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Home My WebLink About3147 COLLEGE AVE - Building Permits��ia� �sa-s2�s • Fax (714) 754-4856 • www.ci.costa-mesa.cBUILDING PERMIT dob Address: 3147 COLLEGE AV Suite: Viciniry: DOWNSTAIRS BATHROOM Parcel Number: 41814641 Applicant: PETER, ROBERT Address: Owner: THESING, WILLIAM TR Address 3147 COLLEGE AVE COSTA MESA, CA Contractor: ALL-HOME REMODELING Address: 1403 N BATAVIA STE 112 ORANGE,CA Zip: 92667 Arch : Address: Phone: Zoning: R2 R2 Phone: � Zip: Phone: Zip: 92626-2640 � Phone: 714-532-5380 License: 600501 Eng: Address: 7! hAIM UMI V t, GVJ I H MCJP, liA `JZOZO ISSUED BY: Status: ISSUED Applied: 02/13/2003 Issued: 02/13/2003 Phone: Zip: . License: license: SCOPE OF PERMIT REMOVE EXISTING DOOR AT DOWNSTAIRS BATHROOM AND FRAME IN.A NEW DOOR ON WEST WALL, INSTALL 30" OUTSWING DOOR. MISC FRAMING AND DRYVJALL. Plan Check: $0.00 Permit: $69.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: 50.00 Total: $69.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0-0 PARKING Existinq: o Rear 0-0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation Righl 0- 0 Right 0- 0 sz,000.00 s2,000.00 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspeclions and finel approval must be obtained. Failure to obtain inspections and final approval will result in the expiration oi this permit. FOR INSPECTIONS CALL: (714) 7545626 ?648-18 (fl�W) WORKERS' COMPENSATION DECLARA710N: ' I hereby eHirm under penalry oi perjury one of the following tleclarations: ❑ I have end will �maintein a cenificata of wnsent to self-Insure lor workers' compensation, as provitletl for by section 3700 of the Lebor Code, for ihe pertortnanca oi ihe work for w�ich ihis pertnit is IsSuetl. ave entl will maintain workers' compensation insurance, as requirad by section 3700 oi ihe Lebor Code, for the peAortnance of the work for which ihis pertnit is issued. My workers' compensetlon Insurence carrier and policy number are: Carrier: PoliCy Number: '(Tfj(.a secfion need nof be complefed il the permif is valued e( one hundred dollars ($100) or less.) , �ertity ihat in tha peAormance oi ihe work for which ihis pertnit is issued, I shall not employ eny person in any menner so es to bec ie subject to t�e workers' compensation laws of Celif mie, en¢ agree that if 1 should be ubjesFa he workere' compansation provisions ol5ection 370 of the Leh r Cotle, I shell forthwith comply with ihese prov�s� � Applicant Signeture: Date: WABNINO: FAILURE TO SECURE W PS' CqAPENSATiON GUVERAGE IS UNUWFUL AN� SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENALTI S AND GVIL FlNES U O ONE HUNDRED TMOUSAND DOLLARE (5100,000), IN ADDITION TO THE C0.5T OF COMPENSATION, DPNAGES AS PROVIDED FOR IN SECTION 3�06 OF THE UBOF CODE. INTERESi, ANO ATiORNE`fS FEES. LICENSED CONTRAC70RS DECLARATION: I herehy aMirm ihat I am licens�d under proNsions of �Chapter 9(commencing with Section 7000) of Division 3 ot Ihe Business and Protessions Code, end my Ilcense is in tull force end BXett. Lia a ,b �6 6 S�� Class s Comrectors SlgnaNre: Date: `% CONS7RUC710N LENDING AGENCY: ❑ I hereby aflirtn ihat Ihere is a construaion lending agency for the pertormance of ihe work tor which ihis pertnit is issued. (Sec. 3097, Civil Coda). Landers Name: Lentler's Adtlress: Signature: Dete: OWNER-BUILDER DECLARATIONS: I hereby ettirtn that untler panelry ot perjury ihat I am El(EMPT FROM 7ME CON7RACTORS LICENSE LAW tor Ihe following reason (Sec. 7031.5, Business entl Professions Cotle: Any ciry or counry which requires a pertnit to consiruct, alter, impmve, demolish, or repair any sWcture, prior