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Home My WebLink About3006 CEYLON RD - Building Permits- �-�w�ssaea�ou+c: -a+*+eTsr�E�Fa,o"": 3006 CEYLON RD "°o"Ess GORDON, CRAIG A TR 3006 CEYLON COSTA MESA,CA 92626 wr�. �uuNc wo�ss: ,1PCNRECT OH EN(iNffA: AqCN.OP ENG.'S ADDRESS: LIC NO.: UNT: UNT: mr+mAcroxs xu�: CdlIRACTORSMAl1A�G COAST ROOTER & PLUMHING ( 714 ) 241-1414 �,00pEss 2737 S CRODDY �� SANTA ANA n�' CA 5�:9''1n27' LICEN EO COMRACTOflS UECLAHAAON: I Mreby eA'vm u�p2 �nm�a pe�ury Nel I em IicenaeE u�Mer pv.ivoiu.w Cheqa 9 ( men xi�h Sectian 1000) d Divnion 9 W Ne Bus�wv eM PMeatima Coda, eM my licerea ia in lull faca entl efled. � LIC. N.: 11Q CLA45: 11C. NO.: aa 045140 �om�6 529127 EXP: 06/97 OWNEfl BUIIDER UECLANATION: I Mmby dfi�m uMer penely M parjury thel I em asemq irom ihe Contredon license lew Iw the fdbwip raeaon (�ion 1031.5 Busroes ard Pmfesebm Cade: Mry c'ry a counry which requirea a pamiil lo conevun. ellm. imprave. demd's�, or repeir any avuciure, qior to na eaua�e, ebo reyuirea ihe applirent tw wch pmmN to fib e ap�nE nmemeM thel M a aM ie IicenseE W�� lo Ihe provuiane d tha Conireclws license law [Cl�eqqer e(mmmerc iq witA Seaion )OOU) d Oiieion 3 d Ihe Buriiwas eM Rdea'vna Coda] or t�el M a ehe ie examq �herehom entl Ihe bavis lor Ne ellepeE ezempion. My vialetun d Sedion ]031.5 by vry eppli�snt la e permil eubpqa tM epplicem to a wil panelry d nq more �hen frva hundred dollua �5500�. ❑ I,mowmrdtMpopenyormyemWy�eeawehwegeaeatheiadecwnpense�bn,vnlldothev.oek,endiMebucNnomlinteMed «aflmed br eab (Sxiion )OGa, Bu.timo eM Proleaeions Code: The Conireeora licerae lewdoea not epplyto en owrerd poperty wM buiEa a'vnpwee �ha�ean. eM Mn doen such xv�k IvmaeH a hereeX a Ihrouph hb a Mr own empbyeae• qovkeE Ihel wch impovemmla era iw imeMed a WmeC la eeb. M, howa.er, ihe Witliip a inproremeM is eok wilhin aw yeer d camplelbn, iM owner�buiNx will heve ihe Wrden d pavi�p he or aM Ek M buik a impwa la tM puryoaa d Wa�. � I. ea ox�wr d IM paparly. em extluswely coniretliq xilh licenaed conlreclae lo conslrud IM D�led (Sed'on )01d. Buei�a eed Prolesuma Code: The Coniratlan L'ranae law daea m� epply �a en ownar d propMy xiw britla a impwas theraon end wfio contrens I« wM woieae wim e mmrm«le) IcereaE Wnuen� �o tM Comrmas Licenae IaM. � I em eump unEer Section: � B. d P.C., la Nia reewn: n„i.� owner� 1 do MreEy cMily Thel I em ewere d ud ivMeMeM iM rtpuiremenM d CalRomie HeeAh vd Sefery Cada Sauioro P5505, 2553�, enE Y5530, eM ihet 1 or eny /uture WiNinp wwpem will / wll ewi (orcb wre) med lo rnmpy w1h eeid &ele mdee eM Ihe repuiremenb br eparmilformnsvutlionwmodifiraiianhamlheAi�ii y�enpemaniDistiitl.Revkamielmnaivaioneppiraibneerse�emptiromthme provisiom. Oete: Applcem: WOflKEfl'S COYPFNS�TION DECLARATION: I hereby elfmm undx penelty d paijury me M Ms bllm�irq datle�atione: � I heve eM Mil meiMen e cerlficUa d canunl �o aeM�inwre br woMen' mmpenWion, u pavidad Iw by Seeion 3)00 d tM labor ,�,/ coe<. �« ma wn«m.z, d me � �« w�n mo w� re��a. . �y�l heve eM wil mainlen woMere' wmprimtion inaurarKa. ee rx�uirad by Seeim 3M0 d Na lebor Coda. br �M pMamux» d tM — hvM ta whid� ihie pum� n inueE. My wake�a' campaneation ineurarice arrier erd poliry number ere: }( � Camer: va�.N�mna (;nhnMAN E}CPIRES �mr, s«r�,�e �a na ro„�weme �� ro,ma;, ro.@��r�.1��g�a1� �+� O 1/ O 1/ 9 8 cerliy ihm in the peA ce af iM wak I« wh'ch thu partnil ie'� ueE. 1 ehell no�ipby e�ry perp n in nY mennm eo a� lo e«om. sueie�+ a v.wNare comw��on �ew. a celilom� e m � ��wppWa n.eTle . i�a �o �n. womm�• anutio oNaione d Sedion 3]00 dthelebarCade,leh �hw�p ' Ih � pro ',fon+. 