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Home My WebLink About3094 CASSIA AVE - Building PermitsG (714) 754-5273 • Fau (714) 754•4856 • www.ci.costa-mesa.��LDING PERMIT n FAIR DRIVE, COSTA MESA, CA 92626 Job nddress: 3094 CASSIA AV Suite: Vicinity: REROOF DUPLEX AND ATTACHED GARAGE Primary Occ: R-3 Dwellings/ Cong Res <10 Type of Construction: V-N Parcel Number: 13956304 Zoning: R2 Applicant: LAUNDERS, LES Address: 657 BEACH ST COSTA MESA, CA Owner: KREISLE, WILLIAM S TR Address 1775 HUMMINGBIRD DR COSTA MESA, CA Convactor: ROOFING CONCEPTS Address: 657 BEACH ST COSTA MESA, CA Zip: 92627 Arch : Address: Phone: Phone: (949) 6457518 Zip: 92627 Phone: Zip: 92626 Phone: (949) 645-7518 License: 441271 Eng: Address: ISSUED BY: Status: ISSUED Applied: O6/14/2005 Issued: O6/14/2005 Phone: Zip: License: License: SCOPE OF PERMIT REROOf DUPLEX WITH ATTACHED GARAGES: T/O EXISTING 2 LAYERS OF FLAT ROOF, REPAIR/REPLACE SHTG AS NEEDED. NAIL 28# BASE, 2 X 4 GG, MOP 2 PLY 11# AND ONE 72# CAP ON DECK. MOP ONE 72# CAP ON VERTICAL WALLS. 38 S�UARES Plan Check: $0.00 Permit: $167.25 SMIP Res: $0.90 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Totai: $168.15 SETBACKS MAIN STRUCTURE Fronl 0- 0 ACCESSORY Front 0- 0 PARKING Existinq: o Rear 0- 0 Rear 0- 0 Re uired: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Righl 0- 0 $s,000.00 $9,000.00 NOTICE: The work authorized by this parmit shall comply with all applicable handicap access requiremenis under California statutes and related regulatlons. (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 tor a period of 180 days. INSPECTIONS: In order for ihe work authorized under this permit to be considered legat, such work must comply with all applicable codes, and all required inspectlons and Iinal approval musl be obtained. Failure to obtain inspections and tinal approval will result in the expiratlon of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 zaae-as �sroo� WORKERS'COMPENSAnON DECLARAnON: I hereby ettirm untler penalry of perjury one ot the tollowing declarellons: ❑ I have end will maintaln e ceNHcate of cansent ro setl-Insure lor workere' compensetlon, es pmvitletl for by sectlon 3700 of Ihe Labor Cade, for the pertortnance of the work for which this permlt Is Issuetl. �� I have end will maintain workers' Compensa6on Insurance, es requlred by section 3700 of the Lebor Code, tor the pertormanca of the work for which this permlt Is Issuetl. My workers' compensatla Insurence carner antl policy number ere: ame�� S tz�Fz Pa�ry N mnaf: 1 k z(� rr) (This sec7on need not 6e completed il the perm�t is velued at wre hundretl tlWlers ($700) ar less.) ❑ I cenity that in the peAormence ol the work for which this Oermll Is issue4 I shall no� employ any person in any manner so es to become subject to t�e workew' compensetlon laws of Califamla, enC egree ihat If I should bewme sub�ect lo Ihe warkers' compensation proNsions of Section 3700 oi the Lebor CoCe, I shell torthwiN compy with t�ese p s s. -,� �eee��a: �� ..t.,�'� ��a: G- r v- o s� WARNINO: FAILURE TO SECURE WORKERS' COMPENSATION COVERAQE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYEF TO CRIMINAL PENALTIES ANDGVIL FlNES UP TOONE HUNDRED T110USAND OOLLARE (E100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDEO FOR IN SECfION 31O60F TME LABOR CODE, INrEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLAHATION: I hereby alfirm that I am licensed under provisions of Chepter 9(commencing with Sectian 7000) oi DlWslon 3 of Ihe tarce end enect.�tTc.Fi �l y/ 2'7 / q� CONS7RUCT10N LENDING AGENCV: Code, end my license Is in tull ❑ I hereby eMirtn Ihat there Is e conslructlon lending agency for Ihe peAormence ot the work tor which this permit Is issuad. (Sec. 3097, Civil Cotle). Lentler's Name: Lender's Address: Signeture: Date: OWNER•BUILDER DECLARATONS: 1 hereby attirtn �het under penalty of pe�ury ihat I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for the tdlowing reeson (Sec. 7031.5, Business anO Protessions Cotle: Any dty or county which requires e permit to wnstrud, alter, impmve, demolish, or repair eny struMure, pnor to its issuance, also requires Ihe eppllcant for such pertnit to tile a signed statement thet he or she is Iicensed pursuant ta the provislans at t�e Contredors License Lew (Chepter 9(commendng with Sectlon 7000) ot Dlvision 3 of the Business end Professlons Code) o� ihet he ar she Is exempt �herefrom and Ihe basis far Ihe elleged exemption. Any violatlon of Seclion 7031.5 by any epplicent for a pertnit subjecis the applicant to e civil penalry of not more ihan Ove huntlred tlollars ($500).): ❑ I, es owner of the praperty, or my employees with weges es thelr sale compensation, WILL DO THE WORK, end the siructure Is not intended ar oHered tor sele (Sec. 70a4, Business end Pratesslons Cotle: 7Te Contractors License Lew does not apply to an owner of properry wha builds or Improves thereon, end who tloes such work himselt or herself or through his or har own employees, Provitletl that such improvements ere no� Intentled or oflerad lor sele. If, however, ihe building or Improvement is soltl within one year of completion, the owneo-builder will heve Ihe burtlen of proving �het he or she did no� builtl or improve for purpose of saleJ. ' ❑ I, as ov.•ner of the property, em EXCLUSIVELV CONTRAC7ING WIT}1 LICENSED CONTtiAC70RS to wnstruM Ihe project (Sec. 7044, eusiness end Professions Cotle: The contractors License Lew does not eppty ta an owner af propeM M'ho builds or Impmves thereon, anA w�o contrects for such project with e cantractor(s) Ilcense Oursuant to ihe Contractors License Laws.). ❑ I em exempl under sec. Signature: Owner ID venfied by tlrivers license. ❑ Ves ❑ No Business end Pmfessions Code br Ihis reason: Vetlflcellan of Ownership by (type of tlocument, i.e. - properry tex blll or deed): DIVISION OF INDUS7RIAL SAFE7Y PERMIT CERTIFICATION: DnversLJcense No. Dete: Ezpires: ❑ I hereby certify that no excevetion five (5) or more leat In depih Into which e person is requiretl to Cescend, will be mede In connection with work euthonzed by Ihis pertnit, antl that no huiltling sWCWre, scaHOlCing, falsework, or demolilion or tlismentling thereoi, will be more then Uirry-six (38) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title 8, Califomia Administretive Code). � As owner-huilder, I will not employ enyona to do work w�ich would require a permit irom Ihe Division of Industnel Sefery, es notetl eUove, unless such person hes e pertnit lo do such work from the division. Signature: Date: Oivision oi Indusirial Safery Permit Number. CERTIFICATE OF COMPLIANCE AND AllifiORIZA710N OF ENTTiV: I certify under penelry of perjury Iha� I have reed this epplication and state ihat the infortnetlon given Is correct. I egree to comply wit� ell stete laws entl city ordinances releting to bullding constructlon, end euthonze representatives of the Ciry of Costa Mese lo eNer upon the ebove-descnbed property for inspection purpases. I egree nat to occupy or allow occupancy of any building euthonzed Dy Ihis permit until final inspectlon. Lagal Ow er�s) Date ;vy�� 6-I-�t ;o_s �� a CQOE 1, INSPECTIONiYVE 7676 Fixetl System Pinal Fire Preventlon 1268 Pool Spe Final 200 Final Re-Roof 201 Final Block/Retaining Well 202 FZ�kI Final Factory Fire Place Finel Sign 204 Flnel Demolltion aeg u�s � �_ CODE I INSPECTION TYVE 206 Final Mechanical 20B Finel Plumbing 270 Finel Electricel 212 Final Fire Prevention 220 final Planning Approval 222 Flnal Site 250 FInelBulldlnp/Occupenc � ,� AOP�icant to fill in all ipaces exceot those within �eavr �orCer lines anE sian all aoorouriate tleclarations 7auo �I��a�e5 S.Do rL ITY OF COSTA MESA CONSTRUCTION PERMIT ' RMIT N0/.� / TRACT NO. LOT NO. UNIT NO. � � � - Prt�pyct Address n /� _ " � � � . I � ' Applicant'S Mailing Address �� 'l a�yA ( TYPE OF CONSTRUCTION NEW ADD; ALTERATION REPAI R � ❑ CONVERSION ❑ DEMOLISH ❑ OTHER qp # . , ' . Zone � - Owner's Name ��Y�,�� Phone q � DESCRIPTION OF WORK/USE OF BLDG. �Address '��l��Z � J 55'/�.S i�� ' S Main Building: � Accessory Building:' ' 2 Arch/Eng. � License No. TVPE OF PERMIT ❑ GaaoiNG �❑/ 5q'UNoariOrv STRUCTURAL . T Front �'t1t O Address � ❑ TENANT ❑ ELECTRICAL LIXPLUMBING ❑ MECHANICAL B Rear N /��✓ ❑ OTHER � %� � Contrector'sName Phone�9(ffLJ - �C Right � ' � G PROJECT DESCRIPTION SQ. FT. OCCUPANCV Addresslmailingl_ K Lett CONSTRUCTIONTVPE VALUATION$ $ City License No �,� R LICENSEO CONTRACTOR DECLARATION ZONE GRAowG cu.vDS. ACRES � Ping. Ref. # ' Parking Req./Provided ' � E I hereby afti�m t�at I am licensetl untler provisions of Charter 9(commencing Rema�ks: . � Pl3nniny NOL¢5: ry� with section ]000) of Division 3 of tM1e Business antl Professions Cotle, antl T my license is in fu t� antl effect. ' ' ' ' . . S Litens las i n �Date — '� Signature ' � PLUMBING FEES WORKERS' COMPENSATION DECLARATION ' ELECTRICAL FEES � I hereby affi�m tM1at I have a ce�lificate of consent to self-insure or a certificate Bd� Sink ' � ShOw¢f5 . . � oi Workers' Compensation Insurance, or a certitietl covY Ihereof (Section gackflow Preventer Service Sink � 3800, Lab. n ,/ ��.,0 ' Aummatic Washer Transformer ❑ 15-50 KW Policy No. ��'7��7Q?i Company �g��M�� Backfiow Irri ation ' ❑ 50+KW r o=— 9 � 'Sewer Cap Construction Pole Sub. �rtifietl Copy is �ereby furnishetl. ' . Cert'tie c Is filetl with the city B i v' 'o . Bathtubs Sewer Connection Cooking UniL Meter ❑up to 100 amps Date��`.� �_qpplicant - - EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Clarifiers SOldf C0112Ct0/5 � Di5hw35h¢�, MetC� ❑ove� 100 amps (Thissection neetl not be completetl if Ihe permit is for one huntlretl (5100) or � - iess). Dishv.asher. Solar Piping � Dryers ❑Gas ❑Electric Sub Panel -. I co�tify that in the pe�to�mance ot the work to� which this pe�mR is issuetl I - � shall not employ any person in any manner so as to be<ome subject to tf�e Drinking Fountains Solar Tank Fan ' Momrs DO-1 HP �7'h -8 Workers' Compensation Laws ot California. �ate Signature Floor Orains Swimming Pool w/Spa � F.A.U. Ina Solar �9-75 HP 016-15+ � NOTICE: If, after making this tleclaration, you snoultl bemme subjecfto the Wo�ke�s' Compensa[ion provisions ot [he Labor Cotle, you must forthwltn PI00� Sinks Urinal Fixtures romply with SucM1 .pvovisions o� this permit shall be tleemetl revoketl. MiC�owdve CONSTRUCTION LENDING AGENCV GaSSC�vic¢ Outl¢Ls W3t2fCIOS2t 1 herety atfirm that there is a mn5t�uc[ion lentling aqency /o� the performanc¢ DEviC2 BOx¢5 Pol¢ Light of tfie work for which this permit is issuetl (Section 309� Civ. C.) Interceptors Water Heater — Outlets Range � Lentler's Name � Centler's AaEress � Kitchen Sink Water Service - - — - ' OWNEq BUILOEH pECIARATION SwitcheS Sign - I nereby af(irm Ihat I am exempt from the Contractor's License Law tor the Lavatories Auto-Wash Garbage Disposal Standing Sections ' following reason (Section �031.5 Business and Protessional Gotle: Any city or ' county which requires a permit to construct, alter, improve, tlemolish or repair P—Trap Laundry Trays Generetor �0-5 KW 05-15 KW Trash Com actor ' � any structure, p�io� to its issuance, alm �equires [he applitant tor such peimit P � to fiie a signetl statement that he/she Is licensetl pursuant to the provisions of Roof Drains � the Contractor's License Law (Chapter 9(rommencing with Section ]000) of Division 3 of the Business antl Professions Code) or that �e/she is exempt � therefrom antl tne basis for the alleqetl exemption. Any violation of Section . � ]031.5 by any applicant to� a permit subjects the applicant to a civil ' penalty of no[ more than five hundretl tlollars ($500). ' 3 - ❑ I, as owner of the property or my employees with wages as their Sole ReinSpettiOn F¢e $15 � ISSue F¢e $ compensation, will tlo the wotk, antl the st�uctu�e i5 not intentletl or Offer¢tl ReinSpection F¢B $15 ISSU¢ Fee $ 3 for sale (Section �044, eusiness antl Professional Cotle: The Contractor's MECHANICAL FEES LicenSe Law tloes not apply to an owner of a pwperty wM10 builtl5 or Improves thereon, antl who tloes such work himseu/herself or rnrough his or her own DEVELOPMENT SERVICES REQUIREMENTS: ' � employees, provitletl that SucM1 improvements are nof intenEetl or offeretl tor BOiICf HOOd O! Typ21 ❑ - sale. It, howeveq [he builtling or Improvement is soltl within one year of com- Canopy TYPe II ❑ 2oning Approved By Date pletlon, ihe owner will have the burtlen of proving he/she tlitl not builtl or Im- Duct - Under Ground � . Buildin A roved B prOve tor the purpose of sale). 9 PP Y Ddt� ❑ I, as owner ot the property, am exclusivery contractlng with licensetl con- Duct -Structural Refrigeration System � '' Application Issued By ' Dat � Vactors to construct the project (Section 7044, Business antl Professions Cotle: The Contractor's License Law does not appry to an owner oi oroperty who Duct - Ventilating ❑4100,000 BTU ❑700,000 BTU SUMMARV OF FEES builtls or improves thereon, antl who contract5 fo� Such pmjeCts with a con- . tractor(s) Imense pursuant to the Contrattor's Liwnze Law). I am aware that . Exhaust $ystem ❑ Multiple ❑ System Repai�/Alte�ation BUILDING PEFiM1T $ SMIP � $ proof o( their Worker's Compensation insurance shoum be provitletl to me. . PLAN CHECK $ PERMIT ❑ I am exempt untler Section e. & P. G(or this'reason FirepUFact. BIt. IC80 # Fire Dampers ' , pLUMBING $ � �SSUANCE�� -$ Date Owner Heating System & Ducting • Registers � ' p�,qN CHECK 25% $ ENERGY P.C. $ 1 hereby certify tltat I have reatl this applicati0n antl state that the above ❑aioo,000eTu Oioo,000er GRADIN(�i $ iniormation is correct. I agree to comply with all city antl county ortlinances ELECTRICAL $ - antl state laws relatin9 to builtling mnstruction, anG hereby autnorize repre- � p�qN CHECK 50% MICROFILM $ sentatives ot thiz ity [o enter upon the above-mention¢tl property for . $ inspection Ou�po s ��/J/� Signature Date_,�� MECHANICAL $ TOTAL FEE $__S�� Drivers' License or 55 � � Reinspection Pee $15 laue Fee $ 3 PLAN CHECK 25% $ CMF OB65-46. rev. 10/84 White - Builtling; Canary - Applicanp Pink - Accounting; GOltlenrotl - Asse55o� CONSTRUCTION AND PLANNING PQ 1 SPA APPROVALS Permit# Date Inspector pppROVALS F'ermit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms �,;; 4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding �- 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test .,: 6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE �;. 7. Footings 58. Electrical Conduit�Undrgrnd. � iel 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. `:e 10. Struc[ural Floor System 61. APPROVAL TO DECK "u 11. Property Sewer �ine & House Connection 62. Backwash & Receptor-Final � 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # _ 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping � Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank � Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 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 Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric . Notes: �_�_� (,�,T(�.�.Gbj 34. Final Heating & Air Conditioning _� - 35. Final Gas Pipe-Test �3 � 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison - 50. Gas Release to Southem California Gas Co 51. CERTIFICATE OF OCCUPANCY ':' No. Date Applicant to fill in all sPaces except those within heavy Dortler Iinez an0 si9n all appropriate tleclara[ions. CITY O�COSTA MESA CO�STRUCTION PERM�ITy PERM NO. TRACT NO. •I.OT NO. UNIT NU. � , � Project Address ' �./SS C �. � y7' � � � �D . ' ' � oIR'. �ir..�...; . �Hpplicant'S Maili�g Add�¢55 TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAI R � ❑ CONVERSION ❑ DEMOLISH ❑ OTHER p�p # Zpne Owner's Name ��a�� ' Phone ��.5 - ' Address DESCRIPTION OF WORK/USE OF BLDG. S Main Buildin9: Accessory Building: E Z Arch/Eng. License No. TVPE OF PERMIT GRADING �❑�/FOVivDAT10N STaucTuaAL T Front p Addres5 ❑ OTHERT ❑ ELECTRICAL '� PLUMBING ❑ MECHANICAL A Reaf � N 1 Convactor's Name hone� C Ri9ht - G PROJECT DESCRIPTION 54. FT. ocGuaaNCV Addre551mailingl—�'} CONSTRUCTIONTVPE VALUATIONS g Left �7�% R City license No ZONE GRADING CU.vDS. ACRES p�n Ref. # � Parkin Feq./Provided E LICENSED CONTRACTOft DECLARATION 9' 9 Q I hereby af�irm tha[ I am licensed untler provisions of CM1ar[er 9(commencin9 Remarks: ' � Plannin9 NO[25: ry� �with section 7000) ot Division 3 0! the Business antl Pro(essions Cotle, antl � T my license is in'full to re antl effecL � S License Cl�a Li en No. Date � Signature PLUMeING -FEES � WORKERS COM ENSATION DECLARATION Ba�Sink' ShOWER . ELECTRICAL - FEES I nereby affirm that 1 have a certiticate ot con5¢nt to Selt-insure or a tertlficate � � of Workers' Compensation Insurance, or a certitietl copv thereof (Section Backflow Preventer Service Sink •� 3800, L.ab. C%7 /� p � L ,� � �,,a ' Automatic Washer � Transformer ❑ 15-50 KW � Policy No. �"��7�y� Q� Company �`�r �L�N�Li1 Backflowlrri ation - ' ❑ 50+KW �ertitietl cooY is hereby iurnishetl. 9 Sewer Cap Construction Pole Sub. .YJ Cer ''e o riled with tne Gty�p il/❑ v�o/,�,q� �(� �/� � Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps �a[e—�APPlicant(�i�-�--.cFy�'.`�— . � . . EXEMP ON ROM WORKERS' COMPENSATION DECOCRATION Cldrifi¢r5 SOldr COIIeCtOrS. Di5hwd5het Meter ❑Ovet 100 aTpS (This sectiOn neetl nat be completetl it the permit is for One huntlretl (5300) o� � - less). � Dishwasher Solar Piping Oryers ❑Gas ❑Electric Sub Panel I certify that in the performance ot the work tor whicn this permk is issuetl, I . ' snau not employ any person in any manner so as to become subject to the Drinkin9 Fountains Solar Tank Fan Motors �0-1 HP �1 %� 8 Workers' Compensatlon Laws of Califo�nia. Date Si9nature Floor Drains Swimming Pool w/Spa F.A.U. . InaSolar 09-15 HP �i6-15+ NOTICE: It, after making this tleclaration, you shoultl become subject ro tne. Workers' Compen5ation provisions of the LabOr Code, you muzt torthwith FIOO�SinkS ' U�inal FixtU�Cs Microw2v¢ comply wllh such � provisions or this. pe�mit 5hali be tleemetl �evoketl. CONSTRUCTION �ENOING AGENCV Gd55¢rviCC OUtl2t5 Wdt2/CIOSEt 1 nereby a�(Irm that there is a construction lentling a9ency for the oertormance Device Boxes Pole �ight of th¢ work for which this permit is issuetl (Section 309] Civ. CJ Inte�ceptors � Wat¢r Heater Outle[s Ran �entler'S Name ' q¢ Lentler's Atltlress � ., Kitchen Sink ' � Water Service - Swiiches OWNER BUILOER �ECLARATION Sign I hereby affifm Ihat I am exemp[ from the Contractor'S License Ldw tor Ihe LdvdtOli¢5 AutO�WaSh GalbagB DiSposai Std�ding S2CtiOns followin9 reason (Section 7031.5 Business antl Professional Cotle: Any city or county which requires a permit to construct, alter, improve, tlemolish or repair P—Trap ' Laundry Trays Generetor DO-5 KW �5-15 KW Trash Com actor any Structure, p�io� to its Issuance, also �eqWres the applicant tOr such pe�mit P to fi�e a signetl statement that he/she is licensetl pursuant to tne provisions of Roof Drains � the Contrac[oYs License Law (Chapter 9(commencin9 with Section ]000) oi , Oivlsion 3 of the Bu5ine55 antl Professions Cotle) or that he/she i5 exempt - - . therefrom antl the basis for [he alle9etl ezemption. Any violation of Section � ]031.5 by any applicant for a permit subjects the applicant to a civil �enalty ot noi mo�e than tive huntlrea dollars ($500). 3 , LJ I, as owner ot the property or my employees wit� wages as their sole Reinspection Fee $15 ISSue Fee $ compensation, will tlo the work, antl the structure is not intentletl or ofteretl Reinspection Fee $15 Issue Fee $ 3 for sale (Section 7044, Business antl Pro�essional Cotle: The Cmtractor's MECHANICAL FEES . LiCense Law tloes not appty [o an owne� ot a property who builtlz or improves thereon, antl who tloes such work himseli/herselt or tnrough his or her own DEVELOPMENT SERVICES REQUIREMENTS: employees, provitletl that such improvements are not intendetl or ofieretl !or Boiler Hood or Type 1 ❑ sale. If, howeveq the builtling or improvemen[ is soltl within one year of com- . Canopy � Type II ❑ Zoning Approved By Date pietion, the owner will have tne burtlen ot proving he/she tlitl not builtl or im- Duct - Under Ground @uilding Approved By Date prove for tbe purpo5e ot sale). � ❑ I, as owner of the property, am exclusively contracting wlth licensetl con- � Duct - Structural Retrigeration System AppliCdCon ISSued By �, _ Dai� fIdCSO(SLO COOSLfLICI LhC pfOj2CI ($EC[IOl1 J�44� 81151I1255 dlltl PIOfQ551005 COtl¢: •• The Contractor's License Law tloes not appry to an owner of vroperty who Duct - Ventilating ❑0-100,000 BTU ❑100,000 BTU SUMMARV OF FEES � builtls o� improves thereon, antl who contracts for such projects with a mn- tractor(s1 license pursuant to the Contractor's �icense �aw). I'am aware that Exhaust System ❑ MWtiple ❑ System Repair/Alteration BUILDING PERMIT $ SMIP $ proof of their Worker's Compensation insurance shoula be provitletl to me. � - PLAN CHECK $ PERMIT ❑ I am exempt untler Section g. & P. C. for mis reason Firepl/Fact. Blt. ICBO # Fire Dampers PLUMBING � $� ISSUANCE $� Oate Owner Heating System & Ducting Registers PLAN CHECK 25% $ ENERGV P.C. $ I hereby certify that I have reatl tnis application antl state ihat the above ❑0.100,OOOBTU 0100,OOOBT ELECTRICAL $ information is wrrecL I agree to compty with all city antl counry ortlinances antl state laws relating to builtlin9 construcHon, antl hereby authorize repre- PLAN CHECK 50% $ MICROFILM $ sentatives of tM1is city t0 ter upOn the above-Ten[ionetl property fo� � inspection rp s MECHANICAL $ TOTALFEE $ `l�� Siqnature Date Driverz' License or 55 �� Reinspection Fee $15 Issue Fee $ 3� PLAN CHECK 25% $ �rvir Utlb�-40� ICV. 1 V/64 wm[e - t3uumng; Canary - Applicant; aink - Accounting; Goltlenrotl - Assessor CONSTRUCTION ANDPLANNIN` � PC iSPA APPROVALS Permit# Date Inspector AppROVALS Permit# Date Inspector 1. Tempo'rary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement �� .• 3. Electrical Conduit Utili[y-Undrgrnd. 54. Forms 4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd:_ 8. Foundation` � 59. Gas Pipe, O Undrgrnd., Test�.� � 9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P-Trap, O Uhtlrgrnd. 10. Structural Floor System 61. APPROVA� TO DECK 11. Property Sewer Line & Hous¢ Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 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 ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing � 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINA� 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Fac[ory Fireplace 38. Final Plumbing �( �� 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation SYstem 45. Sound Attenuation 46. Handicap Regulations • 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison � 50. Gas Fielease to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date , �.(J� J � t��J i �PAID {{.h 1t C �"Y 2 cHs�001130'- 20 ..7� COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicani to Fill in Completely RECEI V DATE RE EIVED D ISSU D BUIL�ING ��/ —�C! � a�_ 7 ADDRESS 09 CassiB AYe. ' �r� PeaMi� N OWNER HBrbox' Mesa Coi' . ^'P' NO' �� `�� MAI L BUIIDING � 2 . ( ADDRESS 1� Ventura BZVd• �l 6 �+DDRESS O �- U CITY Sherman ��C9 Calif O N�L HV— O TFACT � LOT .� BLOCK Z 2 Q CONSTRUCTION W A P O N LENDER am J � BRANCH ---�,,,' " ' J � OWNE //.�c—c�i m J ADDRESS VALUE F�- t m ARCHITECT 5 S �✓IJ J a OR ENGINEEFi R8LO I't N � N FIRE w� ADDRE55 6 N. Robertson BZVC�• ZONE TVPE GFOUP�� aw ye�.,', APPflOVED J O CONTR�C�VP` � C• BV DATE m Z �� ADDRESS 15ll7 Ventura Blvd. W w TEL. �ONE �p NO.OF USE OF NEW Z� CITV Q $``alif' O Np- g�j— Q —C� FLANS �� BUILDIN � STATE CITV �'ARDSAPPROVED VARDSAPP VED N� ��. No. 88991 LIC. NO. MAIN BUILDING ACCESSORY BVILDING 7� SI2E NO.OF BLDCS. (FROM C/L STREET) OF LOT 60 % 116 NOW ON LOT None FFONT 3 Fr.3 �� FT. USE OF EXISTING BLDG. NOI18 I D FT. FT H SIZE OF 1 I n NO.OF T Z NEW BLOG. 'i'L � 07 ROOMS 9 STORIES �' L. SIDE `� FT. FT. a EXTEFIOR WALL ROOF �/ V COVERING S O COVERING Rock REAR '� FT. � FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & a MAIN BlDGS. ACCESS. BLIX'.S. a O C URP#�� —py APPROVED /�—�p — � f/� l.l a e Y• 4— Z APP E S_ � U z HOLD FOR SPE IAL P � 0 VI horeby acknowledge ffiat I have reatl this application antl state � ' p_, = that the above intormation is correct antl a8rae to camply with °`�� oll laws reBulating building construction, antl I shall not employ F any person in violation of the workman's compansation laws of tha State of Celifomia. ,n p 1 / p m L � z 1 hereby certity that I am properly licansatl as a contrecmr untler � SQ. FT.�� O t/ ��6 / p [he State of California Business entl Profeszions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR � Cheprer 9, entl that suc� licensas ere in full torce antl etfect, or 1 THE PURPOSE OF ESiA6LiSH�NG A PERMIT FEE ONLV: m am exempt irom ffie provisions of tha Steta of Calitomia Bvsinass ¢ VALUATION antl Protessions C e, Division 3, Chap / �-y� � PERMIT FEE S/ � V u � Signature of/ '/ / / y`, y 7 Parmittee 5 7�, S/S � PLAN CHECK $ !O p/ i� S E Au[horiz�atl A ni � / LL TOTAL FEE 5 ZO � ��