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Home My WebLink About2988 CEYLON DR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DfiIVE, COSTA MESA, CA 92626 Job Address: 2988 CEYLON DR Suite No Vicinity: Parcel Nunmber: 139232�5 Applicant: MCKAY, STEVE Address: 20701 GOSHAWK LN HUNTINGTON.BEACH, CA Owner: URRICARIET, STEPHEN Address � � 2988 CEYLON DR � COSTA MESA, CA Contractor. PACIFIC COAST BUILDERS Address: 20701 GOSHAWK LN � HUNTINGTON BEACH, CA Arch / Eng : � � Address: . , , ISSUE FEE . Backflow irrigation Backflow Preventer Bathtub Clarifer System Connecl pce,Soda,etc) Dental Units Dishwasher Orain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank PLUMBING PERMIT Phone: (714) 969-1768 Zip: 92646 Phone: Zip: 92626 . Phone: (714) 969-1768 Zip: -92646 .. ' License: 672362 _ , Phone: Zip: ' �� License: Status: ISSUED Applied: 10/09/2002 Issued: �0/09/2002 ISSUED BY: / `�� SCOPE OF PERMIT REF: 802-01525. MINOR ADDITION FOR BATHROOM EXPANSION. PLUMBING TO INCLUDE: 1 SHOWER, 1 WASH BASIN SET, 1 WATER CLOSET. REF: B02-01562 � FEE SUMMARY �AMT QTY . � � �AMT �TY $23.50 � Laundry'.Tub / Washer $0.00 - 0 Sump Pump �$0.06 " 0 � Landscape Irrigation " $0.00 0 Swimming Pool $0.00 � 0 ' "`� � 'P-Trap $0.00 0 Trap Primer $0.00 �0-. PressureRegulator . $0.00 0 .Uriqal �$0.00 .. 0.�� Process Piping�(per 10 ft) .$0.00 � 0 Vacuum Brkr Bkflow(1-4) $0.00 - 0 '�� Receptors �$0.00 0 Vacuum Brkr Bkflow(5+) . � $0.00 - 0 - Septic Tank $0.00 - 0 . Wash Basin $0.00 0 � . Sewer Cap for Demo $0.00 0 � Wash Basin Set �$0.00 0� Sewer Connect $0.00 0 Waste and Vent System $0.00 .- 0 '� Sewer Private Line $0.00 0 � Water Closet (Toilet) $0.00 . _ - 0 ��Sliower � � $9.80 - - 1 Water Heater / vent $0.00 0� Sink, bar ' ' "$0.00 0'� , ' Water Piping Qnst or Rep.) $0.00 0 �'� �� _- Sink, commercial � $0.00 0- , � � Water Re-pipe AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 S0.00 $9.80 $0.00 59.80 $0.00 $0.00 50.00 QTY 0 0 0 0 0 0 0 7 0 1 0 0 0 NOTICE: � The work authorized by ihis permit shall comply with all applicable handicap access requirements under Calitomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automaiically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for Ihe work authorized under �his permit to be considered legal, such wo�k must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (774) 7545626 � 264G46 (N00) WORKERS' COMPENSATION DECLARA710N: � — I heraby afiirm under penalty o� �erjury one of the following declarations: ❑ I have entl will meiMain a ceniticate of consent to selbinsure tor workers' compensetion, as provided for by section 3700 ot the Labor Code, for the peAormance ol the work lo� which Ihis Dermit is issued. ❑ I have antl will meintein workers' compensetion insurance, as requiratl by section 3700 of ihe Labor Code, for the pedormance of the work for whic� this pertnit Is issuetl. My workers' compensatlon Insurance carrier antl policy number are: Carner. �+% PolicyNumbOr: (This section need nof be coMp�eted i/ the Oermif ls valued et one huntlred dollars ($f00) or /esS.J � I cartiy that in the p ormanca o� the work tor which Ihis permit is issuetl, I shall not employ any person in any manner so es to become subject to Ihe workers' compansation law oi Wo ni� egree ihat if I should become subject to tha workers' compensation provisions oi Section 3700 of the Labor Code, I shell forihwith comply with thesa v 'ioi� ^ J.� Applicenl SignaWre: Date: ��%^�1 �< WARNINO: FAILURE TO SECURE WORKERS' CAMP . SATION fAVEPAGE IS UNL4WFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVI� FINES UP TOONE HUNDRED THOUSANO DOLLARE (5100,000), IN ADOITION TO THE COST OF CqMPENSATIIXJ, DAMAGES AS PROVIOED FOq IN SECTION 3]O60F THE LABOR CODE, INTEREST, ANO ATfORNE`fS FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm ihat I am lic¢n ad u der rovisions of Chap�er 9(commencing with Section 7000) of Division 3 of the Busi ss and Professions Code, and my license is in full torce end effect. Lic. # b�7-�� Class N� Contrector's Signeture: �'1. M,w Date: 1 h-`�i-6'L CONSTRUCTION LENUING AGENCV: ❑ I hereby attirm that there is a consiruction lending agency for �he pedormance of the work for which ihis permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: Signawre: Date: OWNER-BUILDER OECLARATIONS: I hereby attirm that under penalry ot perjury Ihet I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Protessions Cotla: Any city or coumy whicp requires a permit to consirucl, alter, improve, demolish, or repair any structure, prior to its issuance, also requires ihe