HomeMy WebLinkAbout3181 COLLEGE AVE - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.c�ILDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626
Jobnddress: 3181 COLLEGEAV
Suite:
Vicinity: DETACHED GARAGES
Primary Occ: U
Parcel Number: TPN98079
npp�icant: VES PEARSON
Address: P O BOX 3908
SEAL BEACN, CA
Owner: FRENCH
Address 2020 E FIR:
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Address. %,�Pb BOX 39C
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Status: ISSUED
Applied: 08/022006
Issued: 08/03/2006
Type of Construction: V-N
Zoning:
Phone: 562-429-7663 ISSUED BY: --17 6�--�
� Zip:- �-90740
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ING COMPANY -
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License: 472566 , � A�-� \
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TEAR OFF EXISTING,ROOF. INSTALL�2 LAYERS OF 15# ASTM FELT, GAF 40 YEAR, LAMINATED COMPOSITION SHINGLES AND ���
, REPA�R/REPLACE SHEATHING AS NEEDED. 24 SQUARES FOR DETACHED GARAGES 3781 THRU,3187 COLLEGE AVE.� ���, ��� ,
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� � � ,� f� - = - FEE�SUMMARY � � ` � ' �
� Plan Check: � �� $0.00 � �' �- � l�/� !%�) �,�a' �i'';�='% 'k / �'�%' �'Calc Valuation: �� f � �� , ga,zoo'oo'.
�v. � I' _ i ., . . . _ ..1 �� G'..:�_ 1. .�.- - � � $4,200�.00 ��
� � � Permit: -, � �$111.25 _-_ - - Claim Valuation: � i � �
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,� � SMIP Res: - , $0.50 .� � __
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SMIPCom�� $0.00 ,�r� ,� ,'" , i`>� , , ' ;
� � Other ° $0.00 r e , n . � � , � -« ,
�Inspection'� �,,� � � $0.00 � - � - - - � , - - %� "
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�` �TotaL• ;.�� $111.75 - . _� _ � �' ` � � �,�"
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SETBACKS ` . '"
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MAINSTRUCTURE-Front��0-0 Rear �0•0 -, Left� 0-'0"��.. Right OO�j ��
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NOTICE: The work aulhorized by this permit shall comply with all applicable hantlicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 1241-92)
EXPIpATION: This perm(t shall automatically expire and become vo(d if work is not commenced within 180,days, or ii work is suspended or abandoned
for a period of 180 days. �- � ,'
INSPECTIONS: In order for the work authorized under this permlt to be considered legal, such work must comply with all applicable codes, and all
required Inapectlons and finel approval must be obtained. Feilure to obtain Inspections and final approva� will result In the explration of this permit.
FOR INSPECTIONS CALL: (714) 7545628
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WOHKERS'COMPENSAnON DECLARAnON:
1 hereby ettirm untler Oenelry of per�ury one ol the following tleclarations: �
❑ I have end will malNain e cetlificate of consem ro setl-Insure lar workers' compensetlon, fls pmWded tor by sectlon 3700 ot Ihe Lebor Cotle, for the peAormance of the
�for whiU thl9 pertnit Is issuetl.
I tf�ve end vnll meintain workers' compensaUon insUrence, az requiretl by seclbn 3700 of Ne lelwr Catle, fw Ne pertortnance of Ihe work for which this pertnit Is Iswetl.
�.M��y�orkera' co�nsatian InsuS� carrier and polcy number are:
�Pdky�Number., ���C J � � � iD2 —ZC�b (�
orless.)
❑ I certity ihet In Ihe pertortnance ot Ihe work for which this permit is issued, I shell not employ eny person In eny manner so es to become sub�ect to Ne workers'
compensation lews ol C ifomle, en ree that it I should become sub)ect to the workers' compensatlon provisions of Seclion 3700 of the Lebor Code, I shell forthwit�
comply with these o ions. n
AppllcaniSlpnetGie:�1 �C—� ' Date: . 6 j� �U.t.
WARNINO: FW W RE TO�SECURE WORKERS' COMPENSATION COVERAGE IS UNIAWFUL AND SHALL SUBIEGT AN EMPLOYER T CO IR MINAL PENALTIES AND GVIL FlNES UP TO ONE HUNDRED
TFIOUSAND DIX.L4RE (f100.000�, IN ADdT1pJ TO THE COST OF COMPENSATION, OMMOES 0.S PHOVIDED FOR IN SECTION 37080F THE LA80R CODE, IMEREST. AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
that I em Ilcensed u��rovi�loos of�hapter 9(commencing wlth Sectlon 7000) ol Divislon 3 ot the Business an9,Pmtess�s Coee, end my Iicense Is In tull
CONS7RUCT10N LENDINO AGENCV:
❑ I hareby eMirtn that there is a consiruction lending egency for the pertormance of Ihe work for which this pertnit is issued. (Sac. 3097, Civil COCe).
Lentlers Name: LentleYs AOtlress:
SlgnaNre: Date:
OWNER-BUILDER DECLARATONS:
I hereby ettirtn thet under penalry at per�ury thet 1 em EXEMPT FROM THE CONTiiACTORS LICENSE LAW for the tollowing reazon (Sec. 7031.5, Business entl Protessions
Cotle: Any ciry or counry whlch requires e pertnit to construct, alter, improva, tlemolis�, or repair any siructure, pAor lo its issuance, elso requires ihe epplicant for such pertnit
to fle e slgneA statement that he or she is Ilcensed pursuam ro t�e proNslons of Ihe Contreclors License Lew (C�epter 9(cammencing with Sectlon 7000) of DlWsion 3 0l the
Business end Professlons Cotle) or t�at he or she is e:empt Ihereiran end Ihe basis 1ar Ihe ellegeC ezemption. Any Nolatlon of Section 7037.5 Dy any epplicent for e permit
subjecta the appllcant to e ciWl penalry oi not more than flve hundred dollars ($500).):
❑ I, es owner ot the property, or my employees with wages as their sole compensetion, WILL DO THE WORK, end the siructure Is not intentletl ar ottered for sele (Sec.
70a4, Business end Professions Cotle: The Conirectors License Law does not epply to an owner oi property who builds or Improves theraon, end who tloea auch wark
hlmself or herself or ihrough hls or her own employees, provide0 t�at such Improvements ere not Intended or ottered for sale. It, howaver, the building or Improvement Is
sold within ane yeer ol completlon, the owner-builder will heve the burden of proving thet he or she did not build or improve for purpose af sele.). '
❑ I, es awner of the property, am E%CLUSIVELV CONTRACTIN� WITH LICENSED CONTRACTORS to construct the proJect (Sec. 7064, Busineas end Pratesslons
Code: The contrectors License Lew tloes not apply to an owner ot properry who �ulltls or Impmves Ihereon, entl who contracis far sutli prolect with a contrector(s)
liCen9e OurSuent �o �he Con�rec�ors License Lews.).
❑ I em exempt under sec. Business end Protessions Code for ihis reason:
Signalure: Dete:
Owner ID vedlled by tldver's Ilcense. ❑ Yes ❑ No Dnvefs Ucensa Na.
Vertlicatlon ol Ownership by (rype of dacument, i.e. - property ta�c hill or tleetl):
DIVISION OF INDUSTRIAL SAFETY PERMR CER7IFICATION:
Expires:
❑ I hereby certity that no ezcavatlon five (5) or more feet in depth into which e person Is required to descend, will be made In conneclion with work euthorized by this
pertnit, and Ihat no buildinp sirudure, scaHolding,lalsework, or tlemdition or dismantling thereof, will be more then ihirty-s�C (38) icet high. (Chap. 3.2, Gry 2, An 2, Sec.
301, Tltla 8, Celifomla AtlminisirelNe Gade).
� As owner-builder, I wlll nol employ enyone ta do work w�ich would require e pertnit trom t�e Division of Industrial Satery, es noted above, unless suc� person hes a
permit to tlo such work irom the division.
Sipnature: Date:
Division of Indusinal Safery Permit Number:
CERTIFlCA7E OP COMPLIANCE AND AVIHOR¢ATON OF EMRY: I certity under penalry of perjury that I have read this epplication entl state that the inlormation given is
correct. I egree to comply wlth all state laws end ciry ordinences releting lo bulldlnp consiructlon, antl aut�onze representatives of the City of Coste Mesa to enter upon the
above-dexribed property to� I�spection puryoses. I agree not to occupy or ellow xcupancy of eny huilding authodzed hy this permit until finel Irepectlon.
CODE I. INSPEC710NTYVE
7676 Fixetl System Final Fire PrevenUon
7266 Pool Spe Flnal
200 Finel Re-Root
201 FIneI BIacWRetelning Wall
202 Finel Fectory Fire Place
203 Final Sign
204 Finel Demolition •
PAg It�4S
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COOE� INSYECTIONTYPE
206 Final MeCtianical
208 Finel Plumbing
210 Finel Electricel
212 Final Fira Prevention
220 Final Plannln8 Approval
222 Final Sl�e
250 Final Building/Oaupency
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(714) 754-5273 • Fax (714) 754-4856 • www.c�.costa-mesa.c��LDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 3181 COLLEGE AV
Suite:
Vicinity: 31813187
Primary Occ: R1
Parcel Number: 41814520
Type of Construction: V-N
Zoning: R2
Applicant PEARSON,VESS ' �' �,'-'�`'
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Address: P O BOX 3908 � - �'��.� � ��.�'� � - . ��-'„ - - ISSUED BY:
�' ,� �� ��"�� ' ' � Phone: 562-429-7863 �
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SEAL BEACH ;CA��'\,-� " '-` � � ' Zip: 90740 � ,
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Owner. FRENCH,QUARTERS HOA" ' ';. � _ �
Address � 2020 FIRST ST` _ � %; %' � '. ..' ' _ -,' ' --: �� �. -
r� -SANTAANA,6A, ".-; ,��,::: ��" Phone: 714-285-2626\EXT211�� .
-� SUITE 500, ��� " ' Zip: 92705 '-� ��� �'
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Contractor: G M ROOFING COMPANY
;�, Address: P O BOX 3908
� � � � � � Phane: 562-4237663
' ` SEAL BEACH, CA � -
' . . Zip: 90740 ' - • License: ; �472566 �
Arch :
.Address: � -
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, . . � Phone:
Eng:
Address: ; � � �
Status: ISSUED
Applied: OS/10/2005
Issued: 05/10/2005
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�Zip: , � .License: -� Llcense: ,
' . ._ . . _ .. _ . . _ . . ` � ,
' � ' � ; SCOPE'OF PERMIT " �
REROOF CONDO BLDG. UNITS3181-318T. T/OFF�EXISTING ROOF, INSTACL 2 LAYERS �15# FELT UNDERLAYMENT, APPLY 40 YEAR COMP.
SHINGLES. 29 SQUARES � � � � � �
� � � FEE SUMMARY , _ � � '
, Plan Check: " $0.00 ___ Calc Valuation: S�,soO,00
� � '� Permik $153.25 � �;� ; Claim Valuation: � .'� � $7,soo.00
� \SMIP Res: � � $0.76 - � '�„ : ;
���SMIP Com' , , $0.00 - _ i.'i'; � ' �
'��� Other. $0.00 . _. �;�'%
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inspection: $0.00
.
' �,' � ��•� s�� , � , , - �,ii .�� �
` Total: ' 8154 01 c ,�.� , ., , , . : ' " = � �
/� � � . - � . , ,i/
/ '� � `� /� � i
�'� �,� i' '�� ���: �`.PLANNI�NG"&ZONING � �; i'� '� ��,�� /,�'.'�
SETBACKS � �•.A ,. ti ,�r�1 � . � -, � �` . , �
�. � �;'� i
MAIN STRUCTURE Front_� 0`0> /; �t� Rear � 0= 0`-� - Ceft-�_ 0.�0� Right --0- 0�',
,_. ��>�,�,._.�,-..: -� .. _ . .. , � ...
�, � � �
ACCESSORY Front�0=0�� �����Rear,�, 0-0-� �� `�Left .-� 0=�0' �� Right . ,0;0 ,i�
����� ,� . ' _ .�, �
PARKING Existin 0``�� Re uired: �0-- �' �� Pro osed: 0� , ��-���
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. . . .i _.� i , ,
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become vold if work Is not commenced within 180 days, or ii work is suspended or abandoned
for a period of 180 days.
INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must compty with all applicable codes, and all
required Inspections and finel approval must be obtained. Failure to obtain Inspections antl finai approval will result in the expiration of this pertnit.
FOR INSPECTIONS CALL: (714) 7545626
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WORKERS' COMPENSATION DECLARATION: ' ' � ' '
I hereby ettirm untler penalty ol perjury ona ol the tollowinq decleialions:. '� � � -, ' . -
❑ I heve and will maintain a cartiticate of consent to self-Insure lor workers'�cnmpensetion, as providetl for by 50tti0n 3700 of tha Labor Code, fo'r Ihe peAortnance of Ihe
work for which this pertnit 15 i55ued. ' -
I have d will maintain woBers' compensa�ion insurance, as requiretl by section 3700 of [he Lebor Cotle for Ihe pedormanca of the work for which this pertnit is Issued. '
My wo re' compensatlon Insurance cerder antl policy number ere: "-- - -
Cartier. �����N� PolicyNu ar. ���,� b1 �26 e5��
IThis on need nof be comple ed J(he permif is relued et one hundred dd/ars (5100J or Iess.J
❑� I ce ' e pertormanc6 of the work for which this pertnit is issued, I shall no� employ eny perso��^ pny manner so as to become subject to the workers'
m wn le oi Califomia, apd egrea thet Ii I should bewme subject to the workers' comp tion provislons ol Sectlon 3700 of the Labor Catle, I shall forthwiih
ply with ihes pra`hs`b ns. ri � I
pplicent Signa . V�l/� Y�l n�� ��awJ� 5 I 10 9S
: FAILURE TO SECURE WOHI(ERS' COMPENSATION CqVERAGE IS UNLAWFUL PND SHALL SUBIEGT AN EMP�OVER TO CRIMINAL PENALTIES rWD GVIL FlNES UP TOONE HUNDRED
THOUSANO DOLLARE (E100,000), IN ADDITION TO TME COST OF COMPENSATION, DAN.AGE$ AS PROVIDED FOR IN SEGTIdJ 3%OB OF THE UBOR CODE, IMEREST, AND ATiORNEY'S FEES.
DECLARATION:
I am licens�d under p�o�isiafs of Chapter 9(commencing wilh Section 7000) of C(vision 3 of iha Business ertl PrQesslons Code, and my license is in tull
CONSTRUCTION LENDING AGENCV:
❑ I �ere6y eHirtn that there is a cons�ruction lentlinq agency for ihe pedormance of ihe work for w�ich this permit is issuetl. (Sec. 3097, Civil Code).
Lender's Name: Lender'S Address:
Signawre: Date:
OWNER-BUILDER DECLARATIONS:
I hereby atlirm thet under Denelty ot perjury thet I am E%EMPT FROM THE CONTRAC70RS LICENSE LAW tor the following reason (Sec. 7031.5, Busineu and Professions
Cotle: Any ciry or counry whic� requires e permit to construct, alter, improve, demolish, or repair any siructure, prior to its issuance, also requires the epplicant for such permit
to tile a signed statement thet he or she Is Ilcensed pursuent to the pmvisions ot the Cantrectors License Lew (Chapter 9(commencing with Section 7000) of Division 3 of ihe
Business and Professions Code) or ihat ha or sha is axempt therefrwn and the basis lor the elleged exemption. Any vlolation of Section 7031.5 6y any eppliwnt for e pertnit
sublec�s the applicant to e civil penelry of nol more ihnn live hundretl tlollars ($500).):
❑ I, es owner ol Ihe property, or my employees with wages es their sole compensation, WILL DO THE WORK, end t�e structure Is noI Intended or oHeretl tor sale (Sec.
7044, Busineu end Professions Code: The Coniractors License Law does not apply to an owner of property who builas or improves thereon, and who does such work
himself or hersell or thmugh his or her own employees, provided ihat such improvements are not Intended ar ottered lor sale. If, however, �he building or improvement is
sold within one year of completion, ihe owner-builder will have Ihe burden ol proving that ha or she did no� build or improve for purpose ot sale.). '
❑ I, as owner ol the property, am EXCLUSIVELV CONTRAC7ING WITH LICENSED CONTRACTORS to construct Ihe project (Sec. 7044, Business and Profeuions
Cotle: 7Tie contractors License Lew tloes not eppty to an owner of pmperty who bullds or Improves thereon, enA w�o contracts for such pmject wit� a contractor(s)
license pursuant ta the CoNractore License Lews.).
❑ I am exempl untler sec. Business antl Professions Cotle for this reason:
Signature: Date:
Owner ID venfietl hy tlriv8r51lcense. ❑ Yes ❑ No Drivers LiCense No.
Verification ol Ownership by (typa ot document, i.e. - properry tax bill or deed):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
Expires:
❑ I hereby cenity ihat no excavetion five (5) or more leet in depih into which e person is required to descend, will 6e metle In connection with wark aut�onzad by Ihis
permit, antl ihat no building siructure, scaHOlCing, talsework, or demolition or tlismantling Uereol, will be more than ihitly-siz (36) tee� �igh. (C�ap. 32, Gry 2, Art 2, Sec.
341, Title B, Celifornia Administretive Cotle).
❑ A5 owner-builtler, 1 will not employ anyone to tlo work which woultl require a permit Irom the Division ol Indusiriel Selety, es noled ebove, unless such person has e
permit to do such work from the division.
Signa�ure: Date:
Division af Indusinal Sefery Pormit Number:
CERTIFICATE OF COMPLIANCE AND AUfHORVA710N OF ENTRY: I cehify under penalty of perjury ihat I have read this application and state ihat the information given is
correcL I agree to comply wl�h all state laws entl city ortlinancas relatinq to builtling constmction, and authodze represen�atives oi ihe City of Costa Mesa to enter upon the
above-tlescnbed pmperty for inspection puryoses. I agree no� to occupy or ellow occupancy of eny builtling authorized by this permit until finel inspection.
COOE 1. MSPECTIONTYPE � ' "'
1616 Fixed System Final Fire Prevention
1266
200
Pool Spa Final
Final Re-Rool •
201 Final8locWRetaining Wall
202 Final Fectory Fire Place
203 Final Sign
204 Final Demolition
COOE� INSFECTONIVVE
206 Final Mechanical
20B Finel Plumbing
210 Final Elecincel
212 Final Fire Prevention
220 Final Planning P.pproval
222� Final Site
250 FinalBuilding/Occupency
AVV��cant to fill in all so�ces exceo< <�ose within neavy border lines ana sign ali avProOriate aeclarations.
CITY OF� OSTA MESA CONSTRUCTION PERMIT PER IT NO. TRACT NO. LOT NO. UNIT NO.
(� 33Sba
Project:iddress ��P� �a<<EGLr
•' TVPE OFCONSTRUCTION NEW AD� ALTERATION REPAIR
ApplicanYs Mailing Address �4 �o�v ��S SAn/r.F fI�✓4
Owner'SName ���^'�H Q�T�� � f( !�n � CONVERSION ❑ DEMOLISH ❑ OTHER
'� V• � phone j�- f� DESCRIPTION OF WORK/USE QF BLDG.�� oF/- T.c.c .e.mf �.:/v
Address S� C /k� ��P��
Arch/Eng. License No.
Address
Contracror'sName,�qe R�+d?.vFre.c ri..G Phone �'%�J7e7
Address (mailing) P0 �o Y � CS Se�rn �P �%Z?o z
City License No. � �i+� ?�rS �
LICENSE� CON7RACTOR DEC�qRAT10N
I nereby affirm thal I am Iicensetl untle� provi5ion50f Charter 9(commencing
with section ]000) of Dlvisi0n 3 ot lho Business antl Professions Cotle, antl
my Ilcense is in full torce antl etfeG(, 3SrL,
License Class icense No �
Date ��1'Pg Si9nature _
ORKERS' COMPENSATION D@CLARATIO
iereby affirm that I have a certificate of tonsen[ to self-insure or a certificate
o( workers' Compensation Insurence, or a certltietl copy thereof (Secfion
3800, Lab. C.)
aorcy No. LF f_ �,�/ comoanv S�n?7s F✓�
eCertified copy is hereby furnisqetl.
Certifletl copy Is filetl with the city Bulltlin9 Dlvision.
EXEMPTION FROM WORKERS' �OMPENSATION DECLARATION
(This seclion neetl nol be cOmplet@tl it the permit is for one hundretl ($100) or
less).
I certify that in the performance Ot the work for wM1lch thls perm�t is issuetl, I
sha11 not empioy any person in any manner so as to become subject to the
Workers' Compensation Laws of Califomia.
Date Si9nature
N0T1[E: If, after making thiz tleclaratlon, you shoultl become subject to the
Wo�kers' Compen5a[ion pwvisloqs ot the Labo� Cotle, you mu5t forthwith
wmply with sucM1 provisions or Ihls Oe�mit Shall be tleemetl revoketl.
CONSTRVCTION LENDING AGENCV
1 hereby affirm thal chere is a constructlon lentlin9 a9ency for the periormance
of the work for which tnis permil iz issuetl (Seclion 309] Civ. C.)
Lentler's Name
Lentler's Atltlress
OWNER BUIL�EN �ECLARATIpN
I hereby atiirm that I am oxempt irom the ConVactor's Licenze Law tor the
followin9 reason (Section 7031.5 Buslness antl Professional Cotle: Any city or
counly which requirez a petmit t0 const�uct, alte�, improve, demolish or �epai�
any sVucture, prio! to it5 iiSuanSe, a150 r¢quiles the applicanl tor Such Oerlpit
b file a signetl slatem¢nt thal ha/She is Ilcensetl pursuant to Me provi5ion5 ot
e ContracloYS Lic¢nse Law (Chepter 9.(commencing wi[h Section ]000) ot
vision 3 of the Business antl P�ofesSiOns COUe) or tha[ he/she is exempt
.re�etrom antl tlte basis tOr lne a11e9Gtl exemption. Any vlolation of Section
7031.5 by any appli<anl 1or d pe�mll sublects the appliCant to a civil
�enalty of not more than tive huqtlretl tlollars (E500).
LJ I, as owner of ine property or my emvloyees with wages as their sole
' compensation, will Oo the work, antl tne slructure Is not intentletl or offeretl
'� for sale (Section ]044, Businezs antl Professional Cotle: The Contractor's
�I License Law tlo¢5 noI apply to aq owner ot a property who builtls or improves
thereon, antl wno tloes such work nlmseli/herself or tnrou9h his or her own
employees, provitletl that such irhprovements are not intentletl or offeted for
sale. If, nowev¢r, [he builtlin9 or improvement is soltl within one year of com-
pletion, [he ownet will have tha burtlen Of p�oving he/she tlitl not builtl or im-
prove fo� the pu�pose Of sale).
❑ I, as owner of the pro0erry, dm exclusively con[racting wifh licensetl con-
t�actor5lo cons[rucl tM1e project (Se[tion ]044, Business antl Professions Cotle:
The ConVaclor's LiCense L.aw dpes no[ appty to an owner oi property wha
builtls or Improves tM1ereon, antl �yho conVacts for such p�ojects with a con-
tractor�sl ucense pursuant to the ConVactor's Ucense Law). I am aware ihat
proof of their Wo�ker'S Compe��llon in5uranco snoultl be provitletl to me.
❑ I am exempc unaer Seclion B. & P. C. for this reason
�ate Owner
I hereby certify thai.l have reatl Ihis apolication antl state that the above
informatlon is correcL I agree to comply wiih all clty antl county ortlinances
antl slate laws relating lo builain9 constructlon, antl hereby authorize repre-
sentatives of Ihiz city to enter upon lM1e abOve-mentionetl prope�ty fo�
inspecUon putpo�+Jas. {
Signalurc �LGr ��M�.�- �e!��/!/ Date �/ Z A'�
Drivers' LI�=^•� ^• cc �
TYPE OF PERMIT LJ GRADING LJ FOVrvoA-riorv lJ STRVGTURAL
❑ TENANT ❑ ELECTRICAI ❑ PLVMBING ❑ MECHANICAL
� OTHER
PROJECT DESCRIPTION SQ. FT. �� occuPnNcv—
COIvSTRVCTIONTVPE VALUATION$ OV.
ZONE GRAOINGCU.YDS. ACRES_
Remarks:
Bar Sink
Backflow Preventer
Backflow Irrigation
Bathtubs
Claritiers
Drinking Fountains
Floor Dreins
floor Sinks
Ci35$2fVIC2 �l1i�EI5
Interceptors
Kitchen Sink
Lavatories
P-Trep
Roof Drains
Reinspection Fae $15
Boiler
Duct-UnderGround
Duct - Sttuctural
Duct - Ventilating
Exhaust System ❑ Multiple ❑
Firepl/FacL BIt. ICBO #
Heating System & Ducting
❑6100,000 BTU 0700,000 BT
Reinspection Fee � $15
CMF 0865�46, rev. 30/B4 White - guiltling; Canary - ApPlicanl; Pink - AccoUntin9: GoltlenrOtl - Assessor
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
Warer Closet
Wacer Heater
Water Service
Auto-Wash
Issue Fee
Hoodor Typel ❑
Canopy Type I I ❑
Refrigeration System
❑aioo,000aru ❑ioo,000
System Repair/Alteration
Fire Dampers
Registers
Issua Fee
FEES
$ 3
$ 3
A.P. iW
S Main Buildi
E
T Front
8 Rear
A
C Right
K Left
S
Ping. Ref. #
Planning Notes:
Automatic Washer
Consvuction Pole Sub.
Cooking Unit
Dishwasher
04BB 5/�3/80
Zone
Accessory Building:
Parking Req./Provided
ELECTRICAL
Transformer ❑ 15�50 KW
❑ 50+KW
Dryers LJGas LJEIecVic
Fan
F.A.U.
Fixtures
Device Boxes
Ouclets
Switches
Garbage Disposal
Generator �0.5 KW 05�15 KW
Meter LJup to 100 amps
Meter ❑over 100 amps
Sub Panel _ -
Motors �0-1 HP �i % - $
tnaSolar Q9-15 HP �i6-75+
Microwave
Pole Light
Range
Sign
Standing Sections
Trash Compactor
� Reinspection Fee �$15 � � luue Fee
DEVELOPMENT SERVICES REQUIREMENTS:
Zoning Approvad By
Building Approved By
Aooliwtion Issued Bv
SUMMARV OF FEES
BUILDINGPERMIT $ ���a% SMIP
PLAN CHECK $ PERMIT
PLUMBING $ ISSUANCE
PLAN CHECK 25% $ ENERGV P.C.
ELECTRICAL S GRADING
PLANCHECK 50% $ MICROFILM
MECHANICAL $ TOTAL FEE
PLAN CHECK 25% $
54a50 TI
FEES
$ 3
g .�
Z
O
N
1
N
G
R
E
Q
M
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S
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS .Permit# Date Inspector qppROVALS Permit# ' Date Inspector
1: Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcement
3. Electrical Conduit Utility�Undrgrnd. 54. Forms �
4. Electrical Conduit-Undrgrnd. � 55. Electrical Bonding
5. Steel Reinforcement' � 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation � 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor SYstem 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
73. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 'i
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. Product Piping O Gas ❑ Oil •
23. Gas Pipe�Rough & Test 72. Underground Flush .
24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil �'
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical '
2�. Frame and Flashing 76. Dry Standpipe �
��
28. Lathing & Siding 77. FIXED SYSTEM FINAL ��
29. Insulation 78. FIRE PREV. FINAL � '�
30. Drywall Nailing HEALTH DEPT. 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-Tes[
36. Hood or Canopy -
37. Final Factory Fireplace
38. Final Plumbing � � " �
.
�9. Water Service-Final � �7` � . ' '
40. Gas Service-Final ' �
,.
41. Solar pomestio-Final , � ` �
,�
:42. Backflow Preven[er '- . . ' � ' �
i ' �
43. Backflow Irrigation •� � `' � ,
�44. Landscape Irripation System � � '� �:
/ ti ! i
;�45. Sound Attenuation � " � ' ' �
i
46. Handicap Regulations �; ; � � '
�47; FINAL STRUCTURE & BUILDING (O 3 �� �� '��' �' , ' . _
_:
48.. Special Requirements Completed � �� ,.� ''
��49. Electric Release to Edison � . '
�.,
50. Gas Release to Southern California Gas Co � `
51. CERTIFICATE OF OCCUPANCY
No. Date �
. ��70�
CO5fA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 917 C08TA M69A, CALIFORNIA
For Applicanf fo Fill In Completely
TYPE OR PRINT
BUILDIN6 � � W �-�c_j r
ADDRESS L ar i� ISLV:�.
COSTA MESA, CALIFORNIA
�
Ray Levanas
NO. OP BLDOB.
USE OF none
EXISTIN6 BLDO.
68T0ACK LINB PHOM �
HFT 0' I RIOHT O
DESCRIpTiON OF WORK
S ZE�'N�'OOI� R OMS r
S1
EXTERIOR WALL ROOF
COVERING S�F.Il CO COVERING ROC
USE OF BUILDING AND WORK TO BE PEftFORM
Construction of ��I�� occu anc
with ��J" construction garage
2
1 HEREBY ACKNOWLED02 }H�T � HAVH RBAO TXiO APPLIC�TION
•ND BTATE TNAT TN8 �BOV6 IB COpRBtt AND AOpEB TO COM�
PLv WITH �LL CITY ORD�ryAryC88 �NO BTATH LAWB H80YLATINO
BUILOINO CONBTHUCiION.
SIGNATUREOP .
PERMITTE
AUTHORIZED A6Ep�.
Lot# FZ�E RECEIVED
Plan� 20 FINnANCEn �EP�4
APPLICA�I�1 `POR"PERNIIT'E�
BUILDING
for Offica Use Only
� RlCellf NO.' P6RMIT NO.
BT
teow�
D,
ZONING
NO.OR UBEO!
�uns., euaoi
A. P. NO. " �
NOTE: NOEAVEOVER'.
90' TO 81 DE 8 REAR P
EAVE8
ALLO W ED
YARDSAPPROVED
MAIN BUILDING
( FROM C/L 6TREET 1
�� RONT Ff.
. e e�..e O ev
� � �
BHALL BE LHSB TNAN
YARD9APPROVEO
�
�
�
DISTANCE BET. BET. MAIN @ �
MAIN BLDGS. ACCESS. BLOOA �Z
VAR.JC -� ) DATE w
C. U. P. � H- S APPROVED ///� `� W
APPROV�-�{/('�',,�`N `/� �'
B• �+LL `V"`�"' " DATE �J>' � - � 7� �
d
1i.1
a
�
/, ¢
� D Gj� so. F-r. �1 -�i 70 `'� " uvi
TXe AMOIINT BXOWN UNObH VALUATION 19 FOR TXe � a
PURPOSE OF EBTABLIBHINa A PBRMIT FEe ONLY, o VI
VALUATION m �.
PERMITFEE § •���r� j O
$ //, �97- � /� �-a ; ;
�yy LL
TOTAL FEE $ �() • �O �