15 e:' �� Mdicw: �p W l�g: FSUun ro��c✓ro worksn'rompxwtlon rovnep� Is ndwNl, �n0 M su�Hct an �rrplqw ro cNiNiul pxwMu �nJ c/vll flns1 up b on� �urWrM tMuaW OO/Nn (Sf00,PWA M addltlon ro N� f o! rompsmafbM1 Wmepp �t provlded bi In Sxtlon 3106 of tln LeOoi Cods, I�rten�4 �� attomsy'a Is��. CONSTflUCiION LENDING AOENCY: I hereby elf�m uMer penelry d parjury �hm thsa b e conniudion bMinp apeiwy 1« tM paAwmence M iha xoM1 fa wfiiN Ihb perml ia uwed (Seaion 309), CM. C�. LENDEN'S NAME: LEN�ER'S ADOPE55: I cen'dy thel I heve reaC ihis epqicelion end atata thei tha ebove iMmnetion ia mrtea. I ep�ae �o canpty xi�h ell ay ud counry adinaroae vM eime k�n �ak�ip to WiM'vq conatruaion eM hereEy aulhaae repeeentelivee d ihu dly lo enbr upan IM ebv.e-memunad pmpeR/ ,a �m�,�,�. (St51de.WP) oetf � �~ Cenery-AppGrant: Rnk-Revenue: GoldenroFrleaesaw CITY OF COSTA MESA - BUILDING PERMIT PERMIT NO: P 081250 PLAN CHECK NO: N CONSTRUCTION TYPE: PERMIT TYPE: PLU ,TOB DESCRIPTION : WATER HEATER CHANGE-OUT GOVT: N SUPP: N SQ FT: PURPOSE: OTH CLAIM VALUE: CALC-VALUE: GROUP OCC: A-3 / COMMENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT **x�rx*�**x ��r+�+t*rt*�*�r*****�r�*�r�r�r�r*+�**�*+t�*��*x*��***��*�***x *x��r*�*�r*�x**�***�r� Z O N I N G R E Q U I R E M E N T S S E T H A C K S ------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN F1tN'1': t"1' IN REAR; FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 13938318 ZNE: REF NO: PLANNING NOTES> i iF iE iF iE iF itlE if 1E if iflf iF iF iE 1E 1E ii ik 1E 1E 1E 1FlFlE 1E iE iE iE 1E 1E i! 1F 1E iE 1E 1ElE iF iE 1E 1ElE iElE iElf 1F if 1E iE 1E iF if 1F if 1ElF 1E 1f IE 1F ff iE if 1E ik 1ElE iE iE fE �E iE 1E IE k!E 1E D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE:' HUILDING APPROVED BY : DATE: APPLICATION ISSUED BY: / //'�K DATE: � 1EIE1F1E1ElE1EiEiE1E1E1F1Eik!l1EiEiEi!lt�E1E�a��cacic�c�cicicicxxxsv�� x�cs�r�ic�cxxicicfFfFlFiE1EiElElE1Elf fEfE LEGALIZATION:N F E E S U�MFMFAFR Y STRUCTURA SEGMENT;N BLDG PMT PLUMBING ELECTAIC MECHANIC FIRE SMIP/RES GRADING PERMIT 11.00 252 SMIP/NON-RES PLAN ISSUE FEE 22.00 BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE TOTALS----> 11.00 22.00 0.00 33.00 33.00 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 33.00 OVER/SHORT: .00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK 33.00 il fF fE if iE iE if if if iE iE if iF iE 1E 1E 1E iF iF �1E 1E 1E 1E 1E 1E 1E iE 1E 1f 1EiE iE ik if iElE 1E iF 1E 1E iE 1E iE IE 1E 1E iE 1E iFif iElE Ik if if iF iF iF iE iE IE iE fE IE iE if IE �1E iE if 3F 1E 3f iE 3E iE if iE iE ib I N D I V I D U A L F E E B R E A K D O W N TYPE QTY �AlL.0 11 ��=l� 4d�FP1T•Hkil[EATER AND/OR VENT END OF FEES EXPIR�cll�-� DATE �� ' /7 VV" UNIT COST TOTAL COST 11,00 11.00 81-�1-1997/@3:58 PM/f33.80 PERMZTpT�g1250 ADP��ant lo fill in all spaces extept Ihose wit�in heavy borOer Iines antl sign all approp�iate tleclarations. CITY OF,COSTA MESA CONSTRUCTION PERMIT t: P�MIT NO. _ _. TRACT NO. LOT NO.� uNIT Nh � Praject Address � ��'' ��'—. ' Applicant's Mailing Address �U v � C Owner'sName Phone S �� Address � � Arch/Eng. License No. Address Contractor's Name � Phone — Addresslma��"�nl �p'��j%J_�� E _�t�?�� City License No. LIGENSED CONTRACTOR DECLARATION I M1ereby aftirm that 1 am licensetl untlei provisions of Charter 9(commencing with section ]000) of Division 3 of the BuSinesS and P�ofe55ion5 Cotle, antl my licensc is in iWl or ntl effecl. Licens CI s ic ns o )ate � Signature JORKERS'COMVENSATION DECLARATION I hereby affirm tnat I have a certificate of consent to 5elf-insure or a certificate of Workers' Compensation Insurance, or a certitietl copy thereof (Section 3800, Lab. C.)n /J/ Policy No. %I,�Q��7 Company � L��✓� tifietl copy i5 hereby furnishetl. Datee ifi co y is tiled w�i�tPPhcdciiy�tli iv' iopt �q //.1 / �6 ��/�i//.i..i EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (Thissection neetl not be completetl if the permit i5 tor one hundretl ($300) or less). I certify lhat in the performance o( tbe work for which