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Home My WebLink About3191 COLLEGE AVE - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.c�.coste-mesa.c�3�ILDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 3 t4 � ��c,� av Job Address: Status: ISSUED Suite: Applied: 08/022006 Viciniry: DETACHED GARAGES Issued: 08/032006 Primary Occ: U Type of Construction: V-N Parcel Number: TPN98079 Zoning: qpp�icant: VES PEARSON � �/ Address: P O BOX 3908 /+ q{ , Phone: 562-429-7663 ISSUED BY: `��0.� SEAL BEACH, CA - - Zip: - 90740 Owner. FRENCH QUARTERS HOA ' � Address 2020 E FIRSYST��- " ' � - � �� SUITE-500 %% ' ��- , � � Phone: 714-285-2626 X211 � , , � A SANTA''ANA;�CA� �� ` ' - Zip:� . 92705� � � �' � = �� %�� \ � � _- - -- �., .. � ��: �. :' i ,\\� Contractor � �G'M�ROOFING COMPANY = — - �� ;? � -� � �� Address "P�O BOX 3908 �/j',� ,� - � ` � � � , � �VV�� i � i '�f,`� � / � � � j� : =�=' Phone: 562-429-7663 �� __ �.� � -' ' % �� '�'";' �SEACBEACHiCA� �� \�� , � �� ,' Zip:, 9W40= ,�ji%/ � License: 472566 \ - - � � � / \\�= �, /, i:�i'. ��, `��`. iArch�:. � �.�� "� Eng: ��' .�� . �.��,\ � � Address:�� "i�,� - Address: ' . � . � A - �.i �, �' !, -. Phone: - � , . . � ` � .Phone: , � i.G,�� - - . , ' . - . , . 'Zip: , , License:� , ; � , , � . License: � � �: � � � '�� - SCOPE OF PERMIT � � � � � TEAR OFF EXI571MG �ROOF..IN87All 2 LAYERS OF 15# ASTM FELT, GAF 40 YEAR, LAMINATED COMAOSITION SHINGLES AMD -� ;, REPAIR/REPLACE SHEATHING AS NEEDED. 24 SQUARES FOR DETACHED GARAGES FOR 3191 THRU 3197 COLLEGE AVE._ i , i � � � FEE SUMMARY � ' � Plan Check:- $0.00 ' � } � �',� - � ✓� �` � ��Calc Valuation: : , ga,zoo.00 Permit: $111.25 - � � � � '� Claim Valuation: � Sa,zoo.00, � SMIP Res: - $0.50 „ `' SMIP Com`. � _. $0.00 � �-�,�..:��'.. , .�_ : � - � � - , � �� , Other:' �, 50.00 -T_- - -- -' �-,c,<- - - '' , ' ; Inspection: $0.00 • - � l r' �Total: '�� $111.75 -� . . `�� . A . ��„ __ . ' - , � " � � '� PLANNING 8 ZONING '�' ' � � � SETBACKS�' �� . � �< % � . MAINSTRUCTURE.Front�;0-0 Rear,:0-0 , Left-�0-0�� Right 0,0�� - � '� V �_ ��A� � .. . ' - ' , , ACCESSORY. Front> 0.0� �� '�Rear 0-0 , � -, Lefl - 0-0 � � . Right ��0.�0 � / ��:� „ �� / / �, � �, ,. . ,; ., PARKINC� ��, , Existina: , . 0 � �Reauired: 0 � Proposed: 0 - - %; ' , ��„� /. �� _: � � �.' _ � - . . . � - _. � '� , j�, � � � V � / / , v � i 2 \�� (�/ � \ _ — - � ` �/ � r, i _ _ i ��v \� / ( \ / / \ �� l, ' � i . .. �i „ /, � � �n � �_., �.�_ - ,'�� '�� .` , . � `� , I NOTICE: The work authodzed by this permlt shatl comply with all applicable handicap access requtrements under Calt(omta statutes and related regulations. (Ord. No. 9248, § 1, 12-21-92) EXPIRATION: This pertnit shall automatically expire and become vold il work Is not'commenced within 180.days, or if work Is suspended or abandoned for a period of 180 days. . '' • INSpEC710NS: In order for the work authorizetl under this permlt to be considered legal, such work must comply with all applicable codes, end all requlred inapeetlons and final approvel must be obtained. Failure to obtain Inspections and final approval will result in the exp(ratlon of thls pertnit. FOp INSPECTIONS CALL: (714) 7545828 � WORKERS'COMPENSAnONDECLARAnON: I heraby eMirm under penalry of perjury one o1 ihe fdlowing dedaretiwu: ❑ 1 have end will meintain e cenificete ol wnsent lo sell-Insure lor workers' compensation, es DroNded for by sectlon 3700 at t�e Lebor Catle, tor Ihe pertortnence af Ihe �or which Ihis pertnit Is issued. Jhave antl w01 maintain workers' compensaUon insurance. es required by section 3700 of the Lebor Code. tor Ne peRortnence of tha wwk fa wNc� this pertNl is IssueA. 