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Home My WebLink About2532 CARNEGIE AVE - Building Permits(714) 754-5273 • FaX (714) 754-4856 • v+ww.ci.costa-mesa.ca.us 77 FAIF �FIVE, GOSTA MESA, C:A 926Z6 Job Address: 2532 CARNEGIE AV Suite No Vicinity: Parcel Nunmber: 1413730'I Applicant CULLIGAN WATER Address: 502 S LYON ST SANTA ANA, CA Owner: LUKE, ANTONIA NINA Address 2532 CARNEGIE AVE COSTA MESA, CA Contractor; CULLIGAN WATER Address; 502 S LYON ST Arch / Eng Address; ISSUE FEE BackFlow irrigatlo� Backflow Preventer Bathtub Clarifier System Connect pce,Soda,Qtc) Dental UniLs Dishwasher Drain, Floor Drain, Rainwaler Drain, Roof Drinking Fountain Expansion Tank Gas Earihquake Valve PLUMBING PERMIT Phone: 714-750-2233 Zip: 92701 Phone: Zip: 92626-6159 Phone: 714-750-2233 SANTA ANA, CA Zip: 92701 License: 663091 Phone: Zip: License: SCOPE OF PERMIT INSTALLATION OF WATER SOFTENER. AMT $23.50 $0.00 $0.00 50.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Qn FEE SUMMARY AMT Laundry Tub / Washer $0.00 Landscape Irrigation $0.00 P-Trap $0.00 Pressure Regulator $0.00 Process Piping (per 10 ft) $0.00 Receplors $0.00 SepticTank $0.00 Sewer Cap for Demo $0.00 Sewer Connect $0.00 Sewer Private Line $0.00 Shower $0.00 Sink, bar $0.00 Sink, commercial 50.00 Sink, Floor $0.00 QTY 0 0 0 0 0 0 0 0 0 _ 0 0 0 0 0 Status: ISSUED Applied: 02/26/2004 Issued: 02/26/2004 ISSUED BY: / SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr BkOow(1-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Heater! vent Water Piping (Inst or Rep.) Water Re-pipe Waier Service AMT 30.OD 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 �TY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 NOTICE: The work authorized by ihis permit shall comply wlth all applicable handicap access requirements under California statutes and related regulations. (Ord. No. g24B, § t, 1247-92) 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 1 BO days. INSPECTIONS: In order for the work euthorized under this permit to be considered legal, such work must comply with all applicable codes, and ell required Inapections and final epproval must be obtalned. Failure to obtain inspections and final approval will result in the expiration ot this permit. FOR INSPECTIONS CALI: (714) 7545826 zaae�se �aroo1 WORKERS'COMPENSATON DECLARAnON: I hereby alfirtn under penalry ot perjury one ol the tollowinq declarations: ❑ I have antl will maintein a cenificate of consent to sell-Insura tor workers' wmpensetion, es provitled for by sedlon 3700 ot Iha Labor Code, for the peAormance of the work lor whiCh lhis permit is issuetl. ❑ I have entl wiil maintain workers' compensation insurenca, as required by section 3700 0l the Lebor Code, for the peAortnance of t�e work for which this permit is Issuetl. My workers' compensation Insu�ra7nce carder end pollcy number are: /, 1 /J / Carner: _�(J� (% � i—V� �{�/C/a�A.