this perm�t is issuetl, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws ot California. ' Date Signature NOTICE: If, after making this tleclaration, you shoUltl become subject to the Wo�kers' Compensation provisions of the ldbor Cotle, you must fo�thwi[h comply with such'p�ovisions o� this pe�mit shall be tleemeG revoketl. CONSTRUCTION LENDING AGENCV � I hereGy affi�m tM1at there is a consiruction lentling agen[y to� the pei�ormance of tM1e work for which this permit is issuetl� (Section 309�j-Civ. CJ lRntler'S Name Lentler's ACtlress OWNERBUILOEH DECIARATION I hereby affirm that I am eKempt from Ihe Cont�actor'S License Ldw for the tollowing reason ($ection ]031.5 Business antl P�ofe55ional Cotle: Any city or couniy which requires a permit to construct, alter, improve, tlemolish or repair any 5Vu<Wre, prior to its issuance, also requires the applicant for zuch pe�mit - to tile a siqnetl statement that he/she is licensetl pursuant to the provisions of tM1e Contractor's License Law (Chapter 9(wmmencing with Section'7000) ot Division 3 ot the Bu5ine55 antl Professions Gotle) or that he/She is ezemOt therefrom,antl tne basis for the alleqetl exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applican[ to a civil penalty of noi more than five huntlretl tlollars ($500�. ' � I, as owner of the property or my empioyees with wa9es as their sole compensation, will tlo the work, antl the structure is not intentletl or offeretl for sale (Section.7044, Business antl Professional Cotle: The Coniractor's License Law tloes not apply to an owner ot a property wno builds or improves thereon, antl wM10 tloes Such work� nimself/herself or tM1rough his or her own emo�oyees, providetl that such improvements are not intentletl or o(feretl for sdle. If; howevet. the builtling or improvement is Soltl within one year of wm- pletioq the owner will have tM1e burtlen Of proving M1e/she tlitl not builtl ot im- prove for the purpose of sale). - . ❑ I, as owner ot the prnperty, am exclusively con[rac[inq with licensetl con- [�actors io construt[ the project (Sec[ion 7044, Business antl Professions Cotle: , The Contractor's License Law tloes not apply to an owner of property who builtls or improves thereon, antl who contracts for such project5 with a con- Vactor(s) I¢ense pursuant to the Contractor's License Law). I am aware-that proof of their Worker's Compensation -insurance shoultl be provitletl to me. ❑ I am exemp[ untler Section B. & P. C. for this reasan IDate Owner I hereby certify that I have reatl this application antl state that the above . Signature�,�(� Drivers' License or 55 ° S��i7 V � r TVPE OF CONSTRUCTION NEW P.DD ALTERATION EPAI R � ❑ CONVERSION ❑ DEMOLISH ❑ OTHER _ p� p# DESCRIPTION OF WORK/USE OF BLDG. S Main Buildi � E TYPE OF PERMIT GRADING .rOUNDATION � STRUCTURAL T Front ❑ TENANT ❑ ELECTRICAL C9�PLUMBING ❑ MECHANICAL 8 Rear ❑ OTHER ' %� PROJECT DESCRIP710N 50. FT. OCCUFANCV C Right K Left CONSTRUCTIONTVPE VALUATION$ $ ZONE GRADING CU. V�S. ACRES P�ng. Ref. # Remarks: Planning Notes: Sink Irrigation �rinking Fountains Floor Drains Floor Sinks uas Service �UI�ESS Interceptors Kitchen Sink � - Lavatories P—Trap � Roof Dreins ReinspeMion Fee � $15 Boiler : Duct - Under Ground �uct - Structurul Duct - Ventilating ExhaustSystem ❑ MWtiple Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑0.100,000 BTU 0100,000 Reinspection Fee � $15 CMF OB65-46, rev. 10/B4 White - Builtling: Canary - Applicanh Pink - Accounting; Goltlenrotl - As5e55or Showers . Service Sink Sewer Cap Sewer Connection Solar Collecrors Solar Piping Solar Tank $wimming Pool w/Spa Urinal �Water Closet Water Heater Water Service � Auto-Wash Issue Fee iANICAL Hood or Typel ❑ • Canopy Type I I ❑ Refrigeration System . ❑0.100,000 BTU ❑100,000 E �m Repair/Alteration � Fire Dampers Registers ' luue Fee FEES 0 Automatic Washer Construction,Pole Cooking-Unit Dishwasher � Dryers �Gas ❑ Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Disposal Electric Zone Parking Req. , .. ELECTRICAL � • Transformer ❑ 15-50 KW . 