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Home My WebLink About936 CHEYENNE ST - Building Permits(714) 754-5273 • Faz (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT JobAddress: 936 CHEYENNEST Status: ISSUED Suite No Applied: 05/28/2002 Vicinity: Issued: OS/28/2002 Parcel Nunmber: 14172304 Applicant: SMYTHE, ROBERT P Address: 17945 SKY PARK CI SUITE A IRVINE, CA Owner. ALEXANDER, MARY ELLEN Address 936 CHEYENNE ST COSTA MESA, CA Contractor. SMYTHE CO P,ddress: 17945 SKY PARK CI SUITE A � -IRVINE, CA 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 10hp Motors to 50hp Motors to 100hp Motors over t00hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole ADD 6 PLUGS TO CIRCUIT. $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $6.60 $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 Quantity Phone: 949-851-9815 Zip: 92614 Phone: Zip: 92626 Phone: 949-851-9815 Zip: 92614 License: 435618 SCOPE OF PERMIT FEESUMMARY Temp Dist System / Lighting Busway /100 ft Standing Section Misc Electrical 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 Misa Conduit Misc. 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 ISSUED 6Y: Quantity $0.00 0 $0.00 0 $0.00 0. $0.00 0 50.00 0 . $0.00 0" $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES $30.10 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspectlons 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 . 2466-06IN00) WORKERS'COMPENSAnON DECLARAnON: - � I hereby aMirtn under penalry of perjury one of ihe following tleclarations: ❑ I heve and will�meintain e certificete ot consent to seN-Insure tor workers' compensation, es pmvided for by seclion 3700 oi the Labor Cotla, for Ihe pertormance oi the work for which ihis pertnit is issuetl. . ❑ I have antl will maintain woAcers' compensation insurance, as required by section 3700 of the Labor Code, br the pedortnance oi the work for w�ich this pertnit is issuetl. My workers' comperisetion Insurence carner and policy number e�e: . Cartier: Policy Numbar. (This section need not be comp/etetl i! the permit is va/ueO af one hunOretl dollars ($700) or /ess.) �',j1 certity thet in ihe pertortnance af the ork for which this permit is issued, I shall not employ any person in any menner so as ro become subject to Ihe workere' (f compensatlon laws �,g lif la, end �d I should bacome sub�ed to the workers' compensation provisions of Saction 3700 oi the Lebor Cotle, I shall forthwith comply with thase �4io . P,`pplicent'Slgnetura:� �� DC ate:.'�a _`7 ' 2 3 — � ^� WARNING: FAILURE TO SECURE WOFKERS' COMPE ATION COVEPAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAN� OOLLARE ($100,000), IN NDDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIOED FOR IN SECTIIXJ 310fi OF THE LABOR CODE, INTEREST, AND AiTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: Chapter 9(commencing with Section 7000) of Division 3 ot the Business�d Pmfessions Code, and my license Is in full CONSTRUCTION LENDING AGENCV: � ❑ I hereby aXirtn that ihere is a canstruction lending agency far the peAormance of tha work for which ihis pertnit is issuetl. (Sec. 3097, Civil Code). Lenders Name: Lenders Address: Signature: Data: OWNER-BUILDER DECLARATIONS: I hereby aHirtn that under penalry of perjury Ihet I am EXEMPT FROM THE CONTRAC70R5 LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any city or counry which requires a permit to