� �W d � � G Policy Num�er. �/ /C � 7 � ��l� d � (Thls secfion need not 6e comp/etetl i/ the permit Is velued et ane huntlretl tlollers ($100) or less.) ❑ I cenity that in the performance of the work for which this permit is issuea, I shell not employ eny person in any menner so as lo become subject to ihe workers' compensatlon lews of Calitornie, end egree thet Ii I sh uld become s blect to the workers' compensation provisions of Sectlon 700 ot ihe Labor Cotla, I shell forthwith comply with these '� ions. Applicant Signewra: � Dete: �/�� WARNING: FAILURE TO SEC WOFiKERS' COMPENSATION COVERAGE IS UNIAWFUL PND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENNLTIES AND GVIL FlNES UP TOONE HUNDFED THOUSANDOOLLARE(S1 , ),INADDITIONTOTHECOSTOFCOMPENSATION,DAMAGESASPROVIDEDFORINSECTIqJ3]O60FTHElA90RCODE,IMEREST,ANDFTTORNEY'SFEES. LICENSED CONTRACTORS DECLApATION: I �ereby aHirtn that I am licensetl untlar pmvisions of Chapter 9(commencing wiN Section 7000) of Division 3 ot the Business end Professions Coda, entl my license is in tull brce entl effect. Lic. N C� / _. � ._ ...i.... . Class N _ ! . Contraaor's SignaNre: Dete: CONSTRUC710N LENDING AGENCV: ❑ I hereby attirm tha� there is a construction lending agency tor the pertormance of �he work fot which Ihis permit is issued. (Sec. 3097, Civil Code). Lendefs Name: Lenders Atltlress: Signeture: OWNER-BUILDER DECLARATIONS: Date: I hereby aHirm ihat under penatry ot perjury ihet I am EXEMPT FROM TME CON7RACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business entl Professions Cotle: Any ciry or counry which requires e permit to consiruct, altar, improve, tlemolish, or repair eny strucWre, prior to its issuance, elso requires �he ep0licant for such pertnit to tile e signed stetement that he or she is Ilcensed pursuen[ to Ihe provisions of Ihe Contrectore License Law (Chapter 9(commencing with Sectlon 7000) of Divislon 3 0l the Business end Professions Code) or thet he or she Is exempt tharefrom end ihe besis for ihe ellegad ezemption. Any violetion of Section 7031.5 by eny epplicent for e permit subjecis ihe epplicent to a civil penelty af not more Ihan five �undred dollers (5500).): ❑ I, es owner of ihe propeny, or my employees with weges as Iheir sole compensatlon, WILL DO THE WORK, entl the structure Is not intended or oHared lor sele (Sec. 7044, Business and Professions Cotle: The Contractors License Lew tloes not apply to en owner of property who builtls or improves ihereon, and who does such work himself or hersetl or Ihrough his or �er own employees, provided ihat such improvements are noi intended or oNered for sale. If, however, Ihe building or improvement is sold wi�hin one year oi completion, �he ownerbuilder will have the burden of proving that ha or she did no� builtl or improve for purpose of sale.). • ❑ I, as owner ot the pmperty, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consWCl the pmlect (Sec. 7044, Business and Professions Cotle: The contractors License Lew tloes not epply to an owner of pmpeny who builds or improves Ihereon, entl who contracts tor such pro�ect with e contractor(s) licen5e pur5uant to lhe Contractor5license Lews.). ❑ I am exempt under sec. Business antl Professions Cotle for this reason: Signature: Dete: Owner ID verified by dnvers license. ❑ Ves ❑ No Driver's License No. Expires: Venlication of Ownership by (rype of tlocument, i.e. - properry tax hlll or deetl): DIVISION OF INDUSTRIAL SAFETV PERMIT CER7IFICA710N: ❑ I hereby certity Ihet no excevation five (5) or more teet in tlepth imo which a person Is required to descend will be mede in connection with work euthorized by this permit, entl ihat no building sirucWre, scaflolding, falsework, or demolition or dismantling thareot, will be more than Ihirty-six (36) teet high. (Ghap. 32, Grp 2, Art 2, Sec. 341, Tlle 8, Celifomia Atlminis�retive Cotle). ❑ As ownerbuilder, I will not employ enyone to do work which woultl require e pertnit fmm the Division of Industrial Safery. es noted a6ove, unless such person has a pertnit to tlo such work from the tlivision. Signature: Date: Division of Industnal Safery Permit Number. CERTFlCATE OF COMPLIANCE AND AUTHORVA710N OF EN7AV: I certify under penalry of perjury that I have reed this application and state that ihe Information given is correa. I egree to comply with ell stete laws end city ordinances relating to building consiruction, and authodze representa�ives of the Ciry of Costa Mesa to enter upon the abova-describetl properry tor inspection purpases. 1 egree not to occupy or allow occupency of any building authonzed by this permit until linal inspectlon. COUE �, INSPECTIONTYPE Qej& INTRIALS 1616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Finel Ra-Raof 201 Finel BIocWRetaining Well 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition � Dat � l � _ ate CODE� INSPECTIONTYPE 206 Final Mechanical 20B Finel Plumhing 210 Finel Electricel 212 Final Fire Preventlon 220 Flnal Planning Approval 222 Final Site 250 Final BuiltlinryOccupenry p7.\I�CIhIL\FY 3-a-oy d�l 44�� M� 9 o. � > _ F J •'�*e,mc�'�' CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT (714)754-5273 • Fax(714)754-4856 JobAddress: 2532 CARNEGIEAV Suite No Vicinity: Parcel Nunmber: 14137301 Applicant: Address: Owner: Address LORIE CLQVER LUKE, WILLIAM E 2532 CARNEGIE AVE COSTA MESA, CA PLUMBING PERMIT Phone: 714-241-1414 Zip: Phone: 714-546-5840 Zip: 92626 Contractor: COAST ROOTER PLUMBING HEATING & AIR COND Address: 2737 S. CR04DY #D Arch/Eng: Address: SANTA ANA, CA WATER HEA7ER CHANGE-OUT. ISSUE FEE Backflow irrigation Backflow Preventer Bathtub Claiifer 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 Interceptore (Santl Auto ) AMT $23.50 $0.00 $0.00 $0.00 $0.00 50.00 50.00 $0.00 50.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Phone: (714) 241-1414 Zip: 92704 License: 529127 Phone: Zip: License: SCOPE OF PERMIT FEE SUMMARY AMT Laundry Tub / Washer $0.00 Landscape Irrigalion $0.00 P-Trap $0.00 Pressure Regulator $0.00 Process Piping (per 70 ft) $0.00 Receptors $0.00 SepticTank $0.00 Sewer Cap for Demo $0.00 Sewer Connect $0.00 Sewer Private Line $0.00 Shower $0.00 Sink, bar $0.00 Sink, wmmercial $0.00 Sink, Floor $0.00 Sink, kitchen $0.00 Sink, service/mop $0.00 Spa (private) $0.00 Spa (public) 30.00� QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 COMMENTS / SPECIAL CONDITIONS PERMIT NUMBER P99-00661 � 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 71/17/1999 Issued: 11/17/1999 ISSUED BY: S�^I� 'T SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr BkFlow(1-4) Vacuum Brkr BkFlow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Healer / vent Water Piping (Inst or Rep.) Water Re-pipe water Service Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION TOTAL CALCULATED FEES: AMT $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $72.30 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $35.80 QTY 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 NOTICE: The work authorized by ihis 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 autometically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a pariod of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with ell applicable codes, and all requlred Inapectlons and flnal approVel must be obtained. Failure to obtain inspections and final approval will result in iha expiration of this permit. FOR INSPECTIONS CALL: (714) 754-�5626 WORKERS' COMPENSATION DECLARATION: I hereby attirm under penalry of pe�ury one ol the tollowing tleclarations: ❑ I hava antl wiil meintain a certificate of consent to self-Insure for workers' compensation, es provided for by section 3700 oi the Lebor Code, for ihe pertormance of ihe work tor which this permit is issued. � I have antl will maintain workers' compensation insurance, as required by section 3700 oi the Labor Code, tor ihe peAormance ol ihe work for which this pertnit is iuued. My worker ' compensatio/ri'I,n,s.urence carriar antl policy number are: / Cartier. �1�� CLY��l)N-�1 ! PolicyNumber. I�%OI O A R%�C�Ct ❑ I certify that in ihe pertormance of tha work tor which ihis permit is issued, I shall not employ eny parson in eny menner so as to become subject to Ihe workers' compensation laws of Calitomie, and agree Ihat ii I should become subject to lhe workers' compensetion provisions of Section 3700 of the Wbor Cotle, I shall forthwith comply with Ihese provisions. / q p ApplicantSigneture: ��— ! Date: _ /�" �%^[�� WARNING: FAILUPE TO SECUPE WORKERS' COMPENSATION COVERAGE IS UNLAWPUL AND SHAIL SU&IECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND OOILAPE ($100,000�, IN A�DITION TO THE COST OF COMPENSATION, OAMAGES AS PROVIDED FOR IN SECTION 3]OG OF THE LABOR fAOE, IMEREST. AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirtn ihat I am licensed under provisions of Chapter 9(commencing wlih Sectiyn 7000) ot Division 3 of ihe Business end Protessions Code, and my license is in full brce entl eHect Lia q �� /;}? / Class q �% $ C/� / Conlractols Signature: ��' / Date: //.- I b� 4 G CONSTRUC710N LENDING AGENCV: ❑ I �ereby ettirm that there is a consWction tending agency for Ihe peAormance ot the work tor which this parmit is issued. (Sec. 3097, Civil Cotle). Lender s Name: Lenders Address: Signeture: Date: OWNER-BUILDER DECLARATIONS: I hereby aHirtn that under penalry of perjury ihat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW tor ihe following reason (Sec. 7031.5, Business antl Professions Cotla: Any ciry or wunry which requires a permit to construct, alter, improve, demolish, or repair any swcture, pnor to its issuance, elso requires the applicant for such permit to tile a signed statement that he or she is licensed pursuant to ihe provisions of iha Comraciore License Law (Chapter 9(commencing with Section 7000) of Divlsion 3 of the Business antl Professions Code) or that he or she Is exempt iherefrom and the basis for the allegetl exemption. Any violation of Section 7031.5 by any applicant for a pertnit subjects the apP�icant to a civil penalry of not more ihan live hundred dollars ($500).): ❑ I, es owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, antl ihe structure is not intended or offered for sala (Sec. 7044, Business and Professions Code: The Contraaors License Ww does not apply to an owner ot properry w�o builtls or improves thereon, antl w�o tloes such work himseli or herself or ihrough his or her own employees, provided that such improvemenis ere not intendad or oMered for sale. If, however, Ihe building or improvement is sold within ona yeer of completion, ihe owner-builder will have the burden oi proving Ihat he or she did not build or improve for purpose of sale.). ❑ I, es owner of the pmperry, am EXCLUSIVELV CONTRACTMG WITM LILENSED CONTRACTORS to consiruct the project (Sec. 7044, Business and Professions Cotle: The contrectors License Law does not apply to an owner of property who builds or improves ihereon, antl who contrecis for such project with a contrector(s) license pursuant to ihe Coniractors License Lews.). ❑ I em ezempi under sec. Business and Professions Code for this reason: Signature: Date: Owner ID veritietl by tlrivels license. ❑ Ves ❑ No Dnver's License No. Expires: Verification ol Ownarship by (type of document, i.e. - property ta�c bill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify thai no excavetion tive (5) or more feet in depth into which e person is requiretl to descend will be made in connection with work euihonzetl �y this permit, antl that no building slmcWre, scatfoltling, lalsework, or demolition or dismantling Nereof, will be more t�an ihirty-six (36) teef high. (Chap. 3.2, Grp 2, Ad 2, Sec. 341, Tltle B, Celifomia Administrative Cotle). ❑ As owner-builtler, I will not employ anyone to do work which would require a permit irom ihe Division of Industrial Satety, es notetl a6ove, unless such person hes a permit to da such work tmm the division. Signature: Date: Division ot Indusirial Safery Permit Number: CER71FlCA7E OF COMPLIANCE ANO Al7THORVATION OF ENTRY: I certity under penalry of perjury ihat I have reatl this epplication and state ihat the information given is correct I agree to wmply with all stale laws and ciry ordinances relating to building wnsiruction, antl authonze represematives o11he Ciry of Costa Mesa to enter upon the ebove-described property for inspection purposes. I agree not to occupY or allow occupancy of eny building authonzed by this permit until final inspection. � ignature Of Legal Owner(s) Date y �-�� Jl-l�_9 y , And/Or Authorized Applicant Date CQOE 1. INSPECTIONTYPE 1676 Fixetl System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Final Block/Retaining Wall 202 Finel Factory Fire Plate 203 Finel Sign 204 Final Demolition 2446-<6 1[fyj� AL CODE 1 INSiECTION TYPE 206 Final Mechanical 200 Final Plumbing 210 Final Elecincal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Builtling/Occupancy P.AIE inmia�s u � �oonessaem�arw: z532 CARNEGIE AV avx€rcSNuieiva+owx:LUKE, WILLIAM E ' �� 2532 CARNEGIE AVE '� COSTA MESA,CA 92626 546-5840 �vai. �,uur+c woxess: IAfICNrtECTOPFNfJNFEA: urcx. on Era•s woness: uc. no: UNi: UNT: coxm�crarswu� FUNKES ROOFING ( 714 ) 695-0193 caax�croRswuuxc19622 RUMSEY LN �ooxess:HUNTINGTON HEACH CA uc.xo.: 348877 92646 uNr: LICENSEO COMRRMORS DECLAPATION: I Mreby aH'vm uMm peneXy o/ pe�ury the� I em I'raneed uMar poWaione o/ Gheplm 9 (mmmanaiq wilA Section ]000) d Oiveion 3 d IAa Buaineu eM Pmi»sbns Code. eM my licensa ie in tull tace eM Nfee. cmuc.wo.:034526 uc.cuss:C-39 No 348877 EXP• Q0/00 o�a: S- 3 I— 9 b ca„�aa: �. �4��' o � OWNEH BUILUEfl OECUR4TION: I hereby aMrtn under peneMy d perlury IhPo I em axempt Irom iha Contreqoee Lieenee Lew Iw ihe �Ibwvq rseson (Seq'wn )W t.5 Buainesa eiM Prdessiona Code: Any cYy o coun�y wt�idi repuiree e pertntl to mreWcl. Mer, imqwe, emd'ah, a repei eny atruciure. prior lo iU owerwa, eho reQuime IM epplireni la euch pe�mn io fib e sqried atelemen� the� M a eM n licennd Oursuani m ihe O��m d Ihe ConVedore I.iceme lew �Cheqer 9(mmmendry weh Sepbn )00p) d Di+bion 3 d ihe Butinew enE Prdeavons Codej or Ihe� ha a ehe n exemq thxairom enE Ihe besn lor ihe elbped exempbn. My videiun M Setlon )03i.5 by eny epplicent Iw e parmn wbjmr tM epplcem io e mil perely d mt more Ihen /i+e huMretl Edlen �5500��. ❑ 1. ea ovmer d iM papenY w mY �VM� �h wa0� � Ihai eole campanzaibn. will Eo IM vroh. enE IM niuclure o nd inleiMeE a ollared for eele (Seclion'l044. Busiiwsa end Proleasiona Code: Tha Conlrecton li�nse Lewdoae ewi epplyio en ownmd pmparry wM WiEs or impewea ihareon, vM who doea auM waM NmaeH or henaC a thrpph he w her own emplyreea, qwkaE ihet eueh imD�'emema ere mi imeMed « WxeE lor sala. X. Mwe�+er. iM buiNirq a inprwemem u eotl within orre yaer W mmpblian. iM ownerbuiWer Mill heve IM buNen o/ provin9 he or ahe did � build or improve lor �M W�e ol mle�. � I, ea o�xier d ihe peopeny. em extlusivNy eonlrad'mp wtl� IicemeG conVectas to canstrue ihe P�I� (�� )�. �sirwee aM r,�ia..�a,: c�: rna com�eao�. �we�� . e�„ � eovN m� owo« a wow�r wno w�a. a �mwo+e. �na.o� �e .no conlracls iw euM O�al%�e wilh e mmreqor(s) Icenaed punuenl lo I�e Conveqae licenae law�. ❑ i� �,�p �oee� s�.ro�: e. a a.c., ro, m�, re�: o�e: o�,: i eo ne�cv �wy inv i�..�.a d.�,d �nid,a me �au��,e�m d c�r�r N„nn �e smar coe< sea�. assos, usa�. �e 25556. eiW �he� I or eiry Mura CuiWiip ocwpam will / wil rw� (orcb oro) neeE to comply wY� eeid pme wdea vd iM repuiremend for apartnnlwcpni�uctionarmodifmtionhomlheA'v ua-OTnyl.reB��ab�a�ReaidentielwnqrutluneppFceiioneeraezemq/ranlhme prodsioo.. Dma: AppliraR WONKEF'S COMPENSATION DECL�flRT10N: I hereby e/firm wdar pareMy d pe�ury aw d the bllowirp detleietiona: � 1 hew ud xiA meimen e caniliwe d oon+ent io naXinwre /w worken' campenmian, ro provked lor by Seeion ])00 d tha Labor code, ia me wn��oa m ine woM ia.�m�n m�o w�n �. �„�,a. - fl i nme e�e �;i �m�.�en• aomo�on ��e�,eMe. es �eawree M sae�� a�ao w m. � code. n, me wrtwme�o. a ine 7� work la which t�is permil b iaeued. MY worFe% ewnperue�nn iruurerice �emer eM pdicy numCer ere: cemm: STATE FUND EXPIRES Pd'cy Number: — � 1� � i� j�] �mr:.uaro�,�.ed nw ee como•'•�ee i me w�a �: ro. o�e nu�e�ee ddwrs Isiool w bu./ ❑ I ce�lM �hel in Ihe perlormence W ihe work /or whlch thie peimil ie iea�eE, I aMll ml empby e�ry pereon in any menner ao m to bacoma wbjw ta tM wa�ken' mm0ame�ion bwe d Celil«n'p. eM eBree that H 1 nhouk becoma w4ee io iM wwken' companaalion pmverona rd_ Senion 3)00 M IM labor Cads. 1 I lonhxi�h wmpy xnh t�. p � Dete: S- 3I �� V� APWifan�. 9B �.�`. Weminy: Nllun ro�xun work«i compnu�tlon rov�rap� 4 unlewNl, entl �M/I aubpcf en �mployx to ctlMml penaMu ena S�ctlon 3M5 0/ M� labor COJs, /nlw�st, mtl �ttomry'� /su. CONSTRUCTON LENMNO pGENCY: I hareby �rm unEer penelry d perN�'/ �hU �hem ie a conqmdion bMiip epenry br iM perlormarwa M Ihe wwk lor xhich Ihe permi ia ueuad (Seaion 309], Crv. C). �ENDEH'S NN.IE: IENDEfl'S ADDPE59: � I cerlily Ihm I heva read Nis epd�� e�M �eta thei �he ebove iM«metion ia oorted. I pree lo canpF/ v�h ell ey e�M counly ordine�ea etd amte lex5 rabiip lo build'vq conSrupbn eM heraby eulMrixe repreaentelivb d Ihis oly to anler upon Ihe eEv.a�mentoneA poperty br inspeciion Ourpoeea. 'i KENNETH FUNKE tN � /� t ��1�� Dete: S"3�� O Sipreture d QmndRyen Appl�anVCamreqa (5151<e.WP) Whna-Buildiq d Setery; GreerFle; CenW-Appicent; Pink-Revenue: GakenroC-�Aveemr C:ITY OF COSTA MESA — BUZLDING PERMIT PERM NO; H 07795� PERMIT NO; B 077953 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT JOB DESCRIPTION : T/O , 6 REROOF W/COMP SHINGLE SQ FT; 4,580 CLAIM VALUE: 4,680.00 CALC—VALUE: 4,680.00 GROUP OCC; R-3 / COMMENTS: REROOF RESIDENCE �x �t***�**� *�� ***�*+�***** x � *�t*�****��*****+t�t �t********�t �t* x��*x��t ***�t*� *�*x **�r**�* x � Z O N 2 N G R E Q U I R E M E N T S S E T B A C K S ----------- MAIN BUILDING ---------- --------- ACCESSORY BUZLDING -------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: ET ZN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 14137301 ZNE: REF NO: PLANNING NOTES> i iE if fk fE �E IE fE 9E iE �E �ElE fE �f 3f fk iE 3E 1E fE �E �E iF �E fF �E iE 1E if iE if 1E if if 1E iE ff If 1E �ElE fE �)E fE 1E �E 1E iE iE 1E if if !f 3E iElE fE 1F �E IE �E iElE iElE fE 1E fE �E 1E IE iE iklf iE 1E 1F iE iE D E V E L O P M E N T S E R V 2 C E S R E Q U I R E M E N-T S ZONZNG APPROVED'8Y DATE: BUILDING APPROVED BY : DATE: r• APPLICATION ISSUED BY: � DATE: �� *xat+t�+�x�rt*�af*+�it*�xiEit*it �****��*at �* LEGALIZATION:N F E E S U M M A R Y STRUCTURAL,SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 99.75 ,50' SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—> TOTALS----> PERMIT ISSUE PLAN—CHECK 100.25 0.00 0.00 REVENUE DIVISION TOTALS--> COLLECTED; BLDG PMT PLUMBING ELECTRIC MECHANIC 99.75 TOTAL PAID DUE 100.25 100.25 .00 100.25 OVER/SHORT: ,00 FIRE SMIP/TOT GRADING PLAN—CHECK .50 1F iE if !f 1f if 1ElE if iE If 9f iE fF if ff iE 1E fE �E iE fE �E iE iE 3E iE IE iE 1E 1f 1E 1E 1E IE 1E iE 1E 1E iE 1F iF iF if 3E iE �E 1E iE 3E iE fE 3E aE iE 3E 1E 1f iE iE 1f iE 7E �E iE 3E �E 1E iE iE iF 1E 1E iE iE �E 1E jE �E I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 4680 ALTER BY VALUE RESIDENTIAL NOZONE 1.00 4,680,00 END OF FEES � •- 60NSTRUCTION AND PLANNWG FOt,� & SPA ` APPROVA4S Permit # Date Inspector pppROVALS Permit # Date Inspector i. Temporary Electrical Service or Pole 52. Poo� & Equipment Location 2. Soil Pipe�Undrgrnd. 53. Steel Reinforcement 3. Electriwl Conduic Utflity-Undrgrnd. 54. Forms -. 4. Electrical Gonduit-Undrgrnd. 55. Electricaf Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test ' 6. Electrical UFER Gmd. 57. APPROVAL TO COVER�GUNITE � 7. Footings 58. Electrical Co�duit-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe�Undrgmd. - `• � 60. Backwash Lines, P-7rap, i� Undrgrnd. 10. Strucwral Floor System � 61. APPROVAL TO DECK tl. PcopercY Sewer Line & HouSe Co�neetion 62. Sackwash & Recepmr-Fina{ 12. Sewer Cap . 63. Heater & Vent-Pinal _. 73. Roof Ora��s 64. Plumbinq System - Final 74. Rough Plumbing . 65. Electrical-Final � • 75. Rou9h Electrical-Conduit � 66. Solar System�Final ` � 16. Rough Electric Wiring � 67. Fencing & Access Approval � 17. Rough Wiri�g Sign � 68. APPROVED POR P�ASTERI�NG 18. Rough Electrical-T Bar Ceiling 69. POOLlSPA SYSTEh9S FINAL 19. Rough Hedting & Air Cond�tioning . FIRE OEPT. REQUIREMENT 20. Rou9h Faetory Fireplace _ APPROVALS Permit # 27. Ducts, in 5tructure . 70. Underground Hydro 22. Ducts, Veniilating 71. Product Piping OGas COiI 23. Gas Pipe-Rough & Test 72. Underground Fiush . 24. Roof Framing � 73. Undergrnd.5torage Tank � Gas ❑ OiI 25. Roof Sheathing (,�17 Gl� �wl�L IA. Overhead Nydro r G 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemicai . . 27. Frame and Fiashing . J 76. Dry Startdpipe . 28. Lathing & Siding 77: FIXED SYSTEM FINAL � 29. Insulation 7B. FIRE PREV. FINAL 30. Drywall N8iling " ` HEALTH DEPT. REQUIREMENT . 31. Plasrer Brown Coat . ' 79. FINAL INSPECTION 32. Electrical Power Meter�Finai 80. F000 CERTIFICA?E ISSUED 33. Final Electric . Notes: . ' 34. final Heating & Air Conditioning _ - 35. Final Gas Pipe-Test 36. Hood or Canopy _ 37. Final Factory Fireplace � ' - _ _i 38. Finai Plumbing � - 39. Water Service-Pina{ : 40. Gas Service-Final - � 41. Solar �omestic-Final . . i 42. BackfiowPreventer � .� - � 43. Backflow Irrigation � A4. landscape trrigation System � 45. Sound Attenuation � � 46. Handicap Regulations . 47. FINAL S7RUCTURE & BUILDING ZO 48. F4NALPLANNING � .. - 49. Electne fle�ease to Edison 50. Gas Release to Southern California Gas Co _ � 51. CERTIFICATE OP OCCUPANCY No Date -7 �I PERMIT NO. 'atio Cover SUBCONTEtACTOR e �C645 COSTA MESA BUILDINGSAFETY QEPARTMEPR P.O. BOX 1200 COSTA MESA� CALIFORNIA B2B29 For iAppllmnt ro FIII In ComplNdy TYPE OR PRINT su�w�r+a 2 S� 2 Co.2 k16�� L woo eae COSTA MESA. CALIFORNIA .......re �A2T\N LSS4C�—. , <-�,�-��U-98/ o`(uE43�1 /ns' �// O / Ho.oleLOot. `� /` S I Now o„ wr iBLDe. � � � err S� � e�oxr C% ' DESCRIPTION OF WORK BUILD�NO {!/ NO.OR SIZe � %0 ROOM9 HiORi CO ERIN6WALL COVERINO Q Lli�'"t• I 1 N[RKor • R ANO BTAT6 TX VLY WITN ALL GUILDIMG CON. Ie AUTH011IZ[D AO[NZ' �L-� N T�1 XAV6 RNC YMI� AYRIGTON 1! COqR[CT ANC AOR�[ TO COY. :L{ AryD �TATi I.�YW 6[OUtATNO �z /�oa �- te-/C T�4L fE6 -9-67cMSA00 487 �**�**3.00 A►PLICATION FOR PERMR BUILDING fOr Of(ite U» Only R[C[IKNO. �I D�T �1j � Y _ %`�r-C�/� % ../ ZONING � MO.Or U�tOIN[W lLAN1 � OYILDINO �/� ! ✓ ��-x ._�7� i � Y/- ;� 7 �_/ � AYe OVERNANG GHALL O6ll88 THAN iOREAqP.L (U.B.C.RBCUIRlMBNT'. YARDBMPROVED YAHDBAPPROVHD MAIN BUILDIN6 ACCfiD80RY BUILDIN6 y, F / VAR. �F BhT. MAIN AGCES9.B DAT6 � ' a w � ec. m. � ill[ AMOUHT YHOWN UND6q VALUATION IS IOR iN[ � PUPPOOI OP tpTl�lLIBNINO A PEAMIT PHE ONLY. VALUATION 5 � PERMITFE6 `� � E t OOJ w TOTAL PEE � �� a 111esa Building Departmeri��-' 111 EAST 20th STREET �� COSTA ME8A, CALIFORNIA � FOR APPLICANT TO FILL IN � COSta M888y CB,�if01711fl, or Address Address :ription I No: 46 � Biock j Tract 27 ach Metes and Bounds) No. of Bldgs, or �os 65 x 105 Nowon Lot �f I No.of I No.of ting Bldg. F�amilies Rooma ack Line from Rear Vard er of Street �J� Sida Vard ]-1 0 New PPLICATI�N FOR P�RMIT � BUILD�LNG � FOR O++ CE USE ONLY Receipt No. I Permit No. 3i �� ed by Date Rec'd. Data Issued ..� p- y_,�/_ AUG 1 4 1958 Costa Mesa, California No. Date CORRECTIONS P Builtling No. of Size 1524 Rooms Stories Exterior Wall I Roof Covering covering APPROVALS Use of New � � e��id��g � RPq;denc� & Attached FoundationLocation Inspector Forms, Materials, � Under-Pinning Frame: Fire Stops, Bracing, Bolts I hereby acknowledge that I have read this Application and state tha2 the above is correM and agree to rnmply Lath. Int with all Clty Ordinances and State Laws regulating building construction.� . Lath. Ext. Signatureof Permittee ' b0 O_Tl, UCt10R CO. plaster, Int. Authorized Agt ' Plaster, Ext Valu.ation Permit Fee $ �� Masonry Reinforced Plan Check $ / � � gond Beam g 12 , 400. Tota� i Fee $ �� FINAL RM 906 C..AP 2M fi_4 Loate � Shaw Iocation and distances from property Ilna and between buildings - �' � . -- . . • ,' . .. - �