to its Issuance, also requires t�e epplicant for such pertnit to file e slgnetl statement that he or she is licensed pursuant to ihe provisions of the Contrectors License Law (Chapter 9(commencing with Section 7000) oi DMsion 3 of Ihe Business end Pmfessions Code) or that he or sha is ezemp� theretrom and Ihe basis for the alleged exemption. Any violatlon of Section 7031.5 by any epplicant tor e permit subjects iha ap0�icant to a dvll penalry of not more than tive hundretl tlollare (5500j.): ❑ I, as owner of ihe properry, or my employees with wages es Iheir sole compensation, WILL DO THE WORK, and Ihe strucWre is not iniended or ofleretl for ule (Sec. 7044, Business and Professions Code: Tlie Contraciors License Law tices noi apply to an owner of properry who builds or improves Ihereon, antl who does such work himself or herself or through his or her own employees, provided that such improvemenis are not intended or ottered for sele. If, however, ihe building or improvement is sold within one year of comD�etion, �he owner-builtler will have �he �urtlen of proving that �e or she did not build or improve for purpase oi sale.). ' ❑ I, 85 owner oi the property, em E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business entl Professions Cotle: The contractors Llcense Lew tloes not apply to en owner ot properry who builtls or impmves thereon, and who comracts tor such project wtlh a contractor(s) license pursuant to the Contractors License Lews.). ❑ I em exempt under sec. Business and Professions Code for this reason: SlqnaWre: Date: Owner ID verifietl by tlrivers license. ❑ Ves ❑ No Drivefs License No. Venficalion af Ownership by (type al tlocumem, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: E:Dir85: ❑ I hereby certity Ihet no excave�ion five (5) or mora feel in depth into which a person is required to descend, will be made in connection with work euthorized by this permit, and ihat no DuilCing siructure, sceflolding, falsework, or demolition or disman�ling �hereof, will be more ihan thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, Califomia Atlministrative Code). . ❑ As ov.•ner-builder, I will not employ enyone to do work which would require a Oermit from the Division ot Indusirial Salety, es notetl above, unless such person has e pertnit to do such wark fram the division. Signature: Date: Division ol Intlustnal Safery Permit Number: ICER7IFlCATE OF COMPLIANCE AND AUTHORVA710N OF EN7RV: I cenify under penalry of perjury that I have read this epplication and state that iha information given is I correct. I egree to comply wilh ell state laws end city ortlinances releting to builtling construction, end authonze represen�atives oi ihe Ciry oi Costa Mesa to enter upon the above-described propeny for inspection puryoses. I a9ree not to occupy or allow occupancy ot eny building authorized by this permit until final inspection. re Ot I Owner(s) � And/Or Authorized Appl¢ant COOE I, INSPECTIONTYPE 1616 Fized System Final Fire Prevention 12fi6 Pool Spe Final 200 Finel Re-Rooi 201 Flnel BIocWRetaining Well 202 Final Fectory Fire Plece 203 Finel Sign 204 Finel �emolition �LpiF pL COOEI INSPECTIONTYVE � 206 Final Mechanical 208 Final Plumbing 210 Finel Elecirical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 FinelBuilding/Occupancy �Dte ,1� {j � �� Data Qsg INTff1AL4 �� y1N'MgS o `�;q� > �,,1 .:..::.....::..`� �'o : t '�'s�c�;ry � i J {ps-Ra 6 �v . �rs„ APOqpIED� i i ,t: v� a> isa-suav fax: V"� 7545330 TDD: �. 