constmct, alter, improve, tlemolis�, or repair any structure, prior to its issuance, also requires the epplicant for such permit to file a signed stetement thet he or she is Ilcensed pursuant to the provislons of the Contractors License Law (Chepter 9(commencing with Section 7000) af Division 3 of the Business and Protessions Gode) or that ha or she is axempt Iheretrom end the basis for tha allage0 exemption. Any violation ol Section 7031.5 by any aDD�icent for e pertnit subjects the eppllcent to a civil penalry of not more ihan five hundred dollars ($500).): ❑ I, as owner ot ihe property, or my employees wlth wages es iheir sole compensalion, WILL DO THE WORK, and the struc�ure is not intentletl or ottered for sele (Sec. 7044, Business and Professions Code: The Coniractors License Law does not apD�Y �a an owner of property who builds or improves ihereon, and who dces such work himself or herself or ihrough his or her own employees, provided ihet such improvements are not intendad or oMeretl tor sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have ihe burden of proving that he or she Ditl not buiitl or improve tor purpose of saie.). ❑ I, es owner af ihe property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct ihe project (Sec. 7044, Business and Professions Code: The contractors License Law tloes not apply to an owner of propeny who builds or improves ihereon, antl who contrach tor such pmject with a contrector(s) license pursuant to the Contrectors License Laws.). � ❑ I em exempt untler sec. Business and Professions Gode tor ihis reason: Signature: Date: Owner ID verified by driver's license. ❑ Yes ❑ No Driver's Licensa No. Expires: Verification of Ownership by (type ot documeN, i.a. - pmperty taz bill or tleetl): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certity ihat no exwvation tive (5) or more Feet in depih in�o which a person is required ro descenq will be matle in connection wilh work authonzetl by ihis permit, and ihat no building siructure, swftolding, falsework, or demolition or dismantling thereof, will he more than �hirry-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Galitornla Administretive Cotle). ❑ As owner-builtler, I will not employ enyone to do work which would require a permit from tha Division of Industnal Safety, as notetl above, unless such parson has e permit to do such work trom the division, - Signe�ure: Da�e: Division ot Industrial Safety Permit Number: CER7IFICATE OF COMPLIANCE AND AUTHORVATION OF ENTRY: I certity untler penalty of perjury that I have reatl this application antl state that the intortnation given is correct. I agree to comply with all state laws entl ciry ordinances relating to building consWction, end authonze representatives ot tha Ciry of Costa Mesa to enter upon the above-descnbed property for inspection puryoses. I egree not �o occupy or allow occupancy ot any building authonzed by this pertnit uNil final inspection. COOE�, INSPECTIONTYPE Qe$� INTRIA�S 7616 Fixetl System Final Fire Prevention 1266 200 Poal Spa Final Finel Re-Rooi 201 Final8lwk/Reteining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition Date �-?3-02 COpEII INSPECTIONTYPE 206 Final Machanical 208 Finel Plumbing 270 Final Electrical 212 Final Fire Pravention 220 Finel Planning Approval 222 Final Site 250 FinalBuilding/Occupency � �� INfifIALg enowEssaem�axo: 996 CHEYENI�E ST uxT: t_I:TY