applicant for such pertnit to tile a signetl statement ihat he or she is licensed pursuant to the provisions of Ihe Contracbrs License Ww (Chapter 9(commencing with Sectlon 7000) ot DlNsion 3 of the Business entl Prolessions Code) or thet he or she is exempt thereirom and t�e basis for the alleged exemption. Any violation oi Sectlon 7031.5 by eny appiicant for a pertnit subjects the applicant to e civil penalry of not more ihan five huntlred dollars ($500).): ❑ I, as owner of Ihe propeM, or my employees with waqes as iheir sole compansetion, WILL DO THE WORK, and Ihe siructure is not intended or ottefed for sale (Sec. 7044, Business antl Protessions Code: The Coniractors License Ww dces not apply to an owner of properry who builds or improves ihereon, antl who does such work himself or hersetl or ihrough his or her own employees, provided that such improvemen(s are not intendetl or ottered for sale. If, however, the buildinq oi impmvement is soltl wiNin one year of cOmpletion, the owner-builtler will have the burden of proving ihat he or she did not build or improve for purpose of sale.). � I, as owner of Ihe propeAy, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to conslruct the project (Sec. 7044, Business and Professlons Cotle: 7ha comractors Llcanse Law does not apply to an owner oi propeny who builds or improves ihereon, antl who contrects tor soch pmject with e contrector(s) licensa pursuent lo the Gontractors License Laws.). ❑ I am exempt under sec. Signature: Owner ID venfietl by dnvers license. ❑ Ves � No Business and Pmfessions Cotle tor this reason: Venfication of Owners�ip by (type of tlocumenL i.e. - proparty taz bill or deed): DIVISION OF INDUSTRIAI. SAFETY PERMIT CER7IFIGA710N: �river's License No. Da�e: Ezpires: ❑ I hereby cehity that no e%��ation five (5) or mora teet in depth imo which e person is required to descend, will be mede in connection with work euthodzed by this pertnit, and ihat no Cuilding simcture, scattolding, falsework, or demolition or dismantling �hereof, will be more than ihirty-six (36) feet high. (Chep. 32, Gry 2, Art 2, Sec. 341, Title B, Califomia AOminisirative Code). ❑ As owner-builder, I will not employ enyone to do work which would require e permit irom ihe Division of Industrial Satery, es noted above, unless suc� person hes e permit to do such work from the division. Signature: Date: Division ot Indusinal Satety Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORVJ1710N OF ENTRY: I certily under penalty of perjury ihat I have reatl this application and state thal the information given is correct. 1 agree to comply wilh ell state laws antl city ortlinances relating to building consimction, end authorize representetives of �he City oi Coste Mesa to enter upon Ihe ehove-descnbed property for inspaction purposes. I egree not to occupy or allow occupancy of any building authorized by this permit until final inspection. COpE1, INSPECTIONTYPE � PeIF Ii{�JBL$ 1816 Fiaetl System Final Fire Prevenlion 1266 200 207 202 203 Pool Spa Final Final Re-Rooi Finel Black/Retaining Wall Final Factory Fire PIaGe Final Sign 204 Final Demolition CODE� INSPECTIONTYPE 206 Final Mechenical 208 Final Plumbing 270 Finel Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 FinelSite 250 Final Building/Occupancy Q�TE 1[�L4 -Z3-o3 � (714) 754-5273 • Fax (774) 754-4856 • wvnv.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: Suite No Viciniry: Parcel Nunmber: 2988 CEYLON DR 13923215 Applicant: MCKAY, STEVE Address: 20701 GOSHAWK LN HUNTINGTON BEACH, CA Owner: URRICARIET, STEPHEN Address , 2988 CEYLON DR � COSTA MESA, CA Contrector: PACIFIC COAST BUILDERS Address: 20701 GOSHAWK LN ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+uniLs) Pool / Spa lighting FixLs Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over 1000a Motors to 1hp Motors to 10hp Motors to SOhp Motors to t00hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg ,HUNTINGTON BEACH, CA Phone: (714)969-1768 Zip: 92646 Phone: Zip: 92626 Phone: (714)969-1768 , Zip: 92646 . .. ticense:- 672362 � e Status: ISSUED Applied: 10/09/2002 Issued: 10/09/2002 ISSUED BY: �+ � SCOPE OF PERMIT REF: 802-01525. MINOR ADDITION FOR BATHROOM EXPANSION. ELECTRICAL TO INCIUDE: 3� UGHT FIXTURES AND 2 SWITCHES. - ., • Quantity $23.50 $0.00 $0.00 $0.00 0 so.00 0 $0.00 0 $3.30 3 $0.00 0 $2.20 2 $0:00 0 $0.00. , � 0 : $0.00 0 $0.00 ' 0 $0.00 �-�, 0 $0.00 0 $0.00 . 