754-5244 pmiller@ci.cos.e-mesa ra.us PAUL MILIER Hovsing Rehabilitntion Coordinamr Redevelopment Agency/ Houting and Gwnmunity Uevelopment �nT�rAcnnn'sNT NO. 1) r . CITVOFC05TAMESA,GILIFORNIA CCCY �J� COS"I'A n1GSA iorhood Improvemcnt I'rogr�m n vnia oRive • !'OST OFRCE RO% 1200 • 92G28-720D �y��.k Writc Up Na� Barbara Thesing Pro}zc�� Addreae: 3147 College Ave. Ilnme Phnnr: 714-557-6993 . , � All work is lo be done per City of Costa Mesa Building, Planning and Public Works Codes. In order to establish standards of quality, t6e dctailed specifications may refer to a certain product by name and/or from a major manufacturer. This procedure is not to bc constnied as climinating from competition other products ofequal or better quality by othcr manufacturers. Thc Contractor shall furnish the list of proposed desired substitutions prior to signing the contract. nll itcros listed on thc work dcscription, unlcss olhcrwisc spccificd, shall includc all patching and finish work, inc(uding trim, hardware, patc(�ing and fnish painting and/or staining. Thc Contractor is responsible for all permits, fees, City business liccnscs, plans, ctc. Cily uf Cosla Mesa Siaud�rd Reliabilitafiun Spccilications apply to all ilems listed on �vork description. �.I1i, � � � lnferinr fA�unxtnire be�hroom. 1 Kcmuvc xnJ Jio-�kr�t PI�CAI.qiO� tlWf eOtl (rW�IC OIl WtSf WaII. `�/ j, Hanove and dispcxic uf �q•wull nnd Raming on eo�lh wall. Rtmnvt Y i and Jiypu�e uftuilei. � Frumc in Ja+r optning with mudyill. Invtall I�iuning with ` nppmpriaie headcr. Shiwl bollum platt to a+naetc. Induda cem{+orary brncing lix imwlling liarning and htadcr. � Pumixh and invu0l drywyli xl �n�crior yid exterior walls of � bnlhnwm. Tupc imJ +wid. Rete�ture oomD�� inlcrior i+f bathronm for unifurmily. Tcx�urc rcpuired walLc a� cxtcrior uC bathrcwm imly. ' Point intcrior n(bulhruum wulls iviA wiling and cttcrior walle of I Ibnlhronm rcpuircd urrd� to match a:iscing as ciove av uvniluhle. � I 1'rime and pain� ncw belhrwm Ju�r. PuniiJ� and install JO" oulswing duor, jamb and li�vd�vnre, i � Pund�h anA insmll wmd baccMarde nt rcpnircJ 4�'NIIV 1!1?�IIC MIC i outxidc of bathruam. � Inslall da:lriad uuUcl ul upeluir< hall cloect otFof txdroom 'L� dcarical circuit. � Kanu�c w�d insl�il wall heattr to inoperative living room wall ' hcalcr. Pruperly �crtninale eledriud nl wall I'umacc ul livn� ol' � hulhnr�m. IndiKles dryunfi rtpairc. / b:\form.wvu ; _, , G` ,� ' �\ ,�� rstimale' ]SII.IIO 700.OU 650.DU 625.00 � I �So.nn vs.no I 175.I N I I �25.�� I I inctatl cihCi ouitet md rdou�ic li�t h fim swirchcs. lncludcc any . 1 , neLLxyary drywell rcpeirs. \ �; I Hemnvt yid insWll ncw �ilinF uhuuyt f��n. �\ Itd�w�c .u.�i�cc m�nmi mcJicinc aibind mirtor (rom rMrlh wall tn ' I wt�l wall. Patch wail. I i Rcmovc a�id inxcail hyidiwp Ic�cral I'uuccl anJ insulniing pouch . .;� Ihr.lnk drnin Irop. Fumiah end ins�all new high-1*�y ��ilci, Scul, � ; :m�lc ylop. wnicr lint and w� ring i I OLDCi. PCRMII'S ANU Id(h:ti ' I 1'umi.vh:uiJ install hauery n��a�r.l tinmkc J<Icdury in ups�airx . Ihallway enJ nll hcdrwme. � � Inx�all 2 ..all mounl �xb hars. I Imlull fillcr ulcs at new Qmr opcning and grout indudinF fJ^°1'°K � u nripinnl d..xwuy. In.lall lxdc•7trip and fit Urprling lu wnll. i IInstall Ouorea�m Gglding if rc�uircd by Buildin6 ��D�� (Rcphu:c eniYling light with OuortSccnl ..ail muum fixmre only.) ; 0 ** Code violation/Flousing Quality St:tndard I havc revicwed the above work dcscription and mide�stand thal any changcs, additions or delctions shall havc prior approval by thc City of Costa Mcsa NcighUorhood ►mprovemcnt Pcrsonncl. Signaturc of Property Owncr b:\form.wwu / � TOTAL 275 1111 175A<7 75.IH1 725.00 7Su.00 I OU.00 I NO.OU 195.Uft I $U.OU Date fs. ivs.00 (714) 754-5273 • Fan pt4) 75a-a856 • www.ci.costa-mesa.ca.us 77 FAIH UHIVt, GUS I A MhJA, GA y'L6"Lti JobAddress: 3147 COLLEGEAV Suite No Vicinity: Parcel Number: 47814641 Applicant: Address: Owner: PE7ER,ROBERT THESING. WILLIAM TR Address: 3747 COLLEGE AVE COSTA MESA, CA Contracmr. ALI�-HOME REMODELING Address: 1403 N BATAVIA STE 172 ORANGE,CA MECHANICAL PERMIT Phone: Zip: Phone: Zip: 92626-2640 Phone: 714-532-5380 Zip: 92667 License: 600501 ISSUED BY: Status: ISSUED Applied: 02/13/2003 Issued: 02/13/2003 SCOPE OF PERMIT MECHANICAL TO INCLUDE: REMOVE AND INSTALL NEW CEILING EXHAUS7 FAN. INSTALL NEW WALL HEATER IN LIVING ROOM . . � REF: 803-00252 ISSUE FEE Inst FAU <100 k BTU Inst FAU >100 k BTU Repair/Alt Cooling/Heat Inst / Rep. Recess Wall Htr Refrig Sys <100 k BTU Refrig Sys >100 k BTU Gas Piping Factory Fireplace Hood w/Mech Exhaust VAV Box Vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000cfm Air Handlers > t0000cfm Floor Furnace Floor or Suspentl Heater $23.50 $0.00 30.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 30.00 50.00 57.25 $10.65 50.00 50.00 50.00 50.00 $0.00 $0.00 $0.00 Quantity 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 FEESUMMARY Repair I Alt Absorbtion Unit Repair / Alt Refrigeration Unit Ventillation System Evaporative Cooler Commercia l I n ci nerator Domestic Incinerator Compressors / Absarption Svstems Upto3hp/100kBTU 3To15hp/SOOkBTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 1,750 BTU Boilers Upto3hp 3Tot5hp i5to30hp 30 l0 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Plan Check Fee Reinspection Fee Quantity $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 30.00 0 50.00 0 $0.00 0 $0.00 0 30.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 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 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inapeetlone and finel approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 754-5626 24l&46(N00) ERS' COMPENSATION DECLARAiION: y aflirtn under penalry of perjury one of the tollowing declaretions: � have ena will maintain a certificate of consent to selt-Insura tor workers' compansation, as provltle0 for by sectlon 3700 ot the Labor Code, for the pertortnence of ihe work for which Ihis permit is issued. I �ave anA wlll maintain workers' compensation insurance, as required by section 3700 of the Lebor Code, for Ihe peRortnance of the vrork for which this pertnit is issued. My workers' compensation Insurence carrler end poliry number are: Carrier: Poliry Number: (This section need not be compleretl i! the permif is velued a( one hundred dWlars ($100) ar less.) ❑ I certity Ihet in t�e pertormance ol ihe work for this pertnit is issued, I shall not employ eny person in any menner so as to become subject to Ihe workers' compensatlon laws oi Californl n et If I sh uld become sub�ect lo the workers' compensatlon provislons of Saction 370ppp``` 0l the Labor Code, I shall forihwith comply with the;Q vision � �/ 1�I ^^ AppliCaniSignetur�� Dele: � � 1��w�J WARNING: FAILUHE TO SECURE WORKERS' G17MPENSATION COVERAGE IS NU—I.AWNL AND SHALL SUBIECT AN EMMOYER TO CHIMINAL PENALTIE AND GVIL FlNES UP TOONE HUNDRED T/qU$ANO DOLIARE (5100.000), IN ADOITION TO THE COST OF COEAPENSATIIXJ, DNAAGES AS PROVIDED FOR IN SECTION 3)W OF THE L4BOF WDE, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby ettirm thet I em licensed under proNsion of Chapter 9(commencing with Section 7000) of Division 3 ot t�e Business and Professions Cotle, and my license is in full lorce end eflect. Lic. k � r� n,S� � �) Class p Cantrecmfs Signature: � t,��t - _ — Data: (3`� CONSTRUCTION LENDING AGENCV: ❑ I hereby aflirm that there is a consimction lending agency for the DeAormence of the work for which Ihis permit is issued. (Sec. 3097, Civil Code). Lentler's Name: Lender's Atldress: Signatura: Date: OWNER-BUILDER DECLARATIONS: I hereby affirtn Ihel under penalry of perjury that I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Professions Code: Any city or counry which requires e permit to construcL alter, improve, tlemolish, or repair eny structure, pnor to its issuance, elso requires the aODlicant br such pertnit lo lile e signed statement ihat he or she Is licensed pursuant to the pmvislons ot Ihe Contradors LJcense Law (Chepter 9(commencing with Section 7000) of Division 3 of the Buslneu end Pmtessions Cotle) or thet he or s�e is ezempt Nerelrom end Ihe basis for the allegatl eaemption. Any Wolation of Section 7031.5 Dy eny applicant tor a pertnit subjects Ihe epplicent to a civil penalty of not more than fiva hundretl tlollars ($500).): ❑ I, as owner ol the property, or my employees with wages as their sole compensa�ion, WILL DO THE WORK, entl �he sWCWra Is not Imentlatl or ottered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law tloes not apply to en owner of property who builds or improves theraon, and who does such work himsetl or �erself or ihrough his or �ar own employees, providetl �hat such improvements are not Intended or oHereG for sale. If, however, Ihe builtling or impmvement is sold within one year of completion, the owner-buiitler will heve the burden of proving ihat he or she did not build or imOrove for purposa o� sale.). ' ❑ I, es ownar of ihe property, am E%CLUSIVELV CONTRAC7ING WI7H LICENSED CONTRACTORS to construct the prolect (Sec. 7044, Business end Professions Code: The conirectore License Lew tloes not apply to en owner oi property who builds or Improves Ihareon, entl who contracts br such prolect with e contreqor(s) license Dursuant to the Contrectors License Laws.). ❑ I em exempt untler sac. Slgnalure: Owner ID ventied by drivers license. ❑ Ves ❑ No Business and Professions Code tor thls reason: Venilcation of Ownership by (type ol dccument, i.e. - property taa bill or deetl): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: Drivers License No. Date: Expires: ❑ I hereby certity that no excavaiion five (5) or more feet in depth imo which e person is requireC to tlescentl, will be mede in connection with work authonzed by this permit, entl ihat no building structure, scaflolding, falsework, or demolition or dismantling Ihereof, will be more then t�irty-six (36) teet high. (Chap. 32, Gry 2, Ar12, Sec. 341, Ttle 8, Celifomia Atlministrative Code). , ❑ As owner-builder, I will not employ anyone to do work which woultl require e permit from the Division of Indusirial Safery, es notetl ebove, unless such pereon hes e permit to do such work from �he division. Signelure: Da�e: Division oi Intlusirial Safery Pertnit Number: CERTIFlCA7E OF COMPLIANCE AND AUTHORIZA710N OF ENTAY: I certity untler penalry ol perjury thet I have reatl this ap0lication and stata that the information given is correct. I agree to comply with all state laws end city ordinances relating to building consuuction, end authodze re0�esentatives ot �he Ciry ot Casta Mesa to enter upon the ebove-described properry for inspection purpases. I agree not to acupy or allow occupanry of any building authonzed by this pertnit until finel inspection. Signeture OI Le al Owner s / D e � 1� � Date GOUE /. INSPECTIONTYPE 1616 Fixetl System Final Fire Prevenlion 1266 Pool Spe Finel 200 Final Re-Roof 201 Final BIocWRetaining Wall �• 202 Final Factory Fire Place 203 Final Sign 204 Finel Demolition � �F �� CO�EI INSPECTIONTYPE � 206 Finel Mechanical 20B Finel Plumbing 210 Final Elecirical 212 Final Fire Prevention 220 Final Planning Approval� � 222 Final Site 250 Finel Building/Occupancy QAff. z as (714) 754-5273 • Fe�c (714) 754-4856 • vnvw.