UE' C!:�STA MESA — BUII.,DTIJG I?ERM:I'f owxercsx.ueiraawx:ALEXANDER, MARY ELi,EN F'LOOD: X 47 PERM NO; I) Oi305U3 �ooness:976 CHEYENNE St COSTA MESA,CA � 92626. PERMIT NO; P OII0503 PLAN CHECK NO: N GOVT: N SOPP: N, ,�rv�.xuuno�ooxcss: V CONSTRUCTION TYPE: V–N PERMIT TYPE: PLU PURPOSE: UTH ANCXRECTOPFlN'dlEFA: Z I" uc.xo.: SOB DESCRIPTION . REPLACE WATEI2 HEATER SQ FT; WCX. Oli FNO.'S /�DDflE53: UNT: � CLAIM VALUE: CALC–VALUE: GROUP OCC; R-3 / ea+m�cTarsrun:RESCUE ROOTER � ( 714 ) 835-1602 ' CONfPACTOR3MNlRM 1085 N MAIN ST COMMENTS: X ,�oo�ssORANGE CA ucxo.: 353170 *�-*�ac-*******�*************#�-x�***�**i�*�t*�-***ic-***x-**�*�t�r�-�t*�-�-**�-f�*�-it�t*�t-********** 92667 ��, Z O N I N G R E Q U I R E M E N T S UCENSEU COMNACTONS DECLAflAT10N: I Mreby eM'vm uMer penelly d parjury I em li naed under prwieona d Cheqer e S E T B A C K S , (cwnmeridip wnh Seclbn ]OW) d Diwion 3 0l Ma &ninme eM Pmfinebna . m li ae b in lull lace eM eHed. . . cmuc.No.:034408 uacuss:C36 uc. ... 1�/ E} 12/96 ----------- MAIN BUILDING ---------- -------- ACCESSORY BUILDING --------- �e /L/y�� c�� FRNT: F'C LN REAR: FT IN FRNT; FT IN REAR: FT IN / LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN INEF 8111LOEN OECIAFATION: I heieby etfirtn untler penelly ol parj�ry thm I em ezemq Imm tM Cont�appe Limnca lew fa Iha �db»��s«ao��aisare�a�dvrdmsi�ecode:n�y�ry«�worywnw��ym�e�ni000ma�n.war.�mpore. PARKING REQ: PROV; PARCEL: 14172304 ZNE: REF NO: eemd'oh. «reoer eoy svucwre, o�r m re oweMe. eho reawree ma epp�t Iw euch pem�n m fib e eq�wd etambni mm M«ehe p LANN I NG NOT E S> ia limnseE W�� o ihe parivme d iM Con�redae licenae Lew �Cheqer 9(commendnp wilh Sedion ]IXp) d Dieebn 9 W IM Bueiiroa vM Adewuna Cade� a Ihel he a ahe ia uamq ihsehom enE iM beeis la tM albped eaemqion. My violetion d Seaian % -- J031.SEY�YeGV�iunifweDarmilabl�IMeOD�irantmetivilGendryd�wlmaelhenMehuMreLEdWa�55oo11. �EiEif'7E�lEiEiEiE'iE3EiE-IEf(-:IE�)EiE�IEiEif��KiEiE1F�lEiFifiEiEiElElEifiEiEiflEiEiEiEiE1EiE1E1EiElEiEiEiEifiEiflEiElEiEifiElEiEiEiE'IE1EiEiE1EiE1E'lEiEjEif1E�lEiEif�iEif ❑ i.�o,�,aina�nY«��dw.o•.n,..�...m,:w,�o,�„m�,wimin,�.,�ew,.o,�,,.m�w„�aw U E V E L O P M E N T S E R V I C E S' � R E Q D I R E M E N T S «dlereE M aeb (Sec�ion 1ad. Bwmm erd Prdmsbna Coda: The Camraaas limnse Lew Eom mt MdYto en ownera qopeny who buide or inVro+� Iherean. aM xM daee cuch xwk Iimd1IX henM IX Waqh he or Mr mm emOM�. G�'� thm wcli ' -�-' imyae��erna me nd iniended «oHmed �a aab. n, howa.x, me cu�kiiq «inpraemsm e sdd vrimm ona yw d mmqwim, me Z ON I NG AP P RC7�,TED B Y , � DAT E: owiwrLuiNm xdl heve iM buNan a 0�'in9 M or sha eN nd dnk «imwm* t« �he w�a d edal. � I. m ox�w d iM MW�Y. am ezdimveN canVacM wnA limmed contrxton to cans4W ihe pol� (SeUion ]WI. &ni�reu eM Proleavione coda: The CoMreawe liceme Lew doee m� epW'/ lo en ovmer a P�W�Y who Wilds «"vnG�'u 1lweon end Wn conirecb la adi p4�a wnh e mmretlale) IicemeE WnueM io iM CanVaqae Umnea Lew). ❑ 1 em uemp urder SMion: B. 8 P.C., lu thia reevon: o�a: a�w: I do ha�eby ceniy Uut 1 em ewere d eM undasteM iM requiremsme d Cellpnu Heetlh uM Se/ery Code Setliom Y5505. 