0 � $0.00 �� -- 0 � , $0.00 ' 0 '-$0.00 0 .' $0.00 -� 0� . $0.00 � : 0 $0.00 `0 FEE SUMMARY Temp Dist System / Lighting Busway /100 ft � Standing Section Misc ElecMcal Equipment Transformers up to�1 kva/kw ................up to 10 kvalkw .................up to 50 kva/kw .................up to 100 kva/kw ...............�...over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misc. Conduit Misc. Conductor � Circus ( gen or ride) . Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand y Olher Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $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 $0.00 0 $0.00 $0.00 $0.00 $0.00 NOTICE: The work authorized by this permit shall comply with all applicabte handicap access requirements under California statutes and related regulations. (Ortl. 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 tor a period of 180 days. INSPECTIONS: In order for the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all required inspeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (774) 7545626 � zaae-as (�✓ao) a WORKERS' COMPENSATION DECLARATION: � � I hereby eftirm unde� penalty of perjury one oi the following deciarations: � ❑ I have end will maintain e certificate of consent to seli-InSure for workers' compensation, as provided for by sectian 3700 of the Lebor Cotle, tor iha peAormence o� the work for which this permi� is issued. ❑ I have end will maintain workers' compensation insurance, es requiretl Dy section 3700 of the Lebor Cotle, tor the peAortnanca of the work tor which this pertnit Is issuetl. My workers' compensation Insurance carnar antl policy number are: Carner. Policy Number: (This seclion need not be complefed i! (be permit Is valued at ane hundred tlollars ($100J or less.) � I cetlify that in ihe p dortnance ot the work for which this permit is issued, I shall not amDloy any person in any manner so as to become subjact to the workers' compensation lew o C lifomia, and agree ihet if I shoultl become subject to Ihe workers' compensation provisions of Section 3700 of the Labor Cotle, I shall torthwilh complywiththese � Applicanl Signature: _ Date: � �' Cl' 4 L WARNING FAILURE TO SEGURE WORKERS' ENSATION COVEPAGE IS UNUWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNORED TMOUSAND OOLLARE ($tOD,aW). IN ADDITION TO THE COST OF fAMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR WDE, �MEREST, AND ATTORNEY'S FEES. LICENSEO CONTRACTOAS DECLARATION: I hereby aMirm ihac I am I�Censetl under provisions of Chapter 9(commencing wilh Section 7000) of Division 3 of iha Business and Protessions Code, end my lirsnsa is in full force and enecc Lic. a Lo123(02 ciass x p ContradorsSignewre:,�, ,�L� Date: 10^0.—OZ CONS7RUC710N LENDING AGENCY: ❑ I hereby aHirm tha� �here is e construction lentling agency for ihe pertormance oi ihe work for which this permi� is issued. (Sec. 3097, Civil Code). LendeVs Name: lenders Atldress: Signature: Dale: OWNER-BUILDER DEC4AF7A710NS: I hereby affirm that under Penalty of perjury that I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professlons Cotle: Any ciry or counry which requires e permit to consiruct, alter, improve, tlemolish, or repair any structure, prior lo its issuence, also requires ihe applicant tor such permit to tile e signetl stetemen� lhet he or she is licensed pursuant to the provisions of Ihe Contractors License Law (Chepter 9(commencing with Sectlon 7000) of Oivision 3 of the Business and ProfessionS Code) or ihat he or she is ezempt Iherefrom and the basis for ihe allegetl exemption. Any violation oi Section 7031.5 by any applicant for e pertnit subjects the ap0�icant to e civil penalty ot not more than five hundred dollers ($500).): ❑ I, as owner oi ihe property, or my employees with wages as iheir sole compensation, WILL DO THE WORK, and Ihe siructure is not intended or oNeretl for sale (Sec. 7044, Business antl P�ofessions Code: The Coniractors License Law does not apply to an owner of pmpeny who builds or improves thereon, and who does such work hlmself or hersetl or ihrough his or her own employees, providetl ihat such improvements are not Intendetl or oHered for sale. If, however, ihe buiiaing or improvement Is sold wit�in one year ol completion, the owner-builder will have the burtlen of proving tha� he or she did not builtl or improve for puryose ot sale.). ❑ I, as owner of Ihe p�operty, am EXCWSIVELY CONTRACTING WITH LICENSED CONTRACTORS to constmct the project (Sac. 7044, Business end Professlons Cotle: T�e conirectors License Law tloes not apply �o an owner of propeny who builtls or improves thereon, entl who contrects for such projed with a contractor(s) licensa pursuant to the Conirectors License Laws.). ❑ I am ezempt