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: Suite No Vicinity: Parcel Nunmber: Applicant: Adtlress: 3147 COLLEGE AV !iBiC[Yil PETER,ROBERT Owner: THESING, WILLIAM TR Address 3147 COLLEGE AVE , COSTA MESq, CA Contractor: ALL-HOM� REMODELING Address: 7403 N BATAVIA STE 712 ORANGE,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 l0 1000a Service over t000a Motors t0 1hp Motors to 10hp Motors to SOhp Motors to 100hp ISSUED BY: Phone: Zip: Phane: Zip: 92626-2640 Phone: 714-532-5380 Zip: 92667 License: 600501 Status: ISSUED Applied: OZ13/2003 Issued: 02/13I2003 SCOPE OF PERMIT ELECTRICAL TO INCLUDE: INSTALL ELECTRICAL OUTLET IN UPSTAIRS HALL CLOSETS, INSTALL OUTLET AND RELOCATE LIGHT AND FAN SWITCHES IN DOWNSTAIRS BATHROOM, 1 MOTOR FOR FAN. 1 GFI OUTIEi IN GARAGE ANO ONE GARAGE OOOR OPENER. REF: 803-00252 $23.50 50.00 $0.00 $0.00 $0.00 $0.00 $1.10 $3.30 51.10 50.00 54.75 50.0p so.00 $0.00 $4.75 $0.00 50.00 50.00 Quantity 0 0 0 1 3 i 0 i 0 0 0 1 0 0 0 FEE SUMMARY Temp Dist System / Lighting �Busway/100ft Standing Section Misc Electrical 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 VOIWge Equipment Low Volt Wiring System / Ckt Misc. Conduit Misa Conductor Circus ( gen or ride) Circus (mech dde or lights) Chrislmas Tree Stand Pireworks Stand Other Electdcal Fee 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 so.00 50.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 Quantity 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21•g2) EXPIRATION: This permit shall automgtically expire and become void if work is not commenced within 1 BO days, or if work Is suspended or abandoned for a period of 1 BO days. INSPECTIONS: In order for the work authorized under ihis permit to be considared legal, such work must comply with all applicable codes, and all required Inapections and flnal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 zaaase le�oa) WORKERS'COMPENSAnON DECLARAnON: � . I hereby aflirtn under penalry ol perjury one oi the lollowing tleclarations: ❑ I �eve entl will maintein e cenificate of conseni to self�lnsure for workero' wmpensetlon, es proviCetl for by section 3700 of tha Labor Code, for the pertortnance of ihe work for which this pertnii Is Issuetl. . I have entl wiil maintain workers' compensation insurence, es requiretl by section 3700 of tha La6or Cotle, for ihe pedortnanca of the work for which this Oertnit is issued. workers' compensatlon Insurance carder antl policy number ere: Cafrier: Polity Number. (This section need nof be complefed 1! (he permit is velued et one hundred dallers ($100) or less.) . ❑ I certity thet in the pertormence of the work for which this permit is Issued, I shall not employ any person in eny manner so as o become subject to ihe workers' compensatlon laws of Cellfomia, end ree that If I s� u b come sub�ect to the workers' compensatlon provislons ot Sectlo 3700 of the Labor Cotla, 1 shell forthwith comply with tha vi ions. � �--F�� _ 2 l� lJ ApplicantSigneture: �ry�.. Date: WARNINO: FAILURE TO SECURE WORKERS' COMPENSATION COVEMGE IS UNLAWFUL AND SHALL SU9IECT AN EMPLOYER TO CRIMINAL PENALTIES ANO CIVIL FlNES UP TO ONE HUNDRED THOUSAND OOLLARE (5100,000), IN ADDITION TO iHE COST Of COMGENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3]O60F THE LABOR WDE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby eHirm �hat I am Ilcepsed unde� provlslon ot Chapter 9(commancing with Section 7000) of Division 3 of the Business end Professions Code, entl my Ilcense is in full force antl eHecL Lic. N��S �/y�- -.�— �\ � __ Class N Contracrofs Signature: Y �,1... . _ /� �_ Da[e: _� � 1 `� � �i�'-a_ CONSTRUCTION LENDING AGENCV: ❑ I hereby aHirm Ihal Ihere is a wnsiruction lending egency br Ihe pedormance of ihe work for which this parmit is issued. (Sec. 3097, Civil Cotle). Lentlefs Neme: Lenders Address: Signature: OWNER-BUILDER DEClARA710NS: Date: I hereby eNirtn thei untler penalry of per�ury ihat I em El(EMPT FROM TME CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business entl Professions CoOe: Any ciry or counry which requires e pertnit to construct, elter, improve, demolis�, or repair any structure, pnor to its issuance, also requires ihe applicant for such pertnit to file e signed stetement that he or she is licensed pursuanl to Ihe proNslons ot t�e Cantrecrors License Law (Chapter 9(commencing with SectWn 7000) of Dlvision 3 ot the Business and Pmtessions Code) or thet he or she is exempt t�eretmm end I�e basis for the alleged exempiion. Any violation ot Section 7031.5 by eny appllcaN for e pertnit subjects Ihe apDliwni to a civil penalry of not more than five huntlretl tlollars (5500).): ❑ I, as avner of the property, or my employees with weges es Iheir sole compensetion, WILL DO THE WORK, and the sirucNre is not intentletl or oNered for sale (Sec. 7044, Business and Prolessions Cotle: The Contractors License Law tloes not apply to an owner of properry who builtls or improves thereon, and w�o Ooes such work himselt or herself or through his or her own employees, provided thet such improvements ere not intended or offered tor sale. 11, however, the �ulltling or Improvement is soltl within one year ot completion, the owner-builder will have ihe burden of proving Ihet he or she did no� build or improve for purpose ot sale.). � ❑ I, as ownet of the proDerty, am E%CLUSIVELV CONTRAC7ING WITH LICENSED CONTRACTORS lo consiruct tha project (Sec. 7044, Business entl Profession5 Cotle: The conirectors Llcense Lew tlaes not apply to en ownar oi properry who hulltls or Impmves thereon, and who contrecis far such pmlea with a comractar(s) license pursuant to ihe CoNractors License Lews.). ❑ I am exempi undar sec. Business antl Profassions Cotle lor this reason: Signature: Date: Owner ID venfietl by driver's license. ❑ Ves ❑ No Drivels License No. Verification at Ownership by (rypa ot Oocument, i.e. � proparty tas 6ill or Aeed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICA710N: Expires: ❑ I hereby cenify thai no ezcavetlon flve (5) or more feet In tlepih Into which e person is requiretl �o descend, will be made in connection with work eulhonzeC by Ihis permit, end that no building structure, scaMolding, falsework, or demolition or tlismantling thereof, will be more than t�irry-sla (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Califomia Administwtive Cotle). . ❑ As owneo-builder, I will not employ enyone to tlo work w�ich wauld require e pertnit Iwm the Division ot Intlustriel Sefery, as notetl above, unleu such person has e pertnit to do such work from the division. Signature: Date: Division ol Industnal Satety Permit Number: CERTFlCATE OF COMPLIANCE AND AUTHORIZATION OF ENTAY: I ceRify untler penalry ol perjury Ihat I have reatl t�is application and sta�e �hat the informaiion given is wrrect. I egree Io comply wlih ell stete lews end ciry ordinences releting to 6uilding consiruction, end authorize representetives ot the Ciry of Goste Mesa to emer upon Ihe ebove-descnbed proparty lor inspection puryoses. I eqree not to occupy or allow occupancy ol eny building authonzed by this pertnit until final inspection. .� i• �' 161fi Fixed System Finel Fire Prevention 726fi Pool Spe Final 200 Final Re-fioot 201 Finel BIwklRetaining Well 202 Final Factory Fire Place 203 Finel Sign 204 Finel Demolilion p�g irmru�s COOE� INSVECiIONTYPE 206 Final Mechanical 20B Final Plumbing 210 Final Elecirical 212 Final Fire Prevention 220 Final Planning Approval � 222 Final Site 250 Final Building/Occupancy PSIE Irrtm�tS JOB ADDRESS 3147 I GENERAL CONTRACTOR INSPECTIONS Service or Pole �c DESCAIPTION OF WORK FIRE ZONE VALUE : TYPE TTT ZONE SUBCONTRACTOR .,.� • 25280 EOSTA MESA BUILDING-SAFE7Y DEPARTMENT P.O. BOX D1� COST11 M69A. CALIFORNIA For Appllcant to Fill In Completely TYPE OR PRINT ADDRE55 �ot-�EG C COSTA MESA, CALIFORNIA � � MAIL � NO. IM�.OPOLDO6. BBTBACK LIXB PflOM CENTER OP 9TRCeT REAR SIDEYARDI LEFT ' I RIGHT DESCRIPTION OF WORK EXTERIOR WALL I ROOP COVERING COVERINO U6E0 UILDINGAIIDWORKTOBEPERFORMHD �� .' _ � 1 HEqEBY ACKNOWLEOOH THAT 1 HAVe RGD THIB �PPLICATION AND 6TAT6 THAT iH8 ABOVE �8 COflRECT ANO AOq88 TO COM� PLY WITH ALL CITY OROINANCiB AN �8TAT6 LAW9 R80ULATINO BUILOINO CONST UGTION. ' � SIGNATUREO/ � � � r C,�� PERMITfE � AUTHORIZBD AGHNT CITY'DF C'�5 �A MESA FEB 10 1966 � ZONING o, or uee or runa � euame EAVES ALLOW ED YAqDB MPROV ED MAIIJ BUIL�INO VAR. $R J �� — 'U //— .� J .N6 SHALL BE LE38 THAN <U.B.C.REOUIREMENT YARDSAPPROVED ACCESSORY BUILDING OATE � n 6Q. Ff. � THE AMOYNT 9XOWN UNDEH VALUATION 19 FOR TN2 � PUHPO6fi OF 6STABLI6HIN0 A pERMIT FEE ONLY. Q VALUATION � d'O m PERMIT FEE $ j t Ss�/ � m ✓ `-' F o 3 `� LL TOTALFEE $ -,y. � 22749 , �COSTA MESA BUILDING•SAFEfY DEPARTMENT P.O. BOX 9f7 C08TA MEBA� CALIFORNIA For Applicant to Fill In Completely TYPE OR PRINT BUILDINa %� ADDRE59 `7 COSTA MESA, CALI RNIA owr,ER Harbor. �HaLll o£ Fame Homes Inc MAIL BOX GW6 FIRE FE� RECEIVED Lot# �UG 3 P�an# 3FINANCE DEPT 4 APPLICR710N" �o�kO��T��ESA BUILDING For Office Use Only q[CHIPT NO. PEqMIT N< aooRess 3432 Via 0 rto N Bch ZONINCi Lifetime Residential B�idg Cor �`- "� °" U860PNRM � runa eui� CONTRACTOR //� LHOAL GTI. ` .i l �C i � ADDREBL B�x 2066 DfiBCHIRION �� /� � `� Ssnta AIIa w. a. Ho. L� � V I l^JQ CITY NOTE: NO EAVE OVEHHANO SHALL BE LESS THAN �;�TNo. z08676 „o it19-2204 90' TO SIDE Q REAR P. L. 61ZE 'zQ ]( 8Q I NO.OPBLO08. O ALLOWEO <U.B.C.REOUIREME� OF LOT NOW ON LOT YAROSAPPROVED YARDSAPPROVED USEOF none MAIIJBUILOIN6 ACCESSORYBUILDII EXISTING BLDG. (FROMC�;L TREET) 6ETB�CK LINE FROM � p FRONT FT. FT. CENTEfl OF BTRBh� i REAR YARD � lO ,/'�l SIDE YARD I LEFf O I RIGHT O R. SIDE \? FT. FT. DESCRIP710N OF WORK L. SIDE � er. F-r. .._... I�II ..___._.__.I II .__._.___ I REAR ;� . �. REPAIR I I MOVIN6 I II DEMOLISM I mwirv n�vua. Z BUILDIN6 y�p NO.OF o 'Z VAR.# OATE I � SRE �ID ZZ�ROOMB U BTORIE9 C.U.P.# �� APPROVEO �I 6� � W EXTERIOR WA ROOF APPROVED - G � COVERING �ti11CCO COVERIN6 ROC�S BY OATE � USE OF BUILDING AfiD WORK TO BE PfiRFORMED a o tru tion of ��I�� occu nc bld W with ��J�� conatruction garage °L � ¢ ./� �fG so. �.� �/,3 D� � � _ �, 1 HBflEBY FCKNOWLEDOB THAT 1 HAVB HHAO TXI9 APPLICATION TM! AMOUNT BHOWN IINOER VALUATION IB FOq TH! (,L ANO BTATB THAT THE ABOVH 19 CORftECT AN� AORHH TO COM- PIIRPOSH OP HBTABLI6HIN0 A PEHMIT FEH ONLY. � � PLY WITH �LL CITY ORDINANC88 ANO 6T�T[ LAWB qeOULATINO ypLUAT10N BUILOIN6CONBTHURION. L q � SIGNATUREOR PERMITFEE $ �) �� O PERMITTE s /� /�� "7 "/'� 0 Q � /_ o� o( AUTHORIZ6DA6 �� ('/ / �'/}_ �` TOTAL FEE S l!� /� �G O _