050+KW . • Meter �up to 100 amps � . ' Meter ❑over 100 amps S b P I ' ' Generator �0-5 KW �5-15 KW u ane Motors � 0-1 HP � 1'/: - 8 Inc.Solar 09-15 HP �16�15+ 'ole Light Range Standin9 Sections Trash,Compacmr $ 3 Reinspection Fee $15 Issue Fee FEES DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By ildin A roved Bu 9 PP BY A liwtion luued B � PP Y $ 3 • - SUMMARVAF F . BUILDING PERMIT $ ' ' � PLAN CHECK $ PLUMBING • . $ 7 -�O PLAN CHECK 25°k $ ELECTRICAL � $ ' � PLAN CHECK 50% $ . � MECHANICAL $. PLAN CHECK 25% $ O N I N G R E Q M T $ FEES � . $ 3 Date Date � Date %0��=Q% r S � . SMIP , $ ' PERMIT , ISSUANCE . $ �� ENERGV P.C. $ GRADING $ �• MICROFILM $ �c,q.s, ' TOTALFEE $ vVv. TL CONSTRUCTION AND PLANNING � � . POOL & SPA _� . - - �APPROVALS Per'mit# � Date � 'Inspector � �"'-"- � ' -� 'Date Inspector APPROVALS Per"mit # f"� 1.� Temporary Electrical Service or Pole ' � 52. Pool & Equipment Location i:.i � � ' 2. Soil Pipe-Undrgrnd. . . 53. Steel Reinforcement � �{.,, • 3. Electrical Conduit Utility-Undrgmd. 54. Forms� � ' 4. Electrical Conduit-Undrgrnd. � � 55. Electrical Bonding ��` � 5. Steel Reinforcement,` � 56. Rough Plumbing & PressuretTest � t �� r 6. Electrical UFER Grnd.�' � , 57. APPROVALTO�COVER-GV.NITE - 7. Footings ' � • � , • - - . 58. Elecirlcal ConduitsUndrgrn .� - � . 8. Foundation � -� � 59. Gas Pipe, � Undrgrnd., TeiYd � . 9. Water Pipe'-Undrgrnd. � . � _, _ _ . - , . 60. Backwash Lines, P�Trap, � Undrgmd. � 70. Structural Floor System . ' 61. APPROVAL TO DECK ' ' 17. Property Sewer Line & House Connection , 62. Backwash & Receptor-Final 12. Sewer Cap • � � 63. Heater & Vent-Final � , , 13. Roof Drains. - . 64. Plumbing SYstem - Final 14. Rough Plumbing ' 65. Electrical-Final , � 15. Rough Electriral-Conduit 66. Solar System-Final , � 16. Rough Electric Wiring � -� -67. Fencing & Access Approval � � 17. Rough Wiring Sign 68. APPROVED FOR PLASTER WG � ' " " "18. Rough Electrica6T Bar Ceiling " -- 69. POOL/SPA SYSTEMS FINAL - 19. Rough Heating & Air Conditioning � • � FIRE DEPT. REQUIREMENT � 20. Rough Factory Fireplace � APPROVALS Permit# . -_ 21. Ducts, in Structure � � , 70. Underground Hydro -� . 22. Ducts,Ventilating� � 71. ProductPipingOGas ❑Oil 23. Gas Pipe-Rough & Test , 72. Underground Flush � � 24. Roof Framing � ^ ' 73. Undergmd. Storage Tank O Gas ❑ Oil '� 25. Roof Sheathing . 74. Overhead Hydro � -- . , 26. T-Sar Ceiling �Structurap & Monocoat 75. Dry Chemical � �� 27. Frame and Flashing � � � 76. Dry Standpipe . ', - 28. Lathing & Siding � 77. 'FIXED SYSTEM FINAL 29. �Insulation ' � � 78. FIRE PREV. FINAL � ' � � 30. Drywall Nailing . � HEALTH DEP.T. REQUIREMENT . " 31. Plaster Brown Coat � 79. FINAL INSPECTION - � 32. Electrical�Power Meter-Final 80. FOOD CERTIFICATE ISSUED ' , 33. Final Electric � Notes: - , • , - 34. Final Heating & Air Conditioning � -• 35. Final Gas Pipe-Test • • ' ' 36. Hood or Canopy . ', 37. Final Factory Fireplace � _' y 38. Final Plumbing ��.�,�7 V�� ' i , i -� � , 39. Water Service-Final " . ' ' � '. � _ i, , 40. Gas Service-Final � ; I � . ,- . �'41. Solar pomesticFinal � ' � . . � � i �42. Backflow Preventer � � � - , � , , � '. � � . , � .�43. Backflow Irrigation ' . .. . . ; � , , � - , � 4'4. "Landscape Irriqation System ` i �" .' . ��. . '; 45. Sound Attenuation ' , • ' , ` � � • � i � 46. Handicap Regulations � � � , _ � ' ' � ,, � � i i 47. FINAL STRUCTURE & BUILDING � - , ' � • � - ; � , • i � ; , 48. jSpecial Requirements Completed ' � . • . � ' � ' � � � - - i � ' 49 ,-Electric Release to Edison � � � . � � . � � , - � - - � � �� . �. 50. Gas Release to Southern, California Gas Co � ,�� .. � -51.'CERTIFICATE OF OCCUPANCY � - . . � � � � . � ' _ ,,' �_`' - - .-. . . - No. � Date � ' .. _ . . . ; \'.\('_r -.. 1 PFOJECT AOONESS: �� O 6 C E YLON F'iD OYlNEB'SNAME: VORDON, CRAIG A ``. "non� ss: GORDON KIMbERLY A " 3006 CcYLON -` y COSTA MESA,CA 92626 AHCHIENGINEEH: pU0NE5S: flEG.NO.: UNIT: UNIT: PENMITTEE: �RROW ROUFING COMPATIY ( 714 ) 890-8790 RDDXESS: �945 EDINGER AVE 113 HUNTINGTON BEACFf CA 92649 UCENSE� CONTflFCTOH OELNflATION: I hereby aliirm that I am licensed untler pmvisions o� C�aprer 9(commencing with Section 7000) ol Orvision 3 0l Ihe Business and Pmlessions CoOe, and my license i5 in full lorce antl eflect. ciTruc.: ��19�1 ^STFTELIC.: �97 , ' /cas/$$': /,^� /�9� EXP: 00/00 a�e � S�J � Signature��'✓( '��/�/ — flNEFS' COMPENSATION OECLAHATION: I �ereby aHirm tha� I have a cerlilica�e o� consent �o sel4insu�e or a certifica�e ot Workers' Comoensation Insurance. or a cerldietl copy thereoi (Section 3800. Lab. C). POLICY NO.: 1 z O O 3 S S EXP. UATE: O% I O 1 I S S comraxr: STATE FUNDn ❑ Ceriified copy is �ereby lumishea. y; CerlitieU copy is �iletl wi�h the ciry Building Division oa� 7-5—�/'f nvor�am: �G� �li�l �%EMPiIONFROMWOflREHS'COMPENSATIONOECIANRTION: (Thi55ec�ionneednot6ecomDletedilthepermii5laronehunaretl�5100�orless�. I cetlity �Oat in the pedormance of the work lor whic� Nis permil is issuetl, I shall not employ any person in any manner so a5 io hecome sLble�� o Ihe Workers' Compansa�ion Laws of Cab�ornia. Oa�e: Signamre: // NOTICE: Ii, ai�er making Ihis declaraiion, you s�ould 6ecome su�lec� �o ihe Workers' Compensa�ion p�ovisions o� [he La6or Cotle. you mus� lohhwith camply wi�h such pmvisions or this permit shall be Oeemetl revoketl. CONSiflUCiION LENOING AGENCY: I �ereby aflirm Ihat there is a consiruc�ion lentling agency lor ihe pedormante o� Ihe work Pof which Ihis permn is issuetl (Sectian 3097. Civ. C�. LENOEfl: aooeess: OWNEP BUILDEF OECLl�BATION: I hereby aftirm Ihal I am exempi imm Ihe Contractors State License Law for t�e following reason (Sectmn 7031.5 Business antl Pmtessional CoOe: Nny city ol counry whic� reQuires a Oermit �o canSlmci, alier, impmve. Oemalish, or repai� any stmclure. Drior �o iis issuance. also re0uires Ihe applicant �or such Dermii to tile a signed sta�ement �ha� he/she is licensed pursuam �o Ihe provisions o� �he ConVaqors' Slaie License Law (Chapier 9(commencing with Section 7000) o� Oivision 3 oi �he Business antl Pmlession5 Cotle) or Ihal he/she is exem0< <here�mm and Ihe basis �or ihe alleged exemp�ion. Nny viola�ion of Section 7031.5 6y , any applicant lor a permit su�le��s I�e applicantto a civil penalry ol not more lhan five hundred Oollars (5500). I. as owner ol ihe ompeny or my employees wilh wages as their sale compensatian, will tla ihe woB, antl ihe ❑ stmaureis notinten0ea orolleretl brsale�Section 70aa, Business an0 Pmfessional Cotle: The Coniractors' State License Law Ooes not appty to an owner of a property who builas orimpmves ihereon, an0 who does such work �imself/herself orihrough his or her own employees, DroviOed thai such impwvements are no� inlended or oflered lor sale. Ii, howeve� lhe builtling or impmvemenl is sold within one year of completioq I�e owner will �ave I�e Ourden o� DmvinA he/she Oid nol bui10 or improve �or Ihe purpose ot sale). I, as owner o� t�e pmpetly. am exclusively coniracting with Iicen5e0 coniractors to constmct �he pmlect (Seclion 7044, Busine55 ❑ and Pro�essions Caae: The Comrattors' State License Law Uoes not apDly �o an owner o7 properry who builtls or improves Ihereon antl who comracts for such o�oie��s with a contractor(sllicense pursuant m the Coniractors' State License Law�. I am aware Ihat D�ool ol t�eir Worker's Compensalion insumnce should be pmviCetl �o me. � i am exempt un0er Section�. B. 8 P. C. for ihis reason: Daie: Owner I Do �ereby cenity that I am aware ol antl untlerstanOlhe requiremenls of Calilomia Heal�h an0 Safety Cotle Sec�ions 25505, 25533, and 25534 and Iha� I or any Iuiure 6uiltling occupant will/will noi (circle ane) need to comply wi�h saitl state codes and �he requiremenis br a permil lor con5lmciion or moEilica�ion Imm Ihe Air Oualiry Managemen� DistricL Resitlential constmc�ion applications are exemp� imm Ihese pmvlsians. Daie: Fpplicanl: I hereby certify Ihal I have reatl this applica�ion ane s�a�e Iha� Ihe above informalion is correc�. I agree ro comply with a0 ciry antl counry oreinances ana siate laws relaling to builtling consimdion and here�y aN�orize representatives a� Ihis ciry lo en�er upon �he a0ove�mentioned pmpetly lar inspec�ion purposes. � /�jte� ( ' _J�c]'•�__ Signature: Unver's License ar Sociai Securi�y t64ta6 W�me-8uilamg�, Green—Cotle Eniorcement: Canary—Applicanl; Pink—Revenue; GolOenmtl—Assessor CITY OF COSTA MESA — HUILDING PERMIT PERM NO: B Q67&9� FERMIT NO; B 067892 PLAN CHECK NO: N GOVT: N SIIPP; N CONSTRUCTION TYPE; PERPIIT TYPE: STR PURPOSE: Ai,T JOB DESCRIPTION ; REROOF/T—O RESHEATH 6 REROOF W/COMP. 5Q FT: 5,900 CLAIM VALOE: 5,900,00 �P �—VALUE; 5,900.00 GROUP OCC: R-3 /M-1 COMMENTS ; *'� S�KE DETECTOR � ifiE�t#iElEk#�IE:fiEiE�iE�1E'rEiEiEiE�1Ei:-3EiticlEit3EiFlEiEil�iE', xy�xa..xat�IF#1E9ciritifr'ic#'�1Eit�ki`<if#i'it#if�*iE�kjE###iEiE#�il3Fii� Z O D7 I N G RE�.��;IRED�SE M E N T S ------------ MAIN HUILDING ---------- --------- A�CESSORY BUILDING --------- FRNT; FT IN REAA; FT IN FRNT; FT T_N REAR; FT IN LEFT; FT IN RGHT; FT IN LEFT: FT ZN P,GHT; FT IN PARKING REQ• PROV; PP.RCcL: 13918102 ZNE: REF T10; PLANNZNG NOTES> .� +e**x�itieitie��iExaE#**�*�*it�rx#�enx�+xrx*�>c*�it#�:xi�it�*��r�r>t��+��r�r�x�*�r��*�+r*��*icx*�;*�at*�r�� D E V E'L O P M E N T S E R C' I C E S R E C,� U I R E M E N T S ZONING APPkOI�ED'HY DATE: BUILDING APPRtOVED BY : DATE: APPLICATIt�N TSSUED BY; Li(I"� I7ATE; %� ��`� iFiEiEiEitiFi;i(�itiric4irititiFiEiEitifitiE,r�+r+e�Ex�rx,rxirxrii-itit ,rx� itk it�r xsFiti:xxytiFiFitttk-ki:�iEkiFirir,cir'�t�"�,cir.�� 3E ih if if iE iF �E if iE ?E iE iE iE iF iF 3E iE iE iE if �1F iE if iE i@ if iF iE iE if 3F # i' iE iF iE iF i: i! iF-k �E iE iE dE 9f iE #�E # iF �3i--)F k it i(�?E jc iE it i@ �l(� ic?F M� 9E i(� ih 9f iE �1F 9E ii� ir 3i-# jF iE iF LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT;Y BLDG PMT PLUMBING ELECTFiIC MECHANIC FIRE SMIP/RES GRADING PERMIT 81.00 ,59 . SMSF/NON—RES PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 81.59 O.OQ = 0,00 �'�,59 81,59 .00 REVENUE DIVISION TOTALS--> COLLECTED: 81.5\ OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIR �M�:P/TOT GRADING PLAN—CHECK 81.00 . � ,59 iF'�.° iE iE # iE iE 3t iF # iE iE iF if iE iE it ic it if iE ik it iE iE iE # iE iE lE i! k# iE iE iE iF iE # iF # iE 1E iE iE iF if iE �lE iF iE it �rt if �)E it if iE 3F iE iE }; it iE iE ic #�K- 3E iE fE � i[� iE iE iF #! ic if� 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 5 C R I P T I O N UNIT COST TOTAL COST c SFR 5900 REROOF BY VALUE RESILIENTIAL NOZONE 1.0� 5,900,00 ENL� �]F FEES -. ceio=s:Jz-a��b:.a�a T�3T �i.s� GATE: Q7fQ5i94 TIME: II:SD CCNSTRUCTION AND PLANNING �--�'�• � �OL & SPA ' ,�,kPPROVALS Permit # �. Date inspector APPROVALS Permit # Date Inspector 1 �� emMorary Electrical Service or Pole 52. Pool & EquiPmen, Location � 2. Soil Pipe-Undrgmd. �•7 � 53. Steel Reinforcement 1� 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electtical Conduit-Undrg:nd. _ 55. Electrical Bonding 5. Seeel Reinforcemenc 56. Rough Piumhing & Pressure Tzst 6. Elect��cal UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7. Footings 5&. Electrical Cenduit-Undrgmd. � 8. Foundation 59. Gas Pipe, f� Untlrgrnd., Tesc 9. Water Pfpe-Undrgrnd. ' 60. Backwash Lines, P-Trap. C Undrgrnd. 10. Structural Floor System 67. APPROVAL TO DECK • 11. Proparty Sewer Line & House Connection ' 62. Backwash & Rec2ptor-Final 12. Sewer Cap , 63. Heater & Vent�Final 73. Roof Drains � 64. Plumbir.g System - Final � 14. Rou9h Pl�mbing �� 65. Electrica6Firai � 15. Rough Electrira6Conduit 6fi. Solar SYstem-Final 16. Rough Electric Wiring 67. Fe�cing & Access Approvai 77. Ro�gh Wiring Siyn 68. APPROVED FOR PLASTERING 18. Rough EiectricahT 8ar Ce'ding fi9. POOLISPA SY57EAnS F�NAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Firepiace APPROVALS Permit � 21. Ducts, in Structure 70. Uriderground Hydra 22. Duct5, VeMilating 71. Product Piping C� Gas O Oii 23. Gas P�pe-Rough & Test 72. Underground Flush 24. Roof Framin9 73. Underymd.Scorar,eTank CGas ❑Oii 25. Roof Sheathing '7�7 Gly 7A. Overhead Hydro ( 26. T�Ba�. Ceiling 1Structuraq & fvionocoat 75. Dry Chemical 27. Frame and Flashing I6. Dry Standpipe 28. La.hing & Siding � � 77. FIXED SYSTE^�9 PINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywali Nailing HEALTN DEPT. REQUIREMENT 31. PlasterBrom�n' �t ' 79. FINAIINSP[CTION - 32. Electrical Powa�d9eter�Ftna1 80. FOOD CERTIFICATE ISSUED 33. Final Electric � Notes:y W�_ � FD �,� �/i_(�.,I N11 �f/ 34. Final Heating & �r ditioning , � 35. Ftnal Gas Pipe- t,� ---r-� - 36. Hood or Canopy-- � � . 37. Final Factory F�re�ila��; 38. Final Plumbing �--� 39. Water Service�Fi�a{` 40. Gas Service-Final` � 47. So�ar pomestic-Final 42. Backflow Preventer � . 43. Backflow Irrigation 44. Landscape Irriaation System 45. Sound Attenuation 46. kand�cap Regulations 47. FINAL STRUCTURE & BUI�OING "� � �' � ' L � �J G. 48. FINAL PLANNING .-- - 49. E�ectric Release to Edison �• 50. Gas Release to Southern California Gas Co ��,' 51. CER7IFICATE OF OCCUPANCY �"� No. Date MAIN OFFICE 1635 WEST GAYLORO ST., — P.O. 90% 9065 LONG BEACN 10, CAIIFORNIF NEMLOCK 5�]480 SPRUCE 5�2001 Tw�n��ta or�tori�s Mey 9. 1960 <� BRANCH OFFICES 93] 5/�NTIAGO ST., SANTA ANA ' HIMBERLY ]-66<8 3]BIS N. BTH ST. E/.ST— P.O. BO% B]B P�LMpRLE— WINDSOR ]-]911 o f �ouf�Zszn �a�l f ozala, �nc. "GUN(TE" R�PORT OF ;QC3�� TEST CYLINDER Examination No. C60-I 126 Project For - Blue Haven Pools 1221 N. Palm, Anaheim, Cajifornla Sample from SW(M POOL - J. Gurren, 3006 Ceylon Road Costa Mesa, California Architect Contractor Mix �Vater, gal./sk. cement �6crtwA S f Z E Date cast Date tested Cylinder No. COMPRESSION TEST Total load to destruction, ]bs. Pounds per square inch Four Star Gunite & Steel Co., Inc. i-42-3,000 61/8x 12 �-9-60 L,-tB-bo i 9 days 88,500 3,004 6 x 12 5-9-60 2 30 days ► �, 5� 3.765 �' REc�ivf0 �` mnr l t ; sso C�i1J 6� COSe ` ��353 Bflf�ifl(, U-:;7i Cylinder made by Four Star Gunite & Steel Co., lnc. [nspected by : J. W. Critchfield Cylinder delivered by J. Henley i� Cylinder received by 1� - I I-60 Note: 28 day test complies with specifications. cc; Blue Have Pools J. Gurren TWINING LABORATORIES OF SOUTH�RN CALIFORNIA, INC. Costa Mesa BIdg.Dept. �� ,' � SA L a b 1c .-C%+�bea.,� /e, �7a-c.�y✓ ALL REPORTS ARE SVBMITTC� AS'�HE CONFIOENTIAI Y5]pERTY OF CLIENTS, Rl1THOft�ZATION FOR PUbLICAT104 OF OVR HEPOpTS� CONCLUSIONS, ON EI� TRAQS FNOM OF REGAR�ING THEM IS RESERVEO PEN: VG OUR WRITTEN RPPROV4L AS A MVTUAL PROTECTIOp i0 CIIENT6. THE PVBLIC AND OUflSELVES. � ��tutr,tv� �1.utllv DATE j ADDRESS 300 CBy10II Rd. BUILDING DESCAIPI'ION OF WORK FIRE ZONE VA Date I GROUP J TYP SUBCONTRACTOR Final . 24l59 COSTA MESA BUILpINGSAFETY. DEPARTMENT ' P. O. BOX 9f7 COSTA MEHA, CALIPORNIA For Applicanf to Fill In Complefely i � TYPE OR�PRINT � aooaEss � p 0 �o � G — �� COSTA MESA. CALI ORNIA - 0 LIC.TNO. � I�/ 6 � • NO.� �2.`�O` r� o2/•�O' % � 6IZE � No, c OF LOT � NOW USEaF E%ISTIN6BLD6. �-tlG� SETBACK LINE FROM CENTER OF 6TREET REA$ Y/ SI E YARD I LEFT "' I RIOHT DESCRIPTION OF WORK SUZIE DIN� l.� Y J�, ROOM9. � n S EXTERIOR WALL �/�A l� ROOF CITY OF CU51'A M�SA MAY 18 1965 � FIRE ZONING zone� / � no. or ues or e+ew h� PLANB � BUILOINO �eow� � � /�O % � / R C� 3'. DEBCRIITION J q - A. P. NO. � / � I — � NOTE: NO EAVE OVERHAN6 SHALL BE LE88 THAN O 30' TO SIDE 8 REAR P. L' EAVES ur� ALLOWED (U.B.G.REQUIREM6NT1 YARO9APPROVEO YARDSAPPROVED MAIN BUILOIN6 ACGESSORY BUfLO1N6 �(FR(�M�. �RE T) � � FRONT FT. FT. I.� � � . �GIJ " �/.-+ ' . . . ' I HEREBY ACKNO LEO08 TXAT 1 X�VB PEAD THI9 APPLICATION wND 6TATE THAT THE A60VQ �8 CORRECT'AND A6RE8 TO COM• PLr WITH ALL ClTY ORDlNAryC69 ANO 9TAT8 LAWB R80ilLATINO BUILO�NO CON9TRULTION. SIGNATUREOF 4� �+ rn PERMI7TE� � [/i�l AUTHORRED AGENT�\/ n / LA.n A, .� �i VAR.SC , DATE G. U. P. # APPRi APPROVED') /J bG i ,� u sa. Fr. TH8 AMOUNT 9MOWN IINOER VALUATION PIINPD9E. Op EBTpBL18HIN6 A pERMIT VALUATION � PERMITFEE $ $ ,I� /j,� � PLAN CHECK $ l.J 0 / ��,,s�i�./a �-�ai l. L 1� � v.... . L �'Y--.. � MAf 2� �95� � :- � 9�� FINANCE DEPT. COSTA MESA BUILDING-SAFETY DEPARTMENT - CITY OF COSTA I'�F� P.O. BOX 31� COSTA MESA, CALIFORNIA , FOR APPC/CANT TO f/C[ /N COMPLETE[Y APPLICATION FOR PERMIT TYPE OR PRINT � � BUILDING BUILDING 3OO�j ADDRE55 COSTA MES CALIFORNIA FOR OffICE USE ONCY I RECEIPT NO. I �ER 1 O. ! OWNER s camore Land. o ' MAIL 1 R6CE EO Bv DATE EI E,/IS VGD ADDRESSyOS3S .Cjanta Monica Blvd.. �- � �y 1e ' ��1 � � 19 9 � TEL. BUILDING /{�'/ /n( QTY LOS — N ADDRE55 � O � y C O� ^\ aecr+irecr ��c. COS7A MESA, CALIFORNIA OR ENGINEER L.C. Ma'�or � No. ADDRE55 11015 S. Paramount Blvd.. ZONE Gr `� � STATE qppftOVED �N�i. 5 CONTRACTOR LIG NO. '� gy q. -�.Ci-� DATE Z ADDRES ZONING LEGAL LOT • ' p(� p ZONE �/ INO.OF IUSE OF NEW %/� �� oescAiPnoN INO. IBLOCK TR�C'1"� PLRNS BUILDING �L`l`o l� t �� - A.P.NO. � A�VPROVED �< DATE J /� J / OF LOT 91.55 X 74.69 I r+ow oh iois Q REODUIRED ALtOWED USE OF ' ICENTER LINE ST.)�T ezisTiNG e�DG. _ FRONT i/ FT. IN. SET94<tt LINE FROM ' ' cervlea oF sieeei '� REAR YAR� R. SIDE S' FT. IN. SI�EVARD ILEFT �]� IRIGHT 'z� $�� L.SIDE � FT. IN. DESCRIPTION_OF WORK ____ ,r �. �__ ._. REPAIR I II MOVING I II DEMOLISH I 5 ZIE DING��` ROOMS y STORIES 1 V EXTERIOR WA�uCCO I COV�ERINGCTYISaI Y�OCk COVERING USE OF BUILDING AND WORK TO BE PERFORMEO Dwel.iin - r. �' � ��X"s I HEFE6Y NCKNOWLF,OGE THAT 1 HAVE READ THIS NPPLICATION 7HE AMOUNT SHOWN U ER VALUATION IS FON TNE NNO STATE THiIT THE PBOVE IS CORFECT qN� AGREE TO COM- pURPOSE OF ESTpBLISHING A PERMIT FEE ONLY. PLY WITH 4LL CITY OflDINANCES l�NO STRTE LAWS FEGULATING euaoiHc corvsiR cTi rv.. VALUATION '] SIGf¢ATURE OF � . PERMIT FEE $ f PERMITTEE ^ P• � � � / / 3 �I ? PLAN CHECK $ / / �� AUTHORIZED AGEN7 � /J TOTAL FEE $ �✓�� ` �, J_��'li'�; COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 COBTA MEBA. CALIFORNIA For Applicanf to Fill In Comple+ely TYPE OR PRINT BUIIDING _ _ �/ ADORESS � D O try� COSTA MESA. LIFORNIA �MAIL h � AOORFSG.� 7 � 0 BUI ; EE �ECEiVED APPLICA ION �OR PERMITJ fINI�VVf'iio�i��• CITY OF COSTA ESA Fo� Offiee Use Only RECEIPT NO. PQRfA COSTA ( aX—�� -� f� ZONING ZONE NO. OF /� U8H OF ! .✓ PLANe ' L. BUILDING O - NO. ��O S/ DE6CRIPTION'�/ � � �( I NO. OF BlAGB. / � � une or � — EXISTING BLOG. BCTBALK LINB PROM ' ` cet+re.a oe emee'r REAR YARD •J �[ / / SIDE YARD LEFT � 7 R�GHT Z a DESCRIPTIOM OF WORK WALL I HEREBY ACKNOWLEDGE THAT I HAVE READ THIB'APPLICATION AND BTATE THAT THE ABOV¢ IS GORNEGT AND AGREH TO COM- PLY WITH ALL CIT+Y�G�O{RQDMJ NANCEB A/pD BTAT¢ /��jWf9 RbGUV/�,TI SIGNATURE O� I lY i, o X-l-� ._ .I ._. _/ n ■ AUTHORIZED A. P. NO. II �`�S3 S^ YARDS EVES APPROVED ALLOWEC ICENT6R LINB BT.] � � � S, THE AMOUNT BXOWN UNDER VALUATION 16 POR TXH PURPOBH OP EBTABLIBHING A PERMIT FEE ONLY. �VALIIATION �O PERMIT FEE $ /D /• N � n $ � 7 � � PLAN CHECK $ �� F �< � � iOTAL FEE / v 4