under sec. Business antl Professions Code for ihis reason: Signature: Date: Owner ID verilied by dnve�'s license. ❑ Yes ❑ No Drivers License No. Expires: Verification ot Ownership by (type of document, i.e. - properry tex bill or Daetl): DIVISION OF INDUS7RIAL SAFETY PERMIT CER7IFICA710N: ❑ I hereby cetlify that no eacavetion fiva (5) or more feet in depih into which a person is required to descend, will be matle in connectlon with work authonzed by ihls pertni6 and Ihat no building stmctura, scaHolding, falsework, or demolition or dismantling thereof, will be more ihan t�irry-six (36) feet higR (Chap. 32, Grp 2, Art 2, Sec. 341, Title B, Californ�a Administretive Code). ❑ As owner-builder, I will not employ anyone to do work which woultl require a permit from Ihe Division of Indusirial Safery, as noted above, unless such pewon hes e permit to do such wark from the division. Signature: Date: Division of IndusMal Safery Permii Num6er: CERTIFlCATE OF COMPUANCE AND AUiHORIZA'f10N OF ENTFiY: I certify under penalry ot perjury Ihat I have read this epplication and state that ihe inlortnation given is correcL I egree to comply with all stata laws antl city ortlinances relating to building construction, and authonze representatives of ihe City of Costa Mesa to enler upon Ihe above-described property �or inspection purposes. I agree not to occupy or allow occupancy of any building authorized by Ihis permit until final inspec�ion. CODE I. INSPECTONTYPE D,IE INTIfIRlS 1616 Fixed System Final Fire Prevention 1266 200 201 202 203 Pool Spa Final Final Re-Root Final BIaWRetaining Wall Final Factory Fir9 Place Finel Sign 204 Final Demolition ln-�-oL Date CODE 1 INSPECTION TYGE 206 Final Mechanical 208 Final Plumbing 210 Final ElecMcel 212 Finel Fire Prevention 220 Final Planning Approvel 222 Final Siia 250 Final Building/Occupency P9IF II�dL$ • wj " (714) 754-5273 • Fa�c (714) 754-4056 • www.ci.costa-mesa.BUILDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 2988 CEYLON DR Suite: Vicinity: MASTER BATH Parcel Number: 13923215 App�icant MCKAY, STEVE Address: Owner: URRICARIET, STEPHEN , Address 2988 CEYLON DR � , COSTA MESA, CA - Contractor: PACIFIC COAST BUILDERS Address: 20701 GOSHAWKLN �� HUIJTINGTON BEACH, CA Zip:. 92646"; � � � Zoning: R1 R1 Phone: 714-969-1768 Zip: Phone: Zip: 92626'-- . Phone: (714)969-1766 License:��672362 Status: ISSUED Applied: 09/19/2002 Issued: 10/09/2002 ISSUED BY: J� Arch : GARY MAXWELL Eng: Address: . 2175 PACIFIC,AV � . � Address: � 'r CM, CA ' � . Phone: 949-632;6018 . .' , � Phone: . , � # C-4 � - . . . . . . ' � Zip: , 92627 � •� License: C13785 � ' � License: " SCOPE OF PERMIT �27 SF EXPANSION OF A MASTER BATH IN AN EXISTING SFD FOR A SHOWER. � � ` " FEESUMMARY Plan Check; $54.11 - Calc Valuation: $2,asa.so � � Permit �� -$83.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $137.86 Claim Valuation: So.00 PLANNING 8 ZONING SETBACKS i .: -�. . , MAIN STRUCTURE Front .0- 0'., �_ �, ' Rear 35- 0 � Lek , 0- 0 , Right ,� 44- 0� � � ACCESSORY ��Front, 0=0� \��Rear,� �0-0 Left, 0-0 Right 0-0 PARKING �• Exlstinq: 4 �,Required: 4 - Proposed: 4 , , NOTES: - • _ 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, § t, 1241-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 tlays, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order tor the work authorized under this permit to be consideretl legal, such work must comply with all applicable codes, and all requlred Inapeetiona and final approval must be obtainetl. Failure to obtain inspections and final approval will result in ihe expiration of ihis permit. x FOR INSPECTIONS CALL: (714) 7545626 � � - zeaaee (eiao) . -' WORKERS' COMPENSATION DECLARATION: � I hereby atflrm under penalry oi perjury one oi ihe following declarations: ❑ I have end will meintein a cenificata of consent to self-Insure tor workers' compensation, es provided for by section 3700 of tha Labor Code, for Ihe pertormence ot the work tor which ihis pertnit is issued. _ - ❑ I have end will maintain workers' compensation insurance, as required by section 3700 oi the Labor Cotle, for Ihe peAormance of the work tor which thls pertnit is issued. My workers' compensatlon Insurance carrier antl policy number are: Cerrier: ' Polity Number: (This secfion neetl not be complefed i! (he permit is valued et one hunUred Oollare ($100) or /ess.) � I certify ihat in the pedortnanca ot the work for which this pertnit is issued, I shell not employ any person in any manner so as to become subject to the workers' compensation laws of Califo la, and agree that if I should become subject to the workers' compensation pmvisions ol Seqion 3700 of ihe Labor Coae, I shall forthwith comply with these provision . Applicant5ignature: Date: ��-��- WARNING: FAILURE TO SECURE WORKERS' COMPENSATI01 COVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL flNES UP TOONE HUNDRED TMOUSANDDOILARE�5100,000f,INADDITIONTOTHECAST COMPENSATION,DAMAGESASPROVIDEDFORINSECTIIXJ3]OBOFTHELABORCODE,INTEREST,ANDATTORNEV'SFEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm ihat I em licensed under provisions oi Chapter 9(commencing with Section 7000) of Dlvision 3 of the BusinDess and Professions Cotle, and my license is in full torce and eltecl Lic. a �1 3 b Z Glass a ComractorsSigneture: ��Hn Date: �O-D�-87 \ CONSTRUCTION LENDING AGENCV: ❑ I �ere6y attirm ihal �here is a consWc�ion lentling aqency for ihe Dertormance of Ihe work for whic� Ihis Dermit is issuad. (Sec. 3097, Civil CodeJ. Lentler's Name: Lender's Aadress: SigneNre: Date: OWNER•BUILDER DECLARATIONS: I hereby eNirm that untler penalty of perjury that I am E%EMPT FROM THE CONTRACTORS LICENSE LAW tor the tollowing reason (Sec. 7031.5, Business antl Professlons Code: Any city or counry whic� requires a permit to construct, alter, improve, demolish, or repair any structure, pnor to its issuance, elso requires the applicant tor such permit to file a signed statement t�at he or she is licensetl pursuant to the provisions of the Contractors License Lew (Chapter 9(commencing with Sedion 7000) of Division 3 oi Ihe Business antl Protessions Cotle) or t�at he or she is exempt thareirom antl Ihe basis for Ihe alleged exemption. Any violation oi Section 7031.5 by eny applicent for e permlt subJects tha applicent to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the properry, or my employees wiih wages as their soie compensation, WILL DO THE WORK, and the slructure is not intended or oHeretl for sale (Sec. 7044, Business and Professions Cotle: The Conirecbrs License Law dces not apply to an owner o� properiy who builtls or improvas ihereon, and who does such work himself or herself or Ihrough his or her own employees, provitled ihat such improvements are not intended or oHered for sale. If, however, ihe builtling or improvement is sold withln one year oi completion, the owner-builder will have the burden of proving that he or she did not build or improve for purpose ot sale.). ❑ I, as awner of the praperty, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct Ihe project (Sec. 7044, Business and Professions Code: The contreciors License Law does not epply to an owner of properry who builds or improves thereon, ena who contracts for such project wlth a coniractor(s) licen58 purSuaN lo lhe Contractors License LawS.). ❑ I am exempt under sec. Business and Protessions Code for this reason: Siqnature: Date: Owner ID verified by dnvers licensa. ❑ Yes ❑ No DriveYs License No. Vedfiwtion at Ownership by (type of tlocument, i.e. - propany tax bill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Expires: ❑ I hereby certity that no excavation flve (5) or more teet in depth into which a person is required to descend, wlll be made in connectlon wit� work authonzed by this permit, antl Ihat no builtling stmcture, scaHolding, talsework, or demolition or dismanlling �hereof, will be more Ihan thirty-six (36) feet high. (Chap. 32, Gry 2, Ah 2, Sec. 341, Ttle 8, Califomia Atlminis�retive Cotle). � ❑ As owner-builder, 1 will not empioy enyone to do work which would require e permit from t�e Division oi Indusirial Sefety, as noted above, unless such person hes e pertnit to do such work from Ihe division. Signature: Date: Division of Industrial Safety Permit Number: CERTIFICATE OF COMPLIANCE AND AUTHORIZATON OF ENTRY: I certify under penalry of perjury �hat I heve read Ihis application antl stale Ihat the inlormation given is correct. I agree to comply with all state laws antl city ordinances relating lo builtling consiruction, and authorize representatives ot ihe Ciry of Costa Mesa to enter upon Ihe above-descnbed property tor inspection purposes. I agrae not to occupy or allow occupancy of eny building authorized by this permit until tinel inspection. Signature Of Legal Owner(s) oaie �ii'�i-(1L- And/OrAuthonzed Applicant Date COOE 1, INSPECTIONTYVE 1816 Fixed Syslem Final Fira Prevention 1266 Pool Spe Final 200 Final Fie-Roof 201 Finel BIocWRetaining Wall 202 Final Factory Fire Place 203 FinalSign 204 Final �emolition QdjE IN�(1� fQQF! INSVECiIONTYPE 206 Final Mechanical 208 Final Plumbing 270 Pinal Elecincal 272 Final Flre Preventlon 220 Final Planning Approval 222 Final Site 250 Final Builtlincy0aupancy OAIE It�i -� l./_i - wonesso�em�r+c: 2g88 CEYLON RD OANERSNAYEIFpIWIlL NANCY ARRIKARITE �op� 2988 CEYLON RD COSTA MESA CA 92626 APPL. Y/JIlNO �DDRE55: urcxrtEc* ox �xmun: JICN.OH ENG.'S AWPE55: W ca+macrarsxwe: ALL—COAST ROOFING CONf11ACTOR'SMYNIG 2107 WALLACE AV �� COSTA MESA UNT: uc, rq.: UNT: (714)650-2249 CA � � 598440 92627 uNT: UCENSED COMRACTONS UECLPHATON: 1 M1ereby eR'vm uMx perelly W perryry Met I em I'renaed uMs orieime M Cheqer e (mmme�iq �mh ion 0001 ��aun 3 M the Busimas eM Pmfasam Coda. arM mY lice ae ig in � I 1 anA eMeq. crtr uc. No.: 1 uc. cuss: C 3 9 uc. No.: 5 9 8 4 0 } : 0 6/ 9 8 ove: comreaor: � OWNEN BUI ER D LAPATION: I hereby eifirm uMer penelry W pmNrY �� I q han tM Camwaa Licenaa law la Ne iarow:ro ,e� lsea�o� �oais a,s:b,s �e r�d�a�s coda: noy uy «�oir � �a�� a w�a �o oo�wn. ena. �mwo�. Eamofah, a repei e�ry strucNre, pnor io na eauenra, ebo requiree tM epplicaM lor wch permn to fib e aqmd eltlemen� tlW he a she is liceneed W�enl �o Ihe paiuian d IM Conlreqan Licenea law �Chapla 9(canmmd�p wilh Sedion 1000) d Oiveion 3 al IM Businasv erd Prdeaiom Goda� or tMt he or Ma e a:�emp therehom eM iM beaw Iw tM elbped exemqion. MY vidmun d Seqion �m� s M a�v eoo��ceni �or e va.mn euEja.b �na epdicam �o a dvl� peneny d na mae �nen fxe huiwred ea�eis lssaall� � I.avowvwrdihapapenyamyampbyeaewY�wagmm�Mieobcampenaelion.willEOlMwak,enAtMeVuclureu'atinleMed adlarod I« eele (Saclion )04a. Buvrenvd Pmleasiona Coda: Tha Comratlps Licenae lewdoea mt epply�o en ow�rd popMy who buiEs w inprwea thereon, eM xRa dms su� wak HmeMl or henell a tMaq� he ar �er mm empb�aes, provkeE �MI euch imqaremenb ere rol inteMed «diered ta sab. tl, lawaror, ihe Euiki�p ar improvemeM ia eold wilhin me yeer ot oompldion, Ne owner-buiNer will heve IM buMm M poviip M« sha did rot buiN « imqo+a for tM WToea d ceb�. ❑ I. av ovmar a �M pwe�v. em ecdiaiveN mn�redn9 wilh IicrosaE wmre�tas to cautrue Ne pul� (Seaon low. &uinms eM Pmtessiona Code: Tha Contrmon licanee Lew tlroa nd apqy b an owner d p'opMy x1a buiMle or impovea Ilweon uM x1w conv�n tar wM qqeds wilh a wMreaor(s) licansad WB�� o tM Com�edore licwa Law�. � I em eaemq uMer Senion: B. d P.C.. la tliia reswn: De�e�. Owr�ec I tlo hera'q ceniy thet I em eware d eM uManieM the requiremame d Cddomie Heellh aM Sdety Code Sed'am 25505. YS53�, eM 25551. end �he� I w enY Mure buildiiq arupent xill / wAI rwl (tl�cb aro) � a Io canply w1 eeiA sl m enE IM �eQuiiemmb M epa�mntamn bna iFmlionhpnlFeA'v�an�nDinn .Raeidenlielwn tl4 P� onaveeumqiromthess pfOM5M119. o�a: � APdicanl: WORKEN'S CO ENS ON DKLAfl1TION: I haraby elfirm urdar peneM1y d p'u me d Na Mlowi�q dedvmom: ❑ in��em�mmm�e�.nerm<aoo�mioaen.��w�r«�a.�� ,o,c.�eadio.Ws.a�a�ooame�ee. code, ia m. wno��e a ma won� ��.nKn mb o� re��.e. ❑ i neve ena me meimen wwk.n� oompenx�on ��reurer�... �ec��e W seabn a�ao a me �enor coee. �« me ve�«manm a �n. woM la w1�iM thia permil a ivued. MY warkare campensetbn imurarKa mma eM pofiry number ua: c�.,: Pdicy Number -� (Thia sa tion rreed rrof be rnmpbfeE i the perme i61w one hund�ed dolbrs /J100j a lesv.) � 1 centy IMi in the parloimvice W iM wark lar whch tAn permn ia ivuad. I ehell ml ampby airy pevan in ury man�r n n to becana subl� lo IM wa'kers' canpeme�ian lews N Calilomie. enE eprea Ihm X I ahwtl Exams eubjatl b tM xalmn' campenmtbn qwisbm d Senion 9)00 d iM LeEor Cab. I ehdl lonhxnh wmpy xnh ihoee poveiom. ome: �cd�m: Weminp: FeNun ro aseuro woM1en' compsnsetlon rovorep� Is unbwNl, erW alull sW/eef en smployx ro MMIuI psneMu nM c/vll Mira up ro om �uWrs! fhouuntl CWkn (S10q000A M atltl/tlon ro M� cwf o/ wmpxuetbr5 Wmeps� u prov/dW b� In Sxtlon 9]06 0/ ths Lebo� Cods, Infen�t, end ettomsy'a leu. CONSTFUCIION LEHDINO 1OENCY: I haeby elfi�m unMr {aneXy d perjury ihel ihaee b e eonetrud'wn bMi�p apeney tor the partormenca d �ha xak Ia xfiidi ihie perml u'veued (�� l. Civ. C). LENDER'S NANE: LENOEP'S AUONE55: I CBXAY Ihe� I hevB reed �hn appliCO�pn eIN nelB �hBl �h0 BbwB 1111CTIBIron rs LnnM. I VJRB 10 cOniG�Y WIIII BII alY BM W��Y Ol�iin0nttf eM stele bws relelmg to buildvq consvutlion eM Mraby euthorize repraventelivee d t�n dly lo enlar upon �ha ebove�mentbnatl popany lorinspeaion Wrpoaes. L RY LLIAMS m me � � Dele: S nature W dRpenUFpplranVContreaa - (S151d6 WP) While-B�ildiip d Selery: �reaMFb: Cenery-AppSrent; Fnk-Revenue; (3oltlerw�Aeaeav CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B UY3410 PERMIT NO: B 089109 PLAN CHECIC NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE; ALT JOB DESCRIPTION : T/O ROOF INSTALL 25 YR FIBERGLASS SHINGL SQ FT: 2,600 CLAIM VALUE: 2,600,00 CALC—VALUE: 2,600.00 GROUP OCC: R-3 /U—i COMMENTS: REROOF *�*�r�*�r**��r+�**�r*�*��*+�**�r*�x *�r****�r**�r�r*��r*�*****�*+r�**��r�r***�r��r***�r�r*�r*�rx *�r*** Z O N I 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 BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 13923215 ZNE: REF NO: PLANNING NOTES>: � • � . it 1f fE 1t 1E iE iE iE iF �t �k ik it �E 1f,if �lf if if iFlF if ik if if iF iF ik ik i6 it 1E �F if ik �f 3k �k if �F �E 1f �E �)E iE iE iE jE 1f 1F if iE if 1f iE �E iE �f �E iE �E aElE iE �E �f �1F iF �1f �7F if iF iF ft 1F iE iF iE iE D E V E;L O P M E N T S E R V I C E 5 R E Q U I R E M E N,T S 'l . � .,. ZONING APPROVED'BY DATE: BUILDING APYROVED HY ; DATE: �'� APPLICATION ISSUED HY;—� �� DATE: �r.U� jEiFfl�E'k'lE'kiE%iE'1E'lElfi4.'IE1fiEifiEiFifiE��i�F�F3F3F3F�3F �F�FiF�F�iF�iF�i��iF3F3f7F�FiFiF�f'7FkifiFiEiEiklfiElf� fE�E LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANTC FIRE SMIP/RES GRADING PERMIT 79,75 50 SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 75.25 0.00 0.00 75.25 75.25 .00 REVENUE DIVISION TOTALS--> COLLECTED: 75.25 OVER/SHORT: .00 BLDG PMT PLUMBZNG ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECR 74.75 ,50 ii if if if !E it iF if i6 iF if iE if 3E iF iE �E �f if 1k jE iE i61f iF if iE if �F �f jf �E jE IE 3E iE iE iE 1E it if �f if if %jE fk if 3E i(� if �E 1F i(� �E iE �k iE iF aE �E iF if !f !E if iElF iF �F if iE if iE 7E 3E dE iF iE 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 2600 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 2,b00.00 END OF FEES 69-87-1997/04:3I F�ti/5%�.c;, kCPT�:01-@d104s5 PEftl'tZT:084104 <-�--,. - CONSTRUCTION AND PLANNING - POOL .,. SPA � . . APPROVAIS Permit #� Date Inspector qppROVAIS - Permit # � Date � Inspector 7. Tem ora�Y Electrical Service or�Pole • �' � , •' p ,. 52. Pool & Eq�ipment Location . � 2. Soil Pipe�Undrgrnd. � ' , �53: Ste21 Reinforceinent � � " - q . �3: Electrica� Conduit Utiliry-Undrgrnd. - � , 54. Forms . . - . � `4: Electrical ConduirUndrgrnd. ' -" 55. Electrical Bonding � - ,,5.. Steel Reinforcement '. � : 56._ Rough Plumbing & Pressure Test � 6. Etectrical UPER Gmd. � '.57. APPROVAL TO COVER•GUNITE ' , : 7 Footings _ . . � � , . �.58. Electricai ConduiFUndrgrnd: . I • 8r Foundation . _ ; ' � � . ,59. Gas Pipe, O Undrgrnd., Test� � - ' 9. Water PiVe'Undrg'rnd. '' " • � - = � � 60i Backwash�Lines,�P�Trap; � Undrgrnd. ' . ' 10. Siructura� Floor System ' � - ' ' �,61�.� AP4�ROVALTO•DECK `� , . � . 11. Property Sewer Line & House-Connection ' ' ' �62. Backwas'h & Receptor-Final , - � � .-� 12. Sewer Cap '' - , _ , � . ' ' 63. Heater & VenrFinal � � 13. Roof Drains ._ � � 64'. Piumbin� Syetem � Final . - 74. Rough Plumbing , � - _ 65i Electricai�Final ; - - . 15. Rough Electriraf�Conduicz`- �-'. ' ; r,- : . . � ;66: Sola� Svstem-Final � . " 16. Rough Electric Wirincj ' �� ' . 67: Fencing;& Access Approvai -! ' 77. Rough Wiring Sign � +� y �.,68i APPROVED FOR PLP,,STER�I(VG ' ' 18. Rough Electrical T Bar Ce�ling� � -° � � 69� POOUSPA SYSTEMS FINAL ,� ' -' - 19�. RougR Heating &�Ai� Conditioning '� - -- �- - � � ' `FIRE DEPT: REQUIREMENT � � -- ^tiY- r 20. Rough Pacmr�� Fireplace • xT ��. -� - •�� ''" * '":APPROVACS�� -' Peimit # ' 21. Ducts, in�Structure' j� .. ' � . - � �� -� 70. �Underground Hydro F 22. DuMs, Ventilating-- +' � �, = =, � � 77, Product�Piping � Gas ❑ Oil 23. Gas Pipe�Rough & 7est ;, �; ; .,. _ ; ;. �.. 72, Undergrpynd Flush.. • ' `� 24. Roof_Framing��• -- ��>r �� _ _ �«�; 73:' Undergrnd. Smraye Tank �7 Gas ❑ Oil 25. Roof„Sheathing ^� ''� Q,�(,� � j p� � 7q, _pverhead H drq � - - "t O ti'/ ; � / �" '^ Y _ 26. T•Bar. Ce�ling (Structuraq & Monocoat �, 1' - ;� i 75:� Dry Chemical � � 27. Frameand Flashing " ;, � " �� 76. Dry Stanclpipe; �� . 28. Lathip9&�Siding a� ��'.: r, . �� •�� 77; FIXEDSYSTEMFWAL . �� 29. Insulatitl�� ", � -" �� :. 7$? FIRE PREV. FINAL + . , r �• 30. Orywalt Nailin9 F� �� * �� HEALTF#OEPTtREQUIR"EMENT „ � ,� _ 37. Plaster Brown-Coa; ; ._ ; � i �� . 79: FINAL I�S�ECTION - " - 32. �Electrical Power Meter;Final � ��' �� 80��.� FOOD CEHTIF.ICATE ISSUED - ; 33. Final Eleciric. � , ° �' -' � � Notes: _, '- . - �; 34. Final�Heaiin9 & Air Conditioning•: � �. - . _�? _ � 35. 'Fina�-Gas Pipe�Test ' �� '� � - � ' _ ,. 36. Hood,or Canopy � . �; . , � ' , ; � � � � - 37. Finat*Factory Fireplace _ - - �'• � i� . . 38. Final Plumbing � ••i , e ` �i � � -� ti _ ' . 39. Water-Service�Final . � • � � ` • � � - ,� 40. Gas Service�Firial �' . . ' � � : -, , - ' � i' 41. Solar Oomestic-Final� _ � •� ' � � -� � ' + ' •_� 42. Backflow Preventer '. - � . . , � - � 43. Backflow-Irrig2tion � -; -- - .- � ^ � � - _ , i 44. LandscaPe Irrigation�System -�� { ~� - - x � - ' ' � 45. Sound Attenuation • - �' _ � � � ' ' � � -� ( �y j 46. Handicap Regulatlon`s _ - , ` � � � � . � , � - - 47i, F WAL STRUCTURE & BUILDING � -�V � " . - ._ _� 48. FINALFLANNING.. ' ' � '• . . � . • - 49. Electric Release to Edison � ' r ' ' � 54� Gas Release to Southern Califomia Gas Co :, � • , = • 57�. CERTIFICATE OP OCCUPANCY' , , � � No. Date OWNER MEYER� NORMAN JOBADDRESS 2988 Ceylon Drive GENERAL CONTRACTOR �na Builders AP No. _z 2_], LOT 1 1 TRACT INSPEC710N5 Si not� �OIL GAS W ATER ROUGH PLUMBING PROP. SWR. LINE � HOUSE CON. � SPRINKLING SVSTEM MISCELLANEOUS ROUGH HEATING AN� AIR CONDITIONING TEMPORARY SERVICE OR POLE UNOERGROUND � POWER � ROUGH WIRING iRENCHES �' FORMS STEEL REINF. FLOOR SVSTEM fn� BON� BEAM � STEEL REINFORCE SHEATHIN�%i (c"`J- ^� FRAME AN� FLASHING LATHING — IN OUT PLASTER, BROWN COAT STRUCTUHAL, FINAL HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL ANO GAS TEST n DESCRIPTII FIRE ZONE DATE VALUE SUBCONTRACTOR , 302 : ,.i .; . COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely BUILDING p (] �F 'V !/ 2� ADDRE55 �J Q �OWNER �,�f .�S �U'ir+a (/ C� F MAIL z ADDRESS S O r�E ' W W ��/ TEL. dU CITV Cp-1 /�, /ii�$'q. NO. ZZ Q CANSTRUCTION �/ ON LENDEF �` � /"/• am ` J � BRANCH � �E/r YClJ J N m J ADDRESS �- m ARCHITECT TEL. L y�3 J a OR ENGINEER ✓ � S.4�A'�S N. E U N '/ W ¢ ADDRESS �"Y�2 L `% �r aw J O CONTRACTOR �/ � `f m Z J� ADORESS `�(�L � i./ , W w TEL. Z� CITY �� j ' NO. �j'Gf w � STATE CITV y� LIC. NO. /f L y �' LI4 NO. _ � SI2E NO.OF BLDGS. OF LOT NOW ON LOT USE OF EXISTING BLDG. I"' S12E OF NO. OF Z NEWBLDG. nt� 2 U ROOMS STORIES U EXTERIOR WALL ' ROOF COVERING COVERING J USE OF BUILDING ANO WORK TO BE PERFORMEO a a a � E.Oit o• s., — ; i� 0 F . v, � , � _ z 0 VI hereby acknowletl8a that I have read this application end state � that the above informetion is correct and agree to comply with � all laws regulating builtling construction, antl I shell not employ F„ any person in violation of the workman's compensation laws of y the State of California. z FhSO 'siirY 16-64�nSIOQ1G32�` �*�-48.OD APPLICATION FOR BUILDING PERMIT :EI ED BV DATE RECEIV� DATE ISSUEI S-zo- '�iiT.O BUIIDING ADDRESS OWN FIRE ZONE APPROVED N — / NO.OF PLANS � VAROS A7PROVED MAIN BUILDING VAF. # C.U.P. # APPflOVED � � I hereby certify ffiat I am properly licensetl as a co vactor under the State of California Businass antl Pro(essions C e, Divisicn 3, THE AMOUNT SH Chapter 9, antl that s ch I' are in tull force ntl et ct, or I THE PURPOSE OF E am exempt trom the r isions t the Siate ot C forni usiness VALUATION antl Professions Cod ivision 3, Ch/ap�ter 9. Sienature of ,. ` /� ^ ,�/� Permittee r� $ /"'1/ � • /(/ V / /Y Authorized Agent `/ '� /� oaTeoS '��'_( USE OF NEW }./y� • BUILDING VAflDS APPROVED ACCESSORV BUILDING FT. FT // FT. FT. � BET. MAIN & ACCE55. BLOGS. OATE APPROVED / „�,� .-r- /.c- �9 — � b 0 OWN VNDER VALUATION IS FOR ' 5TABLISHING A PERMIT FEE ONLV: � ¢ � � PERMIT FEE $ � 7 m PLAN CHECK $ � • E `o LL TOTAL FEE $ �,. q,�* ;.� .: r�, ��_�3_'ii� CO�TA MESA BUILDINGSAFETY DEPARTMEN7 � P.O. BOX 317 COSTA MESA. CALIFORNIA fOR APPUCANT TO F/LC /N COMPCETECY TYPE OR PRINT ADD E'ss 2988 Ceylon Drive COSTA MESA, CALIFORNIA _ oWNERKenprof Develo ment Co, Inc MAIL 1 � 5 Placentia poDRess �,T„ Newport Beach TNO. _ ARCHITEG7 � LIC. x.w, xoll �,rTNTA 61195 ��ecnt I LOT l•i 1 OESCRIPTION NO. r �aacca 8�ic1a0' �u„w'„u';�rs � . �=EE REC��lE� �� - 3-6a FINA�CE DEPT. CITY OF COSTA MeSA APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY RECEIPT NO. p RMIT-NO � ��u�� RECEIVE, npx � OAT^R=�rv�oQ I r.5tl� suE��9 (�T � FIRE ZONE APPROVED BY ZON� APPROVED BY YARDS REQUIRED (CENTER LI� SETBFCK LINE FROM �O I �]p � CENTER OF STREET REAR YARO G 7 R. f� � n} SIDE YARD .LEFT `�' RIGHT / L DESCRIPTION OF WORK - BUILDING 1800 S. f' ROOMS O STORIES 1 SIZE D 1� EXTERIOR WALI�. ROOF 11OCL COVERING Jti1CCO COVERING � � � I HENEBY ACNNOWLEOGE THAT I HAVE HEAD THI6 APPLICATION AN� STATE TNAT THE ABOVE 5 CORNECT AND AGREE TO COM� PLV WITH ALL I Y ORDINA pND STAT LqWS REGULATING BUILDING CO�CTION. I 2_fL � AUTHORIZED AGENT COSTA MESA, CALIFORNIA TVPE � GROUP � ZONING NO. OF lISE OF PLANS a�l'/� BUILOI� a THE AMOUNT SHOWN UNOER VALUATION 18 FOR THE PURPOSE OF ESTABLI6XING h PENMIT FEE ONLY. VALUAT�ON 6 PERMIT FEE $ � p ^ $ /� �� PLAN CHEGK $ / / � �/7 TOTAL FEE $ �J / '—