25593. enJ P553a. eM Nel I a eiry Mure Wildinp om�pant xill / wil m� (�vcb me) neaE to canpy wY� eeid swa oodu ud iM rpw�emam b aM�nlamrui�uciionamod'ifratbnhanlMAi�ii y�erapament0iatrie.RsddanlilwnprinfioneVDke�iamuauemqlmmUsa qovisqna. Date: Apqicenl: WORKEP'S COYPOlSATION OECLAR�TION: I hereby Nf�m uMer penMy d pxjury pw d ihs Idbr.i'p dedertliom: � Il�e�ae�dhilmeintenecenAutadmmentloaeXivunbwaken'��m�.nawu.e�«o-is.e�,a�aoame� COEe. la tAe pe�lameMe W tlw v.ak la wtich Ihie pe1mG b eeuad. � � new m,d �i� meimen womm�• oomn�on baureMe. m na��.a M sea:n aroo a m. �ee« coa.. r« me o�� a m. - .�ia,.nKnmyw�nv�,.e.Mv..a,w�AA��"�°l�°°r`r��mn«aa: EXPIRES c�.,: Pa:v N�mn«: 01 / 01 / 9 7 (fhis esction med � be camObteC / fhe pemi! u M one hundred EdW �5/00/ a bn.l � I cenly ilw in tM peilormvice d Ihe wpk la which ihb pe�mn ie iaeuad. I ahell ml empoy arry penm in anY �� en n 10 become eubjee m iM xorkme eompanaeibn lewa N Cdil«nie. e�M epye Na1 R yShouM�objetl to ihe xaMeee' ��sm��o.a,�. a sw� a�oo a m, �ew coee. i�wi ronn»iier ��d, W� ihme ode: .- � . - T �oa��: i�r ✓r — � - � em/ng: Fallun ro�xun wo�kon'rompxvetlon rnwrep� l� unleNNl, �ntl aIWI ud/�ct en wmploysr ro crlMvl p�naltla eiH nvn nrna w ro ars nunared trouune dwl.n fSfa4aaaA m ew�uon ro m. cmt o� rnmp«ue�ron �� u povwse ror �n S�ctlon !)OS o/ M� Lebor CoW, InteiwS eM ettornsY'� lsa. CONSTNUCTION LENDINO A�ENCY: I hereby dRrm uMar panelry d per'ryry thei ilwe w e aonst�uaian NnNrp egerwy br tln oeiroimeMe a ina wonc �or wnidi inw wm,� ia eeued (sedbn 9osl, civ. cl. LENDEF'S NMIE: - LENDEfl'S10DNESS: I cerlily ihet I heve med thie eppliration end eteie IM1m �he ebova inlormetbn e w�rtcl. I epiee lo comOM �h ell ary eM couMy orEinencm end eWe levre relalinp ro builEvp eonatrudion erd hareby eNhor¢a repreaenla�ivea Nihia dry �o enter upon ihe ebwe-memionad peoperry �or ms�aw� a��o�s.M I K E.i TAL L MAN (5151-4l.WP) Whtle-Buildip 8 Selely; areert-Fle: Cenery-Apqirant pink-Revenue:OdEenrod-Asaeeaor HUILDING APPROC�ED BY : _ DATE: � �/p / APPLICATIOh7 ISSUED BY; /� DATE; �j� �(''� *ifiEiEiEiE�-it�-iE*iEiE*-atiEittEiEiEiE*�F�F'iF7F�FiFi�if�f�iE�F3FiF3F'�'�F �F7Fii'iF'-iF�iFitiEiEitikitiEiEititi� /�'"� ir"iE LEGALIZATION;N F.E E 5 U M M A R Y STRUCTURAL SEGM NT:N HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 11.00 25� SMIP/NON–RES PLAN � . ISSUE FEE 22.00 � HOILDING–DIV–> PERMIT ISSUE PL^AN-CHECK TOTAL PAID DUE TOTALS----> 1.1.00 22.00 �' �� 0.00 33.00 33,00 .00 n REVENUE DIVISION TOTALS--> COLI;ECTED: 33.00 OVER/SHORT: .00 BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN–CHECK 33.00 T �1(-1F'lE �1(-'lE ## iE jE iE iE iE �E �)E �IE �)E �E if 3E # f(-fE 1E �ElE �1E IE �E iF iE 1E �k �f iE �E iF iE �lE 1E iE iE if iE if 1f !f iE iE 1E 1E i(-if ik If * iE 1E ik 1E 1! 1E iF * i(-!E iE iE f(-'k if !F 1ElElE iE iE iE iE iE I N D I V I D O A i: �F E E B R E A K D O W N T_YF�'— QTY D E S C R I P T I O N. UNIT COST TOTAL COST PLU 1 WATER HEATER AND/OR,'VENT 11,00 11.00 END iOF FEES t� i / �11 0100219457-0�?19457 T�]T 33.Oa DATE: 11/19/45 TIME: 09:3� - CONSTR'UCTION AN6 PLANNI�._ / . _ . JL & SPA -r- , ' APPROVALS Permit# % � 'Date �Inspector , qppROVALS Permit#''�� Date Inspector � i. Terrporary Electricat Service or Pole� ' 52. Pool & Equipment �ocation ' ' 2. Soii Pipe-Undrgrnd. � - ' . 53. Steei Reinforcement � � � � 3. Electricai Conduit Uti6ty-Undrgrnd. � 54. Forms � � 4. Electrical Conduit�Undrgrnd. �� . 55. Electrical Bonding '' ,� 5. Steei Reinforcement . ' 56. Rough Plumbing & Pressure Test � ;� 6. Electrica� UFER Gmd. � 57. APPROVAL TO GOVER•GUNITE •' 7. Footings - � 58: Electrical ConduiPUndrgrnd. . 8. Foundation � 59. Gat Pipe, O Undrgrnd., Test � ^ a � 9. Water Pipe-Undrgmd. - 60. Backwash l.ines, P-Trap, O Undrgrnd. , • ��10. Structura� Floor Syscem ' 67. APPROVAI TO DECK � � 11. Property Sewer �ine & House•Connection . 62. Backwash & Receptor�Finai ' 12. Sewer Cap ' ' . 63. Heater & Vent-Final 13. Roof Qrains - �. 64, Plumbing System - Final . � .14. Rough Piumbing , ' 65. Electricai-Final � 75. Rough Electrical-Conduit � . - 66. Solar System�Final . ' 76. Rouqh Eiectric Wiring � . 67. Fencing & Access ApProval . 17. Rough Wiring Si9n , 68. APPROVED FOR- PLASTERING 78. Rough Electrica6T Bar Ceiling 69. POOLlSPA SYSTEMS FINAL 19. Rough Heati�g & Air Conditioning FIRE DEPT. REQUIREMENT � 20. Rough Factory Fireplace APPROVAIS Permit # 21. Ducts,in Struct�re 70. Underground Hydro 22. Ducts, Ventilatin4 � 71. Product Pipin, O Gas � Oil 23. Gas Pipe-Rou9h & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank �7Gas u0il 25. Roof Shc?athing � 74. Overhead Hydro 26. T-Bar Ce�ling IStruct�rail & Mortocoat � _ 75. Dry Chemicai .'.' � 27. Frame and Fiashing 76. DrY Standpipe 28. Lathin9 & Siding � � ' 77. FIXED SYST6'vl FWAL 29. insulatio� � 78. FIRE PREV. FINAL 30. Drywali Nailing - � HEAITH DEPT. REQUIREMENT 31. Plaster Brown Coa: - 79. FINAL INSPECTION 32. Electriral Power RAeterFinal 80. FOOD CERTIFICATE ISSUED 33. Pinaf Eleceric Notes: l�-2 ` o !6 �z�zs 34. Finai Hedting & Air Conditioning +a' Gl ' -� f�A � f y� p n� oc L� .L � Y 35. Final Gas Pipe•Test ,� 36. Haod or Canopy � , � 37. Finai FaGmry Firep�ace �` � 38. Final Piumbing t -a•9� � � - ---- 39. VJater Service-Fina! . 4�. Gas Service-Finai 41. Solar pomestic-Final - 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irripation System - 45. Saund Attenuation - A6. Handicap Regulations � 47. FINAI. STRUCTURE & BUILDING %� � •�,,.. 48. FiNF,LptANSVVNG /�'". 49. Electrie Release to Edison ' .�� 50. Gas Release to Southem Califor�ia Gas Co � �`"--^ 51. CERTIFICATE OP OCCUPANCY �� - N0. Date rxaecTnooxess: �' 936 CIICYEDIDIE ST uxir:" - " OWNEB'SN�ME: ALEXAND�R - . ' . . � nooxess: 936 CHEYF.NNE, ST. , ' ' COSTA MESA' • ` CA 92fi26 - � .� ('%l�)66'2-7909 �HCHIENGINEEB: � ' ' flEG.NO.: �� ROORESS:' • ' � � UNRi � � ! _ PEflMRTEE: k]IS ROOFING � (i1�}'irJ�'-�881 �ooxess: ��J50' W : KELLER ' 2 � SANTA ADIA CA 92704 ' 110ENSED CONTIIACTOB OECIAMTION: I Aereby affirm that I am ' ens d under provisions oi ChaD�e� 9(commencing wi[h Section � 7000) of Oivision 3 of tAe Business an0 Pmfessions Cotle, an0 icens is in fullforce anU e ect. ' cirv uc.: p 3 0 7 2 2'. srare uc.: 4 4& 6'7 9 us ! � � Date: -' -- Sipnaiure: WOPKEHS'COMPENSRTION CLAM710N: I�ere�yaflirmthatlhaveacertificateo co sen selbinsureoracertificateolWorkers' CamDensation Insurance, or a certifietl copy ihereal (Section 3800, Lab. C�. � ' POLICY NO.: ' EXP. ORTE: • carnrnHr: ❑ Certifietl coDY is hereby fumiSAeE. ❑ Cenified copy is file0 with the ciry BuilUing DiNsiart � i - Oa�e: � Applicant: ' � ' � EXEMPfION FBOM WOBKEBS' fAMPEN&1TION OECIAfWT10N: (This s 1 on ne A 6e co ete ihe.0er it is for one hunOreO (5100) ar less�. I ce�ify Iha� in Ihe perto�mance o� t�a work br which this permi[ i ssue .5 all oy an e on in any manner so as to 6ecoma ' sublect m the Workers' Compensation Laws oi Catitomia. . � i_ Date: � ""' �-'� �1'FS SiAnature: - NOTI E: Ii, atler makinA � is Oeclaration, you shoul0 hec e su�lec( to t' , mD sation pmvisions of the LaUor COAe, you must tortAwith camDly witA such pmvisians or this Dermit shall be Aeemetl revo 4. ' CONS7PUCTION LENOING AGFNCY: I here0y affirm that Ihere is a conslmction lending ap¢ y for the perfarmance oi the work for - which this permi� is isSueE �Section 3097, Civ. C�. � , - lFNOER � RUGHESS: . . • ' .. � . . ... . OWNEfl BUILOER �ECLANITION: I �ereby aflirm i�at I am exemp[ �rom t�e Coniractars' Slaie License Law for ihe followinp reason (Section 7031.5 9usiness an0 Proleuional Cotle: My ciry oi caunry wAich requires i De�mit ta consimct, alter, improve, Oemolish, ar repair'any strucNre, pnor to rts i55uance, also'requires I�e appliwn[ for such permii Io lile a sipnetl s�alemeni �ha� he/s�e is licensetl pursuant to the provisians ol Ihe Contractars' State License Law (Chapte[9 (commencinA'�'i�� ction 7000� oi Uivision 3 oi the Busineu antl Pmiessions CoOe) or that he/s�e is exempt thereirom an0 ihe basis for the allepe0 exemption. My violation'at Section 7031.5 by any a001icant for a Oermit sublects ihe apD�icant to a civil penalry oi not more [han five huntlre0 Oollars �5500). ', � l, as owner ol the DroDeM o� my employees with waAes as their sole compensation, will tlo Ihe work,-anA the ❑ stmcture is not inten0e0 or ottere0 for sale (Sectian 7094, Business'an0 Pmfessional Cotle: -T�e Cantradors' State License Law , Ooes not appty ro an owner of a proper[y w�o builAs or improves ihe2on, anU who Ooes sucA work himself/herself or tAraugA his or her own employees, pmvidetl that such improvements are not intenUeO or attered ior sale. Ii, Aowever'ihe builtlinA or impmvement is solA within one year of completion, the owner will have ihe UurOen of pmving he/she Ai0 not builtl or improve for the purpose ol sale�. ' � . � I, as owner oi the Omperty, am exclusively cantracting with licensetl coNractars ro coretmct tAe pmlect (Section 70d4, Business ❑ an0 Pmieuions COEe: The Coniractors' State License Law Ooes not apPty ta an owner o(pmperty who 6mI0s ar imprmes therean and who contracts for'such pmlects with a contractoqs)license pursuant to tAe Contractors' State License Law�.l am aware thai proo� ol Iheir Woder'S COmpensation insur5nce should be proviCea to me. _' " � I am exemD� unGer $ection: � 9. 8 P. C. ' ', tor ihis r¢uon: � � . - oate: - ' • owner. . . I AO �erehy tehiTy I�ai I am aware oi an0 unGerstantl I�e r¢qUirements of Cali�omla HealtA an0 Saf¢ry COde Seciions 25505, 25533, an0 -25534 and t�at I or any lutu2 EuilEinA occupant vnll/vnll not (circle ane) neetl to camply wit� said state cotles antl the requiremenis for a permit for constmciwn or motlification Imm I�e Air Qualiry ManaAement Disirict. Fesi�ential constmction applications are exempt fmm Ihese pmvisions. . . ' . . , Date: � ' ' � Applicant: I here�y certiry that I have reatl ihis aODlicalion antl stati ortlinances an0 state laws relatinp to huilAinA conslmction pmOenY �a� inspeition purposes. ', �' Date; y^'�-'—�� Signature: Dnver's License or Sociai Secunry is wrrect. I�0ree ro comply with all city and county e(atwespf tl�ls ciry to enter upon iha above�mentionetl '1661<fi � White-BuilOina; Green-COEe Enbrcemenk Canary-AppliwnC Pink-Revenue: GOIEenrotl-Assassor � CITY QF'. CQSTA MESA. -�F3UILUIDIG PERMIT ' PERM DIO; B }04677� � � . •. . . �, r . PERMII' NO: B. 046773 � PLADI CHF.CK NO: �� 'Di • GOC'T: T! SUPP,: AI , . CONSTRUC'TION TYPE: 5-DI PERMST TYPE:�STR .. - FURPOSE:'AL'T . . � . � JOB UES�RIPTIOTI : RF-SFiEA'CH 2 RE-ROOF� (L'IB�ERGLASS;SHIDIG.) SQ FT,` 5;159 �- CLAIM ZrALUE:. 5,1'S9.00 CALC-VALULi: 5,159.�00 GRQUP OCC: R-3..�/• � � . . . , , . � , COMMENTSi SMOKF. DETECTORlS).REQUIREll IN HOMF... - 3f lf iE k iF iE i( it i(� if �iE iF iE 3E �)E �1f # iE .Y� it i4 3F �%iE it iE iE if� iE jb � iE iF iE iE iE� �l(� iE 3E �IE iE if �)E �1E i6 if iE if IE �� iF it iF�if 3E iE aF M M 3t iE IE iE,1E iF if� �%� iE if iE iE -;(� iE,�1E af # ih �}: il Z O N I. N G' R.E Q U T,' R L M E N T i �.S F. T, B�A C K;S � . , . ---�--.__.---- ME�lh! BUILDING -------- '--------- ACCESSORY'BUILDIDIG -------- FR�1T: � FT IM I21iAl2: F.T ' IN FRDITf FT� IN REAR: FT `IN` LEFT: F2 I1� RGHT: FT IN LEF'T: ;'FT IN RGHT:; FT IN . . . � ' . � � . � . FARRING REQ• � PROV: PARCEL: 14172304.7.NE: REF.NOc � FLANNIDIG NUTES% , • . , , � . .. > ... . . .. . . _ .. . . . . . !E �lE if �f IF iE �E 3f jE 3E 3P 3E ?f %?f iF iF N if if if i6 iE 3E iE �E iE 1f !E-M� iE if if dF �1E if if if 1E �IE i(� jF lE fh iE fF 1F iF 3E 3f jE 1f jE if fE 3E if if 3E iE iE �K� iF iE iE �7E iE if 9(-��1F *.jf:if�if IF �f if ��'i6 D L"• j� F. I� 0 P �M E N T' ' i E R V I C E S R � F' S) U L R E M E N''�T ' S ZONTNG APPROVEll BY; _ � _ _ _ __ :DA�TH: "_. BUII�DING APrROVED i3Y _ — ------ �� _ _ ------_ . _iDATE: ---- ! � . APPLICATION ISSUED BY: l��_��.� � �_' � , ' DATEi ��?-'/ ��/7 . *,*��*��t�e�e:e�***�eit*�f�f��c��-�ir��i��e�7t S�iF 3C'iF' �+e��FiF"�-�r�FiF3E.?6.*x�at**�-ic�*� � �-��k�"SF'k"t�i�*�e IfiEiEfEiEfEiEll�FiE�1F#�EiE�3EifiEifiEiE�lEiEiflEiElfiEifif36i(,�iFiE��EM�ifxlEiEN�lE3f iE�EjEiF�EiEk3fiE.iE�IEi(�iEjEiEiFiE�1E1f�1P�IP�E%�1E.iFiEiE#�1FiFiEM�1f�i(�jf LGGALIZATIOPl:h]' ' - - F E E 'S U M A R;'"Y STROCTURAL S'EGMF.DIT:Y ' �; , � BLUG PMT PLUM'BIhJG .ELECTRIC MLCHANIC �FIRE�' SMIP/RL•"S GRAf�TNG PERMI'P '_ • R7..00 . � . 50 -, sMzrir�oni-i��s � PLI�N . . . . . 'r:� , . T.SSOE FEE, " ' BOILDING-DIV->, , PF'RMI.T ISSUE' PLADI;CHECK TOTF�L PAID , DOE ''POTP.LS----> �'81.SU 0.00 ' ,c. 0.00_ 81.50 81.50 , .0;0 .. . � i � � . . �. - . � , . . R�VENUE UIt?ISIc�ri TOTALS--> COLT-;ECT�n: � 8d.50' OV�R/SFiORT: .00 � LiLLG PMT FGUMBI•DIG F.LECTRIC ML'CHANIC FIRE SMSP/TOT �'GRADIDIG PLAD]-CHL•'CK � 31.00 � . ' .50 . . ' . r � i i iE if it jE iE iE if ff iE iE'vE iE N 3f iE �lE if if �1f- if iE iE if �lE iE iE �k iE iE if iF iE 1f �X� fEfE 3E 3E iE # fF IF if fE'R� iE iE iE iE 3E iF iE if iF 1E !f 1f ib iE if iE f(� fk if �lE if iE iE if 3E 3E �1f iE j6 if if A 3f If . I DI L� I V'I� D U A L.'. `:-t F E E B R E,A K D O W N T'YPE OT'N . D E S C, R.I P T 2 O'N • UN3T COST � TOTI�L COST SFR ' S1.59 REROOF' BY VALUE RESIDEDIIAL DIOZODIE 1.00 5, 153.00 - - .. ErID,:OF 'FEES ' . . )i _ . . '� .•• �r . ' ' ; ' � ' . � � ' ' ' � ' � • , • " � � � i . �. , � � � • � � s . , , . . � . , . . . _ _ _ ,. , . , . � . . , , , ; 3l.`0 . { * 01 �oOSl•53o-00057539 Tt_+T ' ' DATE:_04/02l90 TItlE=•10:?.2— . CONSTRUCfTION AND �PLANNING � -_ . . PG.. _ & SPA � � � ' � - � .Date Inspector � -Date' Inspector ' APPROVALS Permit � - APPROVALS Permit # _ � � . �'�� ♦ - ' . 1. Temporary�Electrical Service or Pole � '.� .52. Pool & Equipment� Locafion � � - t. 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 Gmd. ' � , . 57:.APPROVAL TO COVER-GUNITE - 7. Footings � - � 58. Electrical Conduit-Undrgfnd. 8. Foundation -� , . 59. Gas Pipe, O Undrgmd., �Test ' 9. Water Pipe�Undrgmd. , . . .�: ':+ �60. �Backwash Lines,�P�Trap, � Undrgrnd. � � 10. Structural Floor System . •' ,�61. APPROVAL-TO DECK .. � 11. Property Sewer Line & House Connection �. . � 62. Backwash &•Receptor-Final - . . 12. Sewer Cap .'^- 63. Heater & Vent�Final . 13. Roof Drains � �' -_ 64. Plumbing SYstem - Final � � 74. Rough Plumbing . , 65..Electrical-Fina� • . i 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 ElectricabT�Bar Ceiling � , . 69.�. POOUSPA'SYSTEMS FINAL � 19. Rough'Healing'& Ai7 Conditioning� � � � � , ,' � � �� FIRE DEPT. REQUIREMENT�+�� 20.� Rough Factory Fiieplace � APPROVALS Permit # � 21 �Ducts; in SVucture . � - ' _ 70. Underground Hydro 22: Ducts, Ventilating, , _. r� 77. 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 (Structuraq & Monocoat , 75. Dry Chemical _ . � -� ' 27. Frame and Flashing ' 76. Dry Standpipe - . 28. •Lathing & Siding - " . �' ' " � ' 77, FIXED SYSTEM FINAL- 29. Insulation � - ' • �- 78: FIRE PREV. FINAL �� cJ � �30. Drywall-Nailing � ' _ _ y � � .HEALTH DEPT., REQUIREMENT '•31. Plaster Brown Coat . . .�� 79. FINAL INSPECTION _ � � � '32. Electrical Power Meter-Final ,,'` 80. FOOD CERTIFICATE ISSUED. ��.33. Final Electric � . �,��,�� . Notes: __GLp- _ - _ � 34..,Fina1 Heating & Air Conditioning� � �: � . , : � �� -: � : 6 � 35: Final Gas Pipe�Test � - �; �9� � - � - , � . ��i,;. . - 36. Hood or Canopy `_ " ' f� _ ', � ._ 37. Final Factory Fireplace. ��' � � � �38. Final Plumbing ' . � .' "� � ; •�� : 39. Water Service-Final . � • � y , � � � - - 40. Gas Service-Final � - � ' " ' + ` _ " _ 41, Solar pomesticFinal . � ' . - 42. Backflow Preventer � • ' �� " . � �'�- • i• 43. Backflow.lrrigation� y �� • . � � � � . � ,�; � '-44. Landscape Irrigation System�� `� -, ' - _ , � � ; ' � � 45.' Sound Attenuation .� ' ��. i; � �. � .. . ' 46. Handicap Regulations - _ � � � � . 47: �FINAL STRUCTUFiE & BUI�LOING �3 �� - ; 48. FINALPLANNING • �i • � ' '� ' 49. Electric Release to Edison .4j . � � - � ' 50.. Gas•.Release to Southem California Gas Co �� ' '� � 51.CERTIFICATEOFOCCUPANCY � ' •� . ` , No. • Date � � , ' ?��9! COSTA MESA BUILDING.SAFETY DEPARTMENT P. O. BOX 919 CO6Tq MHBA, CALIPORNIA , For Applicanf fo'Flll In Completely TYPE OR PRINT ILDIN6 p DRE55 /� fo Cheyenne Street COSTA MESA. CALIFORNIA� 'NER CCW Land Companp DRESS 1304 W. Commonwealth Ave.` STATE LIC. NO SIZE OF LOT USE OF TEL. OM � � � REAR EFT J I RIaHT DESCRIPTION OF WORK Or C� A �IpY 5 196��/ . �AP�I�T FOR ERN � �B --"'For Office Use Only RHC81Y! NO. I N . I NO.OF - / PLAN6 �eo�t� 3Y0 oescxirrion (�`2 A. P. NO. NOTE: NOEAVEOVERHA� 90" TO SIDE @ REAR P. L. EAVES Q ALLOWED YARDSAPPROVED MAIN BUILOINQ � (FROM C/L BTRE FRONT Ff. R. 81D8 IFT. L.81D8 �J FT. �i REAR � FT. D16TANCE BET. � MAIN BLDG9. �y- VAR.# • _SIZE ,V '�1p�2 �j-/ ROOMS � 6TORIE9 1 EXTERIOR WALIJ�tllCCO I RpOF COVERING= COVERINO Shingle USE OF BUILDING AND WORKTp BE PERFORMED Trect 5340 — Lot 31 Plan 447D }�1 Residenc 1 HEREaY ACKNOWLEOOE THAT 1 F{�yg pp,AD THIB APP/ ICATION ANO eTATE THAT TXE �BOVB IB COHFECT RND AORE6 TO COM• PLY WITH ALL CITY OR�INAN 89 qND BTATB I.AW R60ULATINO BUILDINO CONBTRUCTION.:� SIGNATUREOF �z_� ��i_ _ PERMITTE ^'� AUTHORIZED A6ENT BHALL BE-Li3S THAN (O.B.C.REQUIREMENT� YARDSAPPROVED ACCE650RY BUILDIN6 OATE -y'- 6 TXE �MOUNT BXOWN UNOER VNLYATION IB FOR TNE PURPOSE OP 88iABLIBHINO R PERMIT FEE ONLY. VALUATION � . . / � PERMITFEE $ �P ( �' 31 $ I.S�% ` QII