'My�orkers' cw�n�pens�a/H�o�n Insu�rence ce er erW pdiry number are: Carrler.. j��c��G--�itiv! ,,. �Po�lry Numbe�. �(>[Z( ( C c�� — 2 DC� � (Thls sectlon neetl not De complAtedlr me pelmltls vewed er one nuna.ea aa�ers �a�oo) o. iess.) � i certify �het in Ue peAormance ol the work lor whith Ihls pertnit is Issuetl, I shflll not employ eny person In eny manner so es to become suD�ecl lo Ihe workers' wmpensation lews ai alito le, end egr9p thet If I shoultl become sublect to Ihe warkers' compensetion proNslons ol Sectlon 3 00 oy Ne Lebor Cotle, I sha�l talhwlN comply wlth the5e pro ion . ( J . ApPlicentSigneWre: - �A ti— � Dere:� � ? �i�–� W�WJING: FAILURE TO SEWRE WORKERS' COMPENSATION OOVEMOE IS UNUWFUL rWD SHA�L SUBIECT rW EMPLOYER TO CRIAVf�U. PEN�ALTIE AND CNIL FlNES UP TO ONE MUNORED TFqU.WJD OOl1ARE (5100,000), IN ADORIpI TO THE O�ST OF COAIPENS�TION, UAMAOES �S PRO\�DED FOH IN SECTON 3)lIB OF THE LABOR �DE, INTEREST, M1D FTTORNEY'S FEES. LICENSED CONTRACTORS DECLARATON: thet I em Ilcensetl untler proWslons ot Chapier 9(commencinp with Sectlon 7000) of Divlslon 3 oi�the Buslness and P{pfggslons Code, end my Iicense Is In tull �.t. Lic. a � . w'� �i < / ,,.�i _ � r.insc u / .-. { .`'1 � CONSTRUCTION LENDING AGENCY: ❑ 1 hereby aflirtn that t�era Is e construction Iendlrig egency far Ihe peAormance ol ��e work lor which iMs permil Is Issued. (Sec. 3097, CiNI Code). Lentlers Name: Lentlere AtlGress: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby aHirtn t�et under penalry ot perjury t�et I am EXEMPT FROM TNE CONTRACTORS LICENSE LAW tor ihe lollawinp reason (Sec. 7031.5, Buslness entl Professions COEe: Any ciry or counry w�ich requires e pertnR to consiruct, elter, Imprwe, demolis�, or repeir any sirucNre, pdor ta its issuence, elso requires Ihe eppliwnt for such petmfl to file e signetl statement t�at �e or she Is Ikensetl pursuent lo Ihe proNsions ol Ihe Contrectore License Lew (Chapter 9(commenUng with Sectbn 7000) of DWWon 3 oi Me Business end Professlons Code) or that ha or she is exempt theretrom enA t�e besls for the elleged esemptlon. Any Woletlan ot Seclion 7031.5 by eny applicent for e pertnit sub�ecta ihe eOPllcent to e cNll penalry of not more then five hundred dollers (5500).): � I, es owner at the property, or my employees wlth wages es Ihelr sole compensatlon, WILL DO THE WORK, antl ihe structure Is not Inlentletl or oHered tor sele (Sec. 7044, Business and Profe55ion9 Code: Tha Contrectors License Lew tloes no� appty to en owner ot property who builGs or improves thereon, entl who does Such work �Imself or herself or ihrough hls or her own employees, proWGetl ihet suc� Improvements ere not intentletl or ottered lor sele. It, however, ihe building or Improvement is eold within one year of completlon, the owner-builtler will heve ihe burtlen of proving that he or she ditl not builtl or Improve for purpose of sele.). ' � I, es owner of the properry, em E%CLUSIVELY CONTRACTNO WITH LICENSED CONTRACTORS to consiruct ihe pra�ect (Sec. 7044, Business entl Profeulons Code: The contrectors Licenso Lew does not apply to en owner ol propeny w�o bullds or improves ihereon, entl who conirects for such pro�ec� with a conirector(s) license pursuant to ihe Contractors License Lews.). . ❑ I em exempt under sec. Business end Prolessions Coda tor Ihis reason: Signature: Date: Owner ID verllied by drivers Iicense. ❑ Ves ❑ No Drivefs Licenso No. Ved9cetlon ol OWnershlp hy (type oi tlaument, I.e. - property tax DIII or Ceetl): Expires: DIVISION OF INDUSTRIAL SAFETY VERMR CER7IFICATION: ❑ I hereby ceNty that no excavetlon five (5) or more feel In depth Into which e person Is requlred Io tlescentl, wlll be made ln connecllon with work euthorized by ihis pertnit, end thet no huilding Structure, scefloltling, felsework, or tlemolllion or dismentlinp thereoi, will be more than ihirtysla (38) feet �igh. (C�ep. 32, Grp 2, Art 2, Sec. 341, Tllle 8, Celifomla AAminlstratNe CoOe). ❑ As owner-Dulltler, I wlll not employ enyone to tlo work which woultl require e parmll fmm Ihe DlNsion of Industdal Satery, es notetl flbove, unless such person has e pertnit to do such work Irom the dlNsion. Signature: Date: Division at Industrlel Selery Pormll Number: CERTIFlCATE OF COMPLIANCE AND AUTMOR¢ATON OF EMRY: I wrtity under penelry ot perjury Ihet I heve read Ihis epplicetlon end stete that the intortnaGon given is wrrect. I egree to wmply wlth ell stete lews end dry ortlinences relating to buliding consWctlon, enE authodze representatives of the Ciry ot Coste Mesa to enter upon the e6ove-descnDed praperry lor inspection puryoses. I egree not 10 oaupy or ellow ocwpency ot any builtling euthorizetl by Ihis pertnit until finel inspection. COOE �. INSVECTIONTYGE 1618 Fixed System Final Fire Prevention 1288 Pool Spe Flnal 200 Finