sign Finel Demolition 2,IE lti�4$ CODE 1 INSPECTION TYVE 20fi Final Mechanital 20B Finel Plumbing 210 Finel Electrical 212 Final Flre Prevention 220 Final Planning Approval 222 Final Sile 250 Finel Building/Occupancy P� 1�45 �� .�� .q'=�� '� iJ� ci��Y c,i- cos r,� niFsn PLANNI�IG DIVISION SUBJECT TO. BLDG. DEPT. REG. NOTE: ADDITIONS, DELETTONS, OR CORRECTIONS SHALL BE APPROVED BY THE PLANNING DI B Y: _�d�DATE: -7X � �NX3�.GZS"� fL �3 �'v �,��-��l PL- u ✓ ,lob Address: 2390 CARLTON PL Suite No viciniry: Parcel Number: 11913205 Applicant: PENSO, JOHN Address: 3366 E LA PALMA AV ANAHEIM, CA Owner: ROBLAN, CAMERON K Address: 2390 CARLTON PL , COSTA MESA, CA Contracror. ECONO AIR • Address: 3366 E LA PALMA AV ANAHEIM, CA MECHANICAL PERMIT Phone: (800)503-2666 Zip: 92806 Phone: Zip: 92627-1504 Phone: (800) 503-2666 Zip: 92806 License:445220 i Status: ISSUED Applied: 08/04/2004 Issued: 08/04/2004 �� ' `�/ SCOPE OF PERMIT REPLACE FAU AND INSTALI NEW A/C UNIT IN REAR OF PROPERTY. REF.: E04-00877 MECHANICAL TO INCLUDE: 1 INST FAU < 100K BTU AND 1 COMPRESSOR UP TO 3 HP/100K BTU ISSUE FEE Inst FAU <Y00 k BTU Inst FAU >100 k BTU RepairlAlt CoolingMeat Inst / Rep. Recess Wall HV Refrig Sys <100 k BTU Refig Sys >100 k BTU Gas Piping Factory Fireplace Hood w/Mech Exhaust VAV Box Vent Fan / Single Duct Appliance Fire Dampers � Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000cfm Air Handlets > 10000cfm Floor Fumace Floor or SUspend Heater $23.50 31 a.80 $0.00 so.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY Repair / All Absorbtion Unit Repair / Alt Refrigera6on Unit Ventillation System Evaporative Cooler Commercial I ncinerator Domestic Incinerator Compressors / Absorptian Systems Upto3hp/100kBTU 3To15hp/SOOkBTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 1,750 BTU Boilers Up to 3 hp 3To15hp 15to30hp 30 to 50 hp Over 50 hp Olher Mechanical Fee Investigation Fee Plan Check Fee Reinspection Fee �uantity 50.00 0 so.00 0 $0.00 0 50.00 0 $o.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $14.70 1 $0.00 0 30.00 0 $0.00 0 50.00 0 50.00 $0.00 $0.00 NOTICE: 7he work authorized by ihis permit shall comply with all applicable handicap access requiremenis under Calitornia statutes and related regulations. (Ord. No. 9248, § 1, 12-27-92) EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned tor a period of 180 days. INSPECTIONS: In order for the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, end all required In�peetlona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSP�CTIONS CALL: (714) 7545626 rz.r�u.l:i:91 WORKERS'COMPENSAnONDECLARATON: I hereby ettirm under penelty of perjury one of the tollowing tlecleretlons: ❑ I heve end will melntein e certificete of consent to Setl-Insure br workers' compensallon, es D�a'�ded for by sectlon 3700 of the Lebor Code, for the pertormanCe of the work far which this pertnit is issued. �^—I,heve end wlll malntain workers' compensetion Insurance, as requireA Dy section 3700 ot tha Labor Cotle, for the peAortnenca oi the work tor whic� is pertnit is Issued. c"� . My workers��nsatloA Insur cartier entl policy number ere: � Ge '`e'r:: �. �i9 �C� �G ��1./� Pdiy,Number:, �%� � �� jGTris secYron neetl not be completed i/ the permi( is val et one huntlred dW/ars ($100) or IessJ �—' ,❑ I certify that In ihe peAormance of the wo r hi this pertnit is issued, I shall not employ any person in eny menner so es to become suDject to the workeB' compensetlon laws of Celitomia, tl a t� t' s�aultl become sub�ect to the workers' compensetion proWslons of Sectlon 3700 of the Labor Cade, I shall torthwllh comply with these provisions / �Apiip cent�$igneture: `" Oate: 8"� • O�� 5 (`� � � 7 O'fAICURE TO SE RE RKERS' COMPENSATIIXJ COVEMGE IS UNIAWFUL AND SHALL SUBJECT AN EM��TOCRIMINAL PENALTIES AND GVIL FlNES UP TOIXJE NUNORED TFIOUSANDDOLLARE(5100, ,NADDITIONTOTHEWSTOFCOMPENSATION,DMMGES/SPROVIOEDWRINSEGTION3]060FTHELABORCODE,IMEREST.ANDATTORNEY'SFEES. LICENSED CONTRACTORS DECLARATION: I hereby eNirm Ihet I em licensetl un r pr n Chepter 9(commencing with Section 7000) of Division 3 of the Busines entl Profession�j Catle, antl my license is in lull force antl ettect..LJ�N_ . -- Classg"�— �l�'a'"Y Gontra � 6lgneture:�- � �, Dete: �—R-D � `yP_!:..�ai�- / r�'.. � CONSTRUCTON LENDING AGENCY: ❑ I hereby attirtn thet there is a canstructian lending egency lar iha pedartnence at tha work for w�ich Ihis pertnit Is issued. (Sea 3097, Civil Catle). Lenders Name: Lentler's Address: SlgnaNre: OWNER•BUILDER DECLARA710NS: Date: I hereby ettirtn that under penelry ol perjury thet I em EXEMPT FROM THE CONTFiACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business end Prafesslons Cotle: Any ciry or county which requires e Dermit to consWct, alter, improve, demolish, or repair any structure, prior to its issuance, elso requires Ihe epplicant for such permit b tile e signed stetement Ihet he or she is Ilcansea pursuent to the provisions oi the Contractors License Lew (Chapter 9(commencing wit� Section 7000) oi Didslon 3 oi the Business and Professions Code) orthet he or she is exempt therefrom enA the besis For the elleged exemption. Any violetlon oi Section 7031.5 by eny applicant for a permit sublects the epplicent to a civil penalry of not more then tive hundred dollers ($500).): ❑ I, es owner ol ihe property, or my employees with wages es thelr sole compensation, WILL DO THE WORK, end the siructure Is not intantletl or oflered tor sale (Sec. 7044, Business entl Professions Code: The Comractors Licensa Law does not appty to an owner oi properry who builds or improves iheraon, and w�o tloes such work himself or herself or ihrough his or her own empioyaes, provitled thet such improvements are not Intanded or oflered for sele. If, however, the builtling or improvement is sold within one year of complation, ihe owner-builder will have the burden of proving tha� he or she did not build or improve tor purpose ol sale.). � . ❑ I, as owner of the property, em EXGLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to constmct the pro�ect (SecJ044, Business antl Pmfessions Cotle: 71ie contrectors Llcense Law does not epPly to en owner ot propeny who bullds or Improves thereon, antl who comrects lor such pmlect wi[h a contrectoqs) license pursuent to the Contractors License Lews.). ❑ I em ezempt under sec. Business and Professions Code tor this reason: � Signe�ure: Daie: Owner ID verified by drivers license. ❑ Ves ❑ No Driver's License No. E:pires: Vedticetlon ol Ownershlp Dy (type ot tlocument, i.e. - pmperry taz 6111 or deetl): DIVISION OF INDUS7RIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certify ihet no exwvation five (5) or more leet in depih into which e parson is requiretl to descend, will Ce made In wnnection wit� work authonzed by this permit, antl t�e� no building structure, swttolding, lalsework, or demolition or tllsmantling Ihereoi, will ba more than thirty-six (36) feet high. (Chap. 32, Gry 2, Atl 2, Sec. 341, TUe B, Califomia Adminlstrative Code). ❑ As owner-builtler, I will not employ anyone to do work which would require a permit imm the Division ot Indusirial Sefety, es noted above, unless such person has e permit to da such work irom Ihe division. Signawre: Date: Division ot Indusirial Sefery Pertnit Number: CERTIFlCATE OF COMPLIANCE AND AUiHORIZATON OF ENTRY: I cehify under penalry of perjury that I have read ihis eppliwtion antl siate Ihat ihe informa�ion given is correct I agree to comply with ell state laws end ciry ordinence5 retating to Cuilding construction, end authotlze representatives of the Ciry ot Costa Mesa to emer upon the eDove-descnbed property tor inspection purposes. Ip�ree not to occupy or ellow occupancy ot any building authorizetl by this permit until final insDection. COpE 1, INSPECTIONTYPE Q�E INTITIpLS 1616 Fixed System Final Fire Prevention 1266 Pool Spe Finel 200 Finel Re-Roof 201 FIneI Blak/Retaining Wall 202 Finel Fectory Fire Plece 203 Final Sign 204 Finel Demolition F� CODE� INSPECiIONTVVE 206 Final Mechanical 208 Finel Plumbing 270 Final Electrical 212 Final Fire Preventlon 220 Final Planning Approval 222 Final Site 250 Final BuildingiOccupancy ( 11: + S r � � � : (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.BU1LDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 ,lobAddress: 2390 CARLTON PL Suite: Vicinity: RESIDENCE & ATTACHED GARAGE Parcef Number. 11913205 Applicant: HUDSON, WILLIAM O Address: 18085 JOHN F KENNEDY JR RIVERSIDE, CA owner: VOIEN, R STEVEN Address °�NEASE PROPERTY MGNT FULLERTON,CA 1965 E CHAPMAN AVE Contractor: HUDSON ROOFING Address: 18085 JOHN F KENNEDY JR RIVERSIDE, CA 2ip: 92508 Arch : Address: Phone: Zo�ing. Phone: (909)687-7600 Zip: 92508 Phone: Zip: 92831 Phone: (909) 687-7600 License: 358610 Eng: Address: ISSUED BY: Status: ISSUED Applied: 01/17/2001 Issued: 01/17/2001 Phone: Zip: License: License: SCOPE OF PERMIT REROOF: T/O, REPAIR SHTG AS NEEDED, 1 LAYER 15# FELT, APPLY 20-YEAR FIBERGLASS COMP SHINGLES. 2800 SQ FT Plan Check: $0.00 Permit: $9725 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $97.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existinq: o NOTES: Rear 0-0 Rear 0-0 Reouired: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Pr000sed: 0 Calc Valuation: Claim Valuation: Right 0-0 Right 0-0 sa,000.00 sa,000.00 I NOTICE: 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 antl become void if work is not commenced within 780 days, or if work is suspended or abandoned (or a period of 180 days. INSPECTIONS: In order for ihe work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inepaetlona and finel epproval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2aas-ae (sroo) WORKERS' COMPENSATION DECLARATION: �� A I hereby eHirm under penalry o� perjury one of the foltowing declaretlons: ❑ I have antl will meintain e certilicate ot consent to self-Insure br workers' compensetion, as provided for by section 3700 ot the Lebor Code, for the peAortnence ot the work tor whlch this permit is Issued. � I heve antl will melntain woBere' wmpensetion Insurenca, as requiretl by section 3700 of Ne Labor Code, br ihe petlortnanca of the work Por which Ihis pertnit is Issuetl. My workers' compensatlon Insurence cerner and policy num�er are: Cerner. Policy NumDer. (This section need nof be cromplefed /l fhe perml( is veluetl et one hundretl tlollars ($100) or Iess.J ❑ I cenify Ihet in the p or e ol Ihe work r which this permit is issueq I shall not employ any person in eny manner so as to become subject to the workers' compensetlon lews �� , entl egree � t I should become sublect to Ihe workers' compensation provislons ot Sectlon 3700 ot the LaDor Code, I shell forthwlih comply wilh ihese p vis� a ApplicantSigneWre: Date: 1-11-� �'1 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION C/JVERAGE IS UNUWFUL AND SW1LL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND GVIL FlNES UP TOONE HUNDRED TVIOUSAND DOIJ.ARE (5100,000), IN ADDITION TO THE COST OF COMPENSATIIXJ, DAMAGES AS PROVIDEO FOR IN SECTION 3lOfi OF THE LABOR CWE, IMEREST, AND ATTORNEI"S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm that I am lorce and eHect. Lic. a Conimctols SignaWre: Chapter 9(commencing with Section 7000) ot Division 3 of the Business and Professions Coda, entl my Iicense is in full Cless N Date: � �7 — �� GONS7RUC710N LENDING AGENCY: ❑ I hereby aHirtn ihat t�ere is a construciion lentling agency tor Iha pertortnance of the work br which this permit is issued. (Sec. 3097, Civil Code). Lentler's Name: Lenders Address: Siqnature: Date: OWNER-BUILDER DECLARA710NS: I hereby aflirm Ihet under penalry of pequry ihat I em EXEMPT FROM TME CONTRACTOfiS LICENSE LAW for the follawing reason (Sec. 7031.5, Business end Pmtesslons Cotle: Any ciry or counry which requires a permit to construcL alter, improve, demolish, or repair any sirucWre, prior to its issuance, elso requires the epplicant for such permit to file a signed statement Ihet he or sha Is Ilcensed pursuant ro the provislons oi ihe Contractors License Law (Chapter 9(commencing with Sectlon 7000) of DlNsion 3 0l the Business end Professlons Code) or thet he or she is ezempt I�ereirom end the basis for the alle9ad exemption. Any violetion of Sectlon 7031.5 by eny epplicant for e permfl subjects the applicant to e civil penalry of not more then five hundred tlollars ($500).): ❑ I, as owner of the propeny, or my employees wlih wages as their sole compensation, WILL DO 7ME WORK, and ihe struc�ure is not intended or oHeretl for sele (Sec. 7044, Business and Professions Code: The Contrectors License Law does not apply to an owner of property who builds or improves ihereon, end who does such work himseli or hersalf or through his or har own employees, proviCetl ihet such improvements are not in�ended or oHered for sale. If, however, ihe building or Improvement is sold within one year ot comple�ion, the owner-builder will have lhe burden of proving ihat �e or she did not build or improve for Durpose of sale.). ❑ I, es owner of t�e property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consirucl lhe D�alect (Sec. 7044, Business entl Protessions Cotle: The Conlreclors License Law tloes not apply lo an owner of property who builtls or impwves lhereon, en0 who contrad5 lor such D�oject wIN e coniractor(s) license pursuant to the Contrectors Liconse Lews.). ❑ I am exempt untler sec. Business and Professions Code tor this reason: Signature: Date: Owner ID verilied by driver's license. ❑ Ves ❑ No DriveYs License No. Verificatlon of Ownership by (typa ol tlocumenL i.e. - proparty tax bill or �aea): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICA710N: Explres: ❑ I hereby certity thet no eacavetlon tive (5) or more feet In tlepth into which e person is required to descentl, will be mede In connection wlth work euthodzetl by t�is pertnit, antl thal no building structure, sceflolding, falsework, or tlemolition or dismamling Ihereof, will be more Ihen ihirry-six (38) feet higR (C�flp. 32, Grp 2, Ah 2, Sec. 341, Ttle B, Califomia Atlminisiretive Code). ❑ As owner-builtler, I will not emplay anyone to do woB which would require a pertni� twm Ihe Division ot Industriel Safety, es nated ebove, unless such person hes e pormit to do such work irom the tlivision. Signature: Date: Division of Indusirial Sefery Pertnit Number: CERTIFlCATE OF COMPLIANCE AND AllfHORIZATON OF ENTTiV: I cenify under penalry of perjury that I have reaG t0is apD��ion antl state Ihat the infortnetion given is correct. I egree to comply wlih all state laws entl ciry ordinences relating to 6uilding construction, entl authorize representatives of ihe City ol Costa Mesa to enter upon Ihe ebove-descnbed D�oDerty for inspection pu a es. I agree not to occupy or ellow occupancy of any building authonzed by �his permit until final inspection. 1 � a`ure e er(s) Date an�., � � � _ � i — fl \ nd/OrA� Authoriz�'pplicant Date 40oE �. INSFECTIONTYPE 1676 Fixetl System Final Fire Prevention 1266 Pool Spa Finel 200 Final RB�Rool 201 Final Blak/Retelninp Wall 202 203 204 Final Fectory Fire Place Final Sign Final Demolition PdIE IamiALS 900E� INSPECTIONTYVE 206 Final Mechanical 208 Final Plumbing 210 Final Electricel 212 Final Fire Preventlon 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy � It� __ os a esa g epartment '`;�2�PLICATgON FOR �;RMIT �^ 7 COSTAEME A20CALl OERNIA � U I L D i� N G �' ` FOR AP C TO FILL IN FOR OFFICE USE ONLY E ,_I Receipt No. I Per 't o. Building Address z3� - � laCe � Costa Mesa, Ci8��011ll& Received by Date Rec'd. /1 Data Issued Nearest - �� S "� '�O �� CrossSt. Wi19ori euilding Owner �°rge F. Matranga Address � � / - '�� Mail �9 E. 17th Street Costa Mesa, California Address Nearest Tel Cross St. City i�iOSt8 Mesa Not,�. 8-1159 Zone No.of Type I G p E gineer ��'lson & Middlebro�; A I Plans I I � pproved � b Date adress Garden Grove CORRECTIONS contrecto�Dike and ColegroveNoY�� A�re� /�19 E. 17th StI'ee't � Legal Lot . �, j- -� „� Deseription I No. '1 I Block I Tract29S9 �,, �; �.� � �� (Attach Metes and Bounds) t +r,, � � ' - l - No. of-Bldga � � � - Size of Lot � X 115 I Now on Lot IlORB • J Useof No.of No.of ` �-� ' ��`"� Existing Bldg. riOriB I Families I Rooma Setback Line from Rear Vard ...._ Center ot Street 50� 3ide vard � la� �- �; �'� y'�� -�-, n .. . New � i( � Alteretion Repair I I Moving Covering $t.UCCO Use oT NeW _ _ _ _ Addition residence APPROVALS �n Loeation I Insp�o Materials, I hereby acknowledge that I have read this Application Lath. Int. and sta[e that the abwe is correM and agree to comply Lath. Ext. with all City Ordinances and State Laws regulating building construcrion. Signature ot Plaster, Int Permittee /� Plaster, Ext. Authorized A9t• li � Masonry Reinforced Valuation Permit Fee $ �f O-0 Plan Check $ / Bond Beam $ �V Y90 Feeal ' $ � / � FINAL O F � Z D r r YL,(yP YLAN Show locatlon and distancea irom property line and between buildings. . �� s., � �- � � �,: ,� _ -r � - , ' _ .. .. .' C . . ., _ , �.� " . .. . . . .. `'� . �� " _ C� . _ _ : . .. ._ ._ . 3.. „ _' ' ' __�_-_ _-____.�. i ._ � . . . � � 1 . . . . , Of.Cf. l '— -_ . . f . _ '. _ ' . _ . " . . : . ,�_'� . 1 - . .i�. -. 1 .;.�i . _ ,. • . r0 oc.., _ - n •� •vJ , �'.r�_ _=cC ._. .-:.� . ' � 18504 COSTA MESA BUILDING-SAFETY DEPARTMENT � P. O. BOX S17 COBTA MHHA. Ca..�FORNIA For Applieanf io Fill In Complefely � eoi � P ITECT 1 SIZE COSTA MESA CALIFORNIA nr.., `.�..�.nLf TEL. NO. OP BLDG9. NOW ON LOT S6TBALK LIN6 Pi10M ,� GeNTBR oP 8Tit8LT `'� REAR VARD p�!/ SIDE YARD LEFT O IRIGHT DESCRIPTION OF WORK / I IIALTERATION I IIADDITION I REPAIR I IIMOVING I IIDEMOLISH I BUIIDING NO. OF SIZE ROOMS STORIES EXTERIOR WALL ROOF COVERING COVERING U6E OF BUILDINC. AND WORK TO B ERFORMED /� � � eC � HEREBY ACKNOWLEDOE TXAT I MAV6 REAC THIB �PPLJWTION AND BTATE THAT THE ABOVE IB GORRHGI'AN� AOREe TO COM- P�Y WITX ALL CIlY OliOINANCEe AN� 6TAT8 L.�W6 ReOUL�TINO BWLDINO CONBTRUC �M � � SIC+NATURE OP A PERMITfEE— AUTHORIZED AGENT FEE RECEIVED � DEC 1 919�2 ' FlNANCE DEPT, APPLICATION F�R' P�'#T�STA MESA BUILDING For Offiee Use Only RECEIPT NO. P$1�IItT Nq / COSTA MESA. CALIFORNIA ZONING zone/ —( I rt�wei�e 'Z., I euito�Na ��/ec('Wu.e! L80AL �y' � /R z L�S' L! D88CRIPTION � A. P. NO. II /^ I3 �L �- OS YARD& EVE6 APPROVED ALLOWED (CCMHR LJN! BT.1 ...��..� ��--� ... APPROVED �L THE AMOIINT BHOWN IIN�ER VALUATION 10 FOR THE PUfiP098 Op EBTA0L19HIN0 A PERMIT FEE ONLY. VALUATION $ '��/ PERMIT FEE $ � '� V� PLAN CHECK $ ' J iOTAL PEE $ �x ''