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Home My WebLink About2242 CATHERINE PL - Building Permits(714) 754-5273 • Fan (714) 754-4856 • www.ci.costa-mesa.ca.us 77 hAIH UMI V t, GVJ I A MCJA, l.X `JZOZO Job Address: Suite No Vicinity: 2242 CATHERINE PL KITCHEN Parcel Nunmber: 42607209 Applicanl: PETERSON, BRENT Address: 11712 WEMBLEY RD LOS ALAMITOS, CA Owner: BROOKS, VICKIE LYNN PLUMBING PERMIT Phone: 562-59G8337 Zip: 90720 Address 2242 CATHERINE PL Phone: COSTA MESA, CA Zip: 92627 Contractor: PETERSON GENERAL CONTRACTING Address: 11712 WEMBLEY RD Arch / Eng : Address: LOS ALAMITOS, CA Phone: 562-596-8337 Zip: 90720 License: 504253 Phone: Zip: License: ISSUED BY: Status: ISSUED Applied: 07/23/2002 Issued: 07123/2002 SCOPE OF PERMIT KITCHEN REMODEL. REMOVE POST AND COUNTER AND OPEN PASSWAY FROM KITCHEN INTO DINING ROOM. INSTALL 4 X 10 BEAM AT 8' PASSWAAY. ADD 6' SLIDER IN 8' OPENINGTO THE OUTSIDE. FRAME IN APPROX 1'6' OF WALL . REF: B02-01128. PLUMBING TO INCLUDE: 1 DISHWASHER, RELOCATE GAS LINE, 1 RELOCATE OF SEWER CONNECTION, 7 KITCHEN SINK. ISSUE FEE BackFlow irrigation BackOow Preventer Bathtub Clarifier System Connect Qce,Soda,etc) Dental UniLs Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outlels) Gas Repipe Gas Service Interceptors (Grease, Oip Interceptors (Sand Auto ) AMT 523.50 50.00 50.00 $0.00 $0.00 50.00 E0.00 59.80 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $6.15 $0.00 $0.00 $0.00 $0.00 $0.00 QTY FEE SUMMARY Laundry Tub / Washer Landscape Irrigation P-Trap Pressure Regulator Process Piping (per 70 fl) Receptors Septic Tank SewerCapforDemo Sewer Connect Sewer Pnvate Line Shower Sink, bar Sink, commercial Sink, Floor Sink, kitchen Sink, service/mop Spa (private) Spa (public) AMT 30.00 $0.00 30.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $24.65 $0.00 $0.00 $0.00 $0.00 $9.80 $0.00 $0.00 $0.00 QTY 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr Bktlow(1-4) Vacuum Brkr Bkflow(5+) Wash Basin wash Basin Set Waste and Vent System Water Closet (Toileq Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION AMT $0.00 $0.00 50.00 50.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $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 regulations. (Ord. No. 92-28, § 1, 12-21-92) COMMENTS / SPECIAL CONDITIONS EXPIRATION: 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 authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections end final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration ot this permit. FOR INSPECTIONS CALL: (714) 7545626 . 2648d8 (8�W) WORKERS'COMVENSAnON DECLARAnON: � I hereby afrirm under penalty oi perjury one oi ihe lallowing tleclaratians: I have end will maintain e certlficete af �onsent to self-Insure for wo I�mpensetion, es provided for by section 3700 ot the Lebor Cotle, for Ihe pedormance of ihe work tor which ihis permit is i uetl. ave end will maintain rke� comp8� etion nsu nce, as �equire' sectlon 3700 ot Ne Labor Code, for Ihe pertormance of the work for which Nis pa�mit is issued. My workers' compen s ren rtl enA pollcy umber are: Carrier: �- Policy Numbar: (This secfion need no( be comp/eted i fhe permit is va/ued t ane hunCreO dollers ($100) or less.) ❑ I certiry t�et in the pedorm of the wark tor wl' is pertnit is Issued, I shall not employ eny person in any manner so asW �ecome subjact to the workere' compensation laws of C ia, anA a ae th I o d become sub�ect to the workers' compensation provisions of Sactlod 3700 ot tha7 Labor Cotle, I shall lorthwith comply with these pm " on . �� n ��,q 7 Applicant Signature: S Q�� Date: L� �� WARNINO: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUflIECT AN EMP�OVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TO ONE HUNORED THOUSAND DOLLARE ($100,000), IN ADDITION TO T�1E COST OF COIdPENSATION, OAMAGE$ AS PROVIDEO FOfi IN SECTION 37060F THE LABOq CODE, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby eftirtn thai l em force and eftect Lic. N_ Conirectofs Signe[ure: (commencing with Sec�ion 7000) of DiWsion 3 0l the Businy� ar�l Pr�fessions�Code, entl my license is in full �_ Cless a �� /�7� _ Date: r!✓J CONSTRUCTION LENDING AGENCV: � ❑ I hereby aflirtn that there is e construcdon lending agency lor the peRormance of the work br w�ich Ihis permit is issuetl. (Sec. 3097, Civil Code). Lentler's Name: Lender's Atltlress: Slgnelure: Date: OWNER-BUILDER DECLARATIONS: I hereby aHirtn Ihet under penalry ot perjury Ihet I em EXEMPT FROM THE CONTRACTOF±S LICENSE LAW for iha tollowing reason (Sec. 7031.5, Busineu and Protesslons Cotle: Any ciry or counry which requires a p�� to construct, alter, improve, demolish, or repair eny strucWre, Pnor to its issuance, elso requires the epplicant for such permit ta iile e signed stetament that he or she Is IlGensed pursuant to t�e provislons ot Ihe Contradors License Lew (Chepter 9(commencing with Sedlon 7000) of Division 3 ai the Busineu flntl Professions Coda) or Ihet he or she is e:empt therefrom antl the 6a515 lor Ihe ellegetl exemption. Any violation ot Secllon 7031.5 hy any flppliwnt lor a pertnit subjects Ihe epplicant to a civil penelry of nol more Ihan frve huntlretl tlollars ($500).): 0 I, as owner ot the property, or my employees with wages as ihelr sole compensatlon, WILL DO THE WORK, and the strucWre Is not Intended or oHered for sale (Sec. 7044, Business and Professions Code: The Contractors Licensa Lew does no� apply lo an owner of proDerty who builds or improves ihereon, entl who dces such work hlmself or herself or Ihrough his ar her own employees, provided that such improvemenis ere not Intendetl or ottered far sale. If, however, ihe Duiltling or improvement Is sold within one year of completion, the ow�eo-6uilder will have the burden of proving Ihat he or she ditl not build or improve for purpose of sale.). ❑ I, es owner of lhe property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to conslruct the project (Sec. 7044, Business and Professions Cotla: The contrectors License Lew does not apply to en owner of propeny who bulltls or Improves lhereon, end who contrac�s for such pro�ect with e contractor(s) license pursuant to iha Cantractors License Laws.). ❑ I em exempt untler sec. Business and Prolessions Code for ihis reason: Signature: Date: Owner ID verified by dnvefs license. ❑ Yes ❑ No DriveYs License No. E:pires: Vedficatlon of Ownership by (typa ot tlocume��, i.e. - property tax bill or tleed): DIVISION OF INDUSTRIAL SAFETY PEHM�T CERTIFICATION: ❑ I hereby certify t�at no excavetion Tive (5) or mora faet in depth into which e person is required to descend, wiil be made in connection wlih work eutho�ietl by Ihis permit, antl that no builtling simcNre, 9�aflolding, falsework, or demoll�ion or tlismantling lhereol, will be more ihan ihirry-siz (36) feet high. (Chep. 32, Grp 2, Art 2, Sec. 341, Title B, Califomia Atlminisiretive Code). ❑ As owner-builder, I will not employ enyone to do work which woWd requlre a permit irom the Division of Intlustnal Safery, es notetl ebove, unless such person �es e pertnit to do such work Imm the division. SignaNre: Date: Division of Industrial Safery Pertnii Number: CERTFICATE OF COMPLIANCE AND AUTHORIZATION OF EMRV: I cenity under penalty of perjury ihat I heve read Ihis application end state that the information given is wrrect. I egree to comply with all stete lews and ciry ordinances retating to bull0ing construction, antl aut�orize representatives of Ihe Ciry of Costa Mesa to enter upon the ebove-descrihetl pmperty for insp tion puryoses. I agree not b occupy or allow occupency of any builtling authorizetl by this permi� until finel inspection. ��`F{yg wner(s) � n^� Date � Antl/Or Authorized Applicam / � Date CODE I. INSPECTIONTYPE 1676 Fixetl System Final Flre Prevention 1266 Paol Spa Finel 200 Finel Re-Root 201 Final BIocWRetaining Well 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition o"h It�Lg SODE� ixsveenoxnve 206 Finel Machanical 200 Finel Plumbing 210 Finel Elecirical 212 Flnel Fire Prevention 220 Final Planning Approval 222 Final Site 250 FinalBuilding/Oxupanty � It�� .. •. i1 (714) 754-5273 • Fan (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job nddress: 2242 CATHERINE PL Suite: Vicinity: KITCHEN AREA Parcel Number: 42607209 Applicant: PETERSON, BRENT Address: 11712 WEMBLEY RD LOS ALAMITOS, CA Owner: BROOKS, VICKIE LYNN Address 2242 CATHERINE PL Zoning: ISSUED BY: Phone: 562-596-8337 2ip: 90720 Phone: COSTA MESA, CA Zip: 92627 Convactor; PETERSON GENERAL CONTRACTING Address; 11712 WEMBLEY RD Arch : Address: Phone: 562-59&8337 LOS ALAMITOS, CA Zip; 90720 License: 504253 Phone: Eng: Address: Status: ISSUED Applied: 07/23/2002 Issued: 07/23/2002 Phone: Zip: License: License: SCOPE OF PERMIT KITCHEN REMODEL. REMOVE POST AND COUNTER AND OPEN PASSWAY FROM KITCHEN INTO DINING ROO. INSTALL 4 X 10 BEAM AT 8' OPENING. qDD 6' SLIDER IN 8' OPENING. Plan Check; Permit SMIP Res; SMIP Com; Other, Inspection; Total $163.31 $251.25 $1.50 $0.00 $0.00 $0.00 $416.06 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Fronl 0- 0 PARKING Existin : 0 Nores: Rear 0-0 Rear 0- 0 Reouired: 0 FEESUMMARY PLANNING & ZONING Lett 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Righl 0- 0 Right 0- 0 s�s,000.00 sis,000.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access raquirements under Calitornia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 180 days, or if work is suspended or abandoned for a period ot 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspectiona end final epproval must be obtained. Failure to obtain inspections and Final approval will result in ihe expiration ot this permit. FOR INSPECTION$ CALL: (714) 7545626 . � WORKERS'COMPENSAnON DECLAAAPON: I hareby effirtn untler penalry of perjury one of ihe following declarations: I heve and will mainteln e certiticate ot wnsent to self-Insure for worke ' mpensation, as provided br by sectlon 3700 oi the Lebor Code, for iha peAortnance of the wark tor which t�is permit is issu � I ve end will msin,ain ers' pensat n Insurance, required b sec 3700 of the Lebor Cotle, for tha parfortnance oi Iha work lor which is pertnit is Iswed. My workers' compen's � r r e policy n er are: Carner: Policy Number: (Thls section need nof be comp/eted il the permit is velued a! one hundred dollers ($100J or IessJ ❑ I certify that in the peAo e of �e work fory�hf h ihis pertnit is issueQ I shall not employ flny person in any manner so es to become su6j c to tha workers' compensation laws of el ie, en egree t 4t II should become su6�ect to the workers' compensetlon provisions of Se�lon 3700 f tne L r Code, I shall forihwith comply with these p i ss,. � c-� ApplicentSigneWre: f ��y �I Date: ��, 02� WARNING: FAILURE TO SECURE WORKERS' COAIPENSATION CUVERAGE IS UMAWFUL AN� SNALL SUBIECi AN EMPLOYER TO CRIMINALTENALTIES AND CML FlNES UP TO ONE HUN�REO TlqUSAND DOLIARE (5100,000), IN ADDITIOr1 TO THE COST OF COMPENSATIIXJ, DAMAGES A$ PHOVIDED F-0R IN SECTION 31O80F THE LABOR CODE, IfJrEFEST, AND ATTORNE`fS fEES. LICENSED CONTRACTORS DECLAqAT�ON: I hereby eHirtn that I em force end ettect. Lic. q ContractoYs SlgnaNre: 9(commencing with Section 7000) of Divislon 3 0l ihe B C18s5 k Code, end my license Is in full CONS7RUCTION LENDING AGENCY: � ❑ I hereby effrtn t�at there is e consiruction lending egency tor the peAormance of ihe work for which this pertnit is issued. (Sec. 3097, Civil Code). Lenders Name: Lendefs Address: SignaNra: Date: OWNER•BUILDEH DECLARATIONS: ' I hereby eflirm that un0er penelry of peflury that I am EXEMPT FROM TME CONTRACTORS LICENSE LAW lor ihe following reason (Sec. 7031.5, Business and Professions Code: Any ciry or counry which requires a permit b construct, alter, improve, demolish, or repai� sny strudure, prior to its issuance, also reqoires the appticant for such permil to file e signed statemeN thet he or she is Ilcensed pursuam ro the D�oNsions ot the Contrectors Licensa Lew (Chepter 9(commencing with Section 7000) oi DlNslon 3 01 the Business and Professlons Code) or th8t he or she is exempt Iherefrom and the basis lor i�e alleged exemption. Any violetion ol Sectlon 7031.5 by any applicant for a pertnit subjeds ihe eOD�� a e civil penalry of not more ihan live hundred dollars ($500).): ❑ I, as owner af the properly, or my employees with weges es iheir sola compensetlon, WILL DO THE WORK, end ihe sirucWre Is not intended or otteretl tor sele (Sec. 7044, Business and Professions Code: The Contractors License Law does not aOPly to an owner ot property who builtls or improves thereon, and who tloes such work himsel� or herself or Ihrough his or her own employees, provided Ihat suc� Improvemenis ere not intentle0 or oXeretl for sele. If, however, ihe building or improvemen� is sold within one year ot completion. the owner-huilder wlll have the burden of proving that he or she did not build or improve for purpose o� sale.). ❑ I, as owner of Ihe pmperty, am E%CLUSIVELV CONTRACTING WI7H LICENSED CONTRACTORS to construct the projact (Sac. 7044, Business and Professlons Cotle: The wnirectors License Lew tloes not eppy to an owner of pmperty who 6uilds or imprwes t�ereon, end who contrects lor such pmjed with e contrector(s) licensa pursuant to the Contraaors License Lews.). ❑ I em exempt under sec. Business antl Professions Cade tor this reason: Signature: Date: Owner ID verified by tlnver's license. ❑ Yes ❑ No Driver's License No. Vedficetion ol Ownership by (type ot document, i.e. - pmperty taa bili or deea): DIVISION OF INDUS7RIAL SAFETV PERMR CERTIFICA710N: Expires: ❑ I hereby certity ihat no excavetion �i�e (5) or more teet in depih iNo whici� a person is requirad to descen4 will ba mada in connection with wodc eNhorized 6y ihis pertnit, antl ihat no building structure, scattoltling, lalsework, or demolition or dismantling ihereof, will he more t�an thirty-six (36) leet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Califomla AdminisiraiNe Code). ❑ As owner-builder, I will not empl0y anyone to do work which woultl require e permit trom Ihe Division of Indus[nal Safery, as noted ebove, unless such pereon hes e permit to do such work from the division. Signeture: Date: Division ot Industnal Satery Pertnit Number. CERTIFlCATE OF COMPLIANCE AND AUIHORIZATON OF EMRY: I certity under penalty ot perjury tha� I have read this appliwtion end state that the intortnation given is correcL I agrae to wmply wlth ell state �aws antl ciry ordinances relating t0 building construction, and euthonze representatives of t�e Ciry o� Costa Mesa to enter upon Ihe above-des 'bed properry for inspection puryoses. I egree not to occupy or ellow occupancy ol any building authorized by ihis permit until final inspection. � Of legal Owner(s) � � ,\ Date AnNOr Ao�horized Applicant u Date COUE �. INSPECTIONTYPE 1616 1266 200 201 202 203 204 Flxetl System Final Fire Preve��ion Pool Spe Flnal Final Re-Roof Final8locWRetelning Wall Final Factory Fire Place Final Sign Final Demolition �¢ IMRIALS CODEt INSPECTIONTYPE 206 Finel Mechanicel 20B Finel Plum6ing - 210 Flnal Electncal 2tt Final Fire Prevention 220 Final Plenning Approval 222 Final Site 250 Finel Building�Occupancy PdIE V�EIfl (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIH UHNt, GVA' I A MtJA, GA 8ZtiL0 Job Address: Suite No Vicinily: Parcel Nunmber 2242 CATHERINE PL KITCHEN 42607209 npp�icant: PETERSON, BRENT Address: 11712 WEMBLEY RD LOS ALAMITOS, CA Owner: BROOKS, VICKIE LYNN Address 2242 CATHERINE PL COSTA MESA, CA ELECTRICAL PERMIT Phone: 562-596-8337 Zip: 90720 Phane: Zip: 92627 Convactor: PETERSON GENERAL CONTRACTING Address: 11712 WEMBLEY RD ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to t000a Service over 1000a Motors to 1 hp Motors to 70hp Motors to SOhp Motors to 100hp Motors over t00hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pale Intermed Pole LOS ALAMITOS, CA Phone: 562-596-8337 Zip: 90720 License: 504253 ISSUED BY: Status: ISSUED Applied: 07/23/2002 Issued: 07/23/2002 SCOPE OF PERMIT KITCHEN REMODEL. REMOVE POST AND COUNTER AND OPEN PASSWAY FROM KITCHEN INTO DINING ROOM. INSTALL 4 X 10 BEAM AT 8' PASSWAY. ADD A 6' SLIDER IN AN EXISTING 8' OPENING TO THE OUTSIDE. CREATE APPROX 1'6' OF WALL SPACE TO FILL OPENING. . REF: B02-01128. ELECTRICAL TO INCLUDE: 5 LIGHT FIXTURES, 5 OUTLETS, 2 SWITCHES AND 1 SERVICE UPGRADE 200 AMP. $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $5.50 $5.50 $2.20 $0.00 $0.00 530.50 $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 0 0 0 5 5 2 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY Temp Dist System / Lighting Busway /100 ft Slanding Section Misc ElecVical Equipment Transformers up to 1 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 Wiring System / Ckt Misc. Conduit Misa Conductor Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 30.00 $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 TOTAL CALCULATED FEES $67.20 COMMENTS / SPECIAL CONDITIONS Quantity 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 NOTICE: The work authorized by ihis 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 180 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 all requlred inspeetlona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. . FOR INSPECTIONS CALL: (714) 7545626 . 2aas-as (a�oo� WORKERS'COMPENSAnON DECLARATON; I �ereby ettirm 6nder penalry of perjury one ot th9 tollowing tleGarations: i heve and will maintain a certificate of con4en� to sell-Insure tor workers' compensetlon, es providetl for by section 3700 0l the Lebor Code, for the pertortnence of the work for w�ic� this pe i�� have arid will n orke pensation urence, es reQui y sectim 3700 of Ne Lahor Code, for Ne pe nca o e work for ch ' it is issued. workers' an carrier an i number a e: Cartier. Policy Number. (71iis section neetl not be crompleted i! fhe permif �s va etl ef one hundred dollars (5700) or less.) ❑ I cetlily thet in the peAo e1¢ e of the work �o� which this Oertnil is issuetl, I shall not employ any pereon In eny manner so es t become subj to iha workers' wmpensation laws of '(6mle, end eqree f I should become sub�ect to the workers' compensation provislons of Section 7 0 0l ihe La e, I shell lonhwlih Comply wi�h these pr ' ns. �,( Applicent Signeture: � A�%� N) _ _ Dete: WMNING: FAILURE TO SECURE ORKERS' �MPENSAiION COVEMGE IS UNLAWFUT AND SHALL SUBIECT AN EMPLOVER TO CRIMINAL PEN LT1E5 AND IVIL FlNES UP TOIXJE HUNDRED THOUSAND OOLLARE (S10D,000). IN ADDITION TO THE �T OF COMPENSATION, DAMAGES AS PFOVIDED FOR IN SECTION 3]Ofi OF THE LABOR CAOE, INrEREST, AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affrtn that I em torca antl ettect. Llc. W_ Camractals Signawre: (commencing with Section 7000) of Division 3 oi ihe Class � Date: Cotle, and my license is in full CONSTRUCTION LENDING AGENCV: � ❑ I hereby eHirtn that there is a consirudion londing egency br ihe peAormance oi the work for which this permit is issued. (Sec. 3097, Civil Cotle). Lendels Name: LenOer'S Address: Signeture: OWNER-BUILDER DECLARATIONS: Date: I hereby eflirm thet untler penelry ot perjury thet I em EXEMPT FROM THE CONTRAC70RS LICENSE LAW for Ihe lallowing reason (Sec. 7031.5, Business end Professions Code: Any ciry or counry which requires a pertnit to construct, alteq improve, demolish, or repair any struaure, pnor to its issuence, elso requires the epplicant for such permit to flle e signed stetement ihet he or she is IicensBd pursuent to tha provislons ol the Cantrecrors License Lew (Chepter 9(commencing with Section 7000) ai Divislon 3 01 the Business and Prolesslons Code) or that he or she is exempl therefrom antl the besis for the allegetl exemption. Any vlolation of Section 7031.5 by eny applicant for e pertnit subjecis ihe epplicant to e clvll penalry of not more ihan five hundred dollers ($500).): ❑ I, as owner of the property, or my employees wl�h wages es their sole compensation, WILL DO 7HE WORK, and ihe structure Is not intendetl or oHered for sale (SeG. 7044, Business end Professions Code: The Contractors License Lew tloes not apply to an owner ot properry who builds or improves thereon, and who dces such work himself or herself or Ihrouqh his or her own employees, providetl that such improvemanis are not intended or oflered for sele. If, howevar, the builCing or improvement Is sold within ona year of completion, the owne�-builder will heva the burtlen ol proving that he or she ditl not build or improve for purpose of sale.). ❑ I, as owner of the property, am E%CLUSIVHLY CONTRACTING WITH LICENSED CONTRACTOHS to construct the pmjecl (Sea 7064, Business and Pmfeuions Cotle: The contractors License Lew tlaes no� appty to en owner ol property who bulltls or Improves thereon, entl who conlrecis lor such pmject with a contrector(s) license pursuant to ihe Conlractors License Lews.). ❑ I em exempt un0er sec. Business end Professions CoAa tor this reason: Siqnature: Date: Ownar ID verilied by dnvefs license. ❑ Yas ❑ No Drivefs License No. Verilicetlon ol Ownership by (typa of tlocument i.e. � property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PEflM1T CERTIFICATION: Expires: ❑ I hereby cenity that no excavation five (5) ol more feet In depih into which a person is required to descend, wiil be made in connection wit� work authorized by this permi�, end ihat no builtling siructure, scallolding, lalsework, or demolition or tlismantling ihereof, will 6e more �han ihirty�six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title 8, Celifomia Adminisirative Code). ❑ As owner-6uiltler, I will not employ anyone to do work which would require a permi� from the Division of Industriel Sefe�y, es noted ebove, unless such person h05 a permit to do such work irom the division. Signature: Date: Division of IndusMal Sefery Permit Number. CERTIFICATE OF COMPLIANCE AND AUTHORWnON OF EN7RY: I certify untler penalry oi perjury ihat I have read this epplication and state t�at ihe informatlon given is correct. I agree to comply with ell ste�e laws antl �Ity ortlinances releting to building construction, and euthonze representatives of the City ol Costa Mesa to enter upon Ihe ebove�described property for inspaction puryoses, I egree not to acupy or allow occupancy of any building authorized by this permit until tinal inspection. ' al Owner(s) - � ^ � � e . I AnNOr Authonzed Applicant Date LO�E I, INSPECl10NTYPE 7676 Fixed Sysiem Final Fire Prevention 1266 Pool Spa Pinel 200 Finel Re-Rool 201 Finel BlocklRetaining Wall 202 Final Fectory Fire Place 203 Finel Sign . 204 Final Demolition QSjE �S� �Qpj� INSPECTIONTYPE 20fi Final Mechenical 20B Final Plumbing 210 Finel Elettncal 212 Final Fire Pravemfon 220 Final Planning Approval 222 Final Sita 250 Finel Building/Occupancy .IOI. • ��1�� . � •� CITY OF COSTA MESA � . ° BI/ILDING DIVISION , _ � � DEVELOPMENT SERVICES DEPARTMENT �• PERMIT PERMIT NUMBER �� 898-01320 (714) 754-5273 • Fa�c (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT JobAddress: 2242 CATHERINEPL Suite: Viciniry: Parcel Nunmber: 42607209 Appiicant: MIKE YOUNG Address: Owner: BROOKS, VICKIE LYNN Address 2242�CATHERINE PL �.Ai / / " / � �� COSTA MESA,CA � � � � Contractor: YOUNGS�ROOFING CO., INC. Address: 01112 E. CFIESTNUT Zoning: Phone: Zip: Phone: 714-722-8779 Zip: 92627 � ' , ' Phone: _. , • � ' � SANTA�ANA CA Zip:� 92707 � � � Llcense: 568560 Arch / Eng : ' . . . : . Address: � ' � ,. " Phone: Zip: � � License: , SCOPE OF PERMIT � . Voff sheath and 2roof 2200sf residence w/wmp � Plan Check: $0.00 ' Permit $87.25 SMIP Res: $0.50 SMIP Com: $0.00 Other:. $0.00 Inspection: $0.00 Total: $87.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0-0 PARKING Existin : 0 NOTES: Rear 0. 0 Rear 0. 0 Reauired: 0 FEE SUMMARY PLANNING 8 ZONING Left 0- 0 Left 0- 0 Pr000sed: 0 Calc Valuation: Claim valuation: Right 0• 0 Right 0. 0 Status: ISSUED Applied: 0712 2/1 9 9 8 Issued: 07/22/1998 ss,eoo.00 $3,800.00 EXPIRATION: This permit shall automatically expire and become voitl If work is not commenced within 180 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 all required inepectlona end flnal approval must 6e obtained. Failure to obtain inspections and final approval will result in Ihe expiratlon of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 � WORKERS' COMPENSATION DECLARA710N: I hereby effirtn under penalry of pefury one ot the tollowing tleUaratlons: � ❑ I have entl will melntain e certificate af consent to selFlnsure far workers' compensetian, as provitleC for by sedlan 3700 ot the Lebor Code, br t�e peAormance oi the work for whlch Ihis permlt is iuued. ❑ I have anO will maintain workers compensation insurance, es requireC by section 3700 t the LaDor Code, for Ne peAortnflnce of the work iw w�ich Ulv pertnit is iswed. My �wporkers' c�ensation Insurance carrier anA policy number are: ��1n Certler. r7��R-�.lA'ti� Policy Number. _ 1M_ I O S8O0 � S— / (Thls sacfion ne not be complered i! the permit is ve/uetl et one bundred dollars ($100) o� less.) ❑ I certity that In the paAormance of the work tor which ihis permit is issueQ I shell nol employ any person in any menner so as to become sublect lo ihe workers' compensetion lews ot Celitomia, entl agree Ihat if I shoultl become subjea to ihe work%e �' campensetlon proNslons ot Sedi n 3700 o the Lebor Cotle, I shell fonhwlth comply with these provislons. / I �-/ /� �AppllcantSigneture: �� ( Dele: 7/ 22- / 7� / WARNINQ: FAILURE TO SECURE WOFKERS' COMPENSATION COVEMGE IS UNLAWFUL AN� SMALL SU&IECT AN EMPLOYER TO CFIMINAL ENALTIES AND CIVIL FINES UP TO ONE HUNDRED TFIOUSAND DOLIARE ($100,000), IN AD�ITION 70 THE COST OF fAMPENSATIIXJ, DAhU1GES AS PROVIOED FOR IN SECfION 31060F THE IABOR COOE, INrEREST, AND ATTOPNEY'S FEES. �� UCENSED CONTfiACTORS OECLARATION: I hereby etfirm thet I em licensed under provisions of C�epter 9(commencing with Section 7000) of DiNsion 3 01 t�e Business and Professions Cotle, end my Iicense is in tull force end eflect. Lic. q %� S 6� � Class q - 3 9 Contractors Signature: `%'%�.sQ Date: �-2 q � CONSTRUCTION LENDING AGENCY: ❑ I hereby eflirm �het �here is a conswction lending egency tor ihe pertortnance of the work Por which Ihis permit is issuetl. (Sec. 3097, Civil Cotla). , Lenders Name: Lendefs Address: � Signeture: - Date: �� OWNER-BUILDER DECLARATIONS: I hereby eHirm that untler penelry ot perjury that I am E%EMP7 FROM 7HE CONTRACTORS LICENSE LAW br Iha lollowing reason (Sec. 7031.5, Business end Pmtesslons Code: Any ciry or crounry which requires a pertnit ta construct, elter, Improve, demolish, or repair eny structure, pdor to its issuance, elso requlres tha epplicant for such pertnit to file e slgned statemant that he or she is licensed pursuent ta iha provislans of t�e Coniractors License Lew (Chapter 9(wmmencing with Section 7000) of Divlsion 3 of ihe Business flnA Professions Cotle) or that ha or she Is eaempt theretrom and Ihe 6asis for the alleged exemption. Any violation of Sedion 7037.5 by any applicant tor e permit sub�ects Me applicant to a civil penalry of not mora Ihan five hundred dollars (5500).): ❑ I, es owner of ihe properry, or my employees wit� wages as iheir sale compensation, WILL DO 7HE WORK, end the struqure is not intended or otteretl for sale (Sec. 7044, Business entl Pratessions Code: The Contrectors Llcense Lew tloes not appty to an mvner oi property who builds or improves thereon, and who tloes such work himself or herseli or thraugh his or her own employees, pmvltletl t�at such improvements are nat Intentletl or ottered for sale. It, however, the building or improvement is sold withln one year ot completion, ihe ownerbulider wlll have the burden of proving that he or she tlitl not build or improva tor purpose of sele.). ❑ I, es owner of tha property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the pfqec� (Sec. 7044, Business en0 Professions Code: The conirec�ors License Lew doas not epply to en owner of property who builds or Improves thereon, and who contrects for such prolect wlth e contractor(s) license pursuant to the Contractoro License Lews.). ❑ I em axempt under sec. Slgneture: Owner ID venfietl by tlrivers license. ❑ Ves ❑ No Business en0 Professions Code for this reeson: Verificetlon of Ownership by (rypa at document, i.a. - property les blll or tleetl): DIVISION OF INDUSTHIAL SAFETY PEqMR CEHTIFICATION: Drivers LiCenSe No. Date: Expires: ❑ I �ereDy cently that no encavation five (5) or more teet in tlepth Into which a person is required to descend, will be mede in connectlon with work euthodzed by Ihis pertnit, end ihet no building siructure, sca8olding, felsework, or demolition or dismanNing thereof, wlll be more than thirry-six (36) taet high. (Chep. 32, Grp 2, Art 2, Sec. 341, Tltle 8, Celitomia Adminisiretive Coda). ❑ As ownar�builder, I will no� employ anyone to do work which would reduira e pertnit Irom the Division of Industnel Safery, es noted above, unless suc� person hes a pertnit to tlo such work from �ha division. Signature: Date: Division of Industnel Sefery Permit Number. CERTIFlCATE OF COMPLIANCE AND AIJfHOR¢A710N OF ENfRV: I certity under penalry of perjury thet I heve read t�is appliwtion and state t�et the infortnation given is wrrect. I agree to comppply with all siate laws and ciry ortlinences relating to building construction, and euthorize representatives of the Ciry of Costa Mesa to enter upon the above-d� e�ribed prop rty for�n purposes. I egree not to occupy or allow occupancy of eny building auihorized by this pertnit until tinal inspection. "'�Mw_/� Signawr Legel Owner(s) Dete � ✓�'1iG'l�X16L �O�NS / % 2Z 'i� g / And/OrAuthodzed Applicent _ _ Date GOOE � INSVECl10NTYPE 1616 Fized System Final Fire Prevention 1268 Pool Spa Final 200 Finel Re-Roof 201 Finel BIocWReteining Wall 202 203 204 zue ae Finel Fectory Fire Plece Finel Sign FlnalOemolitlon . Qd7E It�LS CO�E I INSPELTION TYPE 206 Finel Mechenical 20B Final Plumbing 270 Finel ElecMwl 212 Final Fire Prevention 220 Finel Plenning Approval 222 Finel Site 250 Flnel Bulltling/Occupancy � ,uu. � ��o �=�.� ��tn��a:, � �a.00 8I2S�� COSTA MESA BUILDING DEPARTMENT FINANCE DEPT. P. O. BOX 31� COSTA MESA, CALIFORNIA C�T�( (�F (;f1ST�� PA��, FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT aooRe's"s � ,L' � BUILDING cosTn MESA. CALIFORNIA FOR OFFICE USE ONLY RECEIPT NO, pERMIT NO OWNER �, � 3�-0 /. 1A' vEo er e Re� eo issu[�' ADDRESS� CV J �2 �' �ZS� J� ciTr �� TN�j �(A`[� ADDRE�ss 22 y� �IyiHlr/�/.�t-`t= p nRCHiTecT ��c' COSTA MESA. CALIFORNIA OR ENGINEEft NO. ' F�RE 3. nooqEss zoNE t ZONE MO.OF �� TVPE� GROII% ITY LIC. � P�arvs�� CONTRACTOR � NQ �� TEL. APPROVE ./ ADDRE55 N(J. BV •� fW� TE ��L S f, LEGAL LOT /� �+ �j /, NS oESCRiPriON NO. (� '/ BLOCK TRACT.J iY �- A P. NO. L-V� �� y SIZE rvo.oF e�oc5. OF LOT �3�Y � Plow Orv LOT � a USE OF EXISTING BLOG. ,0 ( ) /�yi(,.Q_� sEianc�c urvE Fwom c[rviER oF sir+EEr � REAR VARO � NEW REPAIR BUIL�ING GIJF RIGHT �+�J LEFT � / —�—�- DESCRIPTION OF WORIZ ALTERATION AODITION MOVING DEMOLISH NO.OF ROOMS STORIES WALL ROOF COVERING ,., _ _ , n • , �. q,0 �r.� r� li c O� �f�STA Mc aI�`'r T �EDG. DrcGi. �p _ DATE STATE THAT TNE RBOVE IS CJRRECT PND A6REE TO COMPLY WITH l�LL CITY ORDIN4NCE5 HNO $TPTE LP�NS REGULPTING Bl11LOING CONSTRIIC- norv. VALUATION �'} SIGNATURE OF PeRMiT FEE $ L_^ PERMITTEE L PLAN CHECK �$ �—_ $ � � � \ AUTHORIZED AGENT TOTAL FEE $ Z �,BMi ..w. .. �`' . . . �.._. , ' . . , �'•. . .. . . , f � ' ' ti _. .-. ' V ; ,. . - , ,--�_ >. . ... - � -�,:. _ � . : .. °= � .,; • _. .. , 1 � „ :•�� • .. ��i:�" r:'•'��'� _ .,' i 5^. , . . �'� - , ' . f :..z<--� I . ) � _.. .._ Ji...1 ,` ' . . . �.'1 _ ,1 � f� 1; , ....�. ./..`,.�1'.r.' . .... +�,�� / ,, e+ .... 'y� . _ .. .. . £ ' ; . . t tA .�. ._ �).�' . � v b - ' 1 L�.�.�g..� �: � � ,� � , ,-. � � 6��i �COSTA MESA BUILDING DEPARTMENT P. O. BOX 31� COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN 2242 CATHERINE PLACE COSTA MESA. CALIFORNIA owNeR FABRE CONSTRUGTION CORP, MAIL ADDF 3404 Via Lido aTY Newport Beach ARCHITECT LIC. oa ENGINEER Raymond Levanasn,o. TNo:OR 3-1240 3432 Via Oporto, N. B. CONTRACTOR LEG�1L OESCRIPiION A.P. NO. CITV LIC. 3o Constr. �o. TEL. Via Lido �o. 15 RI OCK 74 �nr'.�,.',�'� . „_, .�� I1�111/S% . ; ��±,�,.�cE o�P�. APPL•ICA�TIO;N!PF'O'R� PERMIT BUILDING FOR OFFICE USE ONLY PECEIPT NO. PE�I�r v v tECENEo 9Y [�PTE RECEIVEO �ATE ISSUED � �, �� ia-3-�7 RE55 COSTA MESA. CALIFORNIA FIRE ZONI ZONE APPF •1240 a� 3z42 s�ze approx. 6300 sq.ft.I�ow o� �o,� none OF lOT USE OF / EXISTING B�DG. sEiBhcn L rvE FRom C� CENTEF OF STPEET J REAR YA `S� 5� 5� SIDE YARD RIGHT LEFT DESCRIPTION OF WORK NEW � ALTERATION I AODITION REPAIR MOV�NG DEMOLISH SZIEDING lA'�p $�ft� ROOMS V STORIES 11 (J EXTERIOR WALL W�� ROOF �'Sz COVERING StUCCO COVERING Shlno] b BIIELDI�NGEW Dwelliri(�,' �}��C �'/�f1 CORRECTIONS -P--�'..��-�-0-r �/,�t.c�-�-�e. STATE TX>T THE FBOVE I$ CORPECT ANO AGREE TO COMPLV W!TH 4LL CITT ORDINANCE$ FND STATE lPWS REGUL4TING OUILOING CONSTRVC� iION. VALIIATI ON SIGNATl1RE OF PERMIT FEE S 3 D �' PERMITTEE PLAN CHECK S IS — S /, aiirHoaizFo nr,Ervr /�� TOTAL FEE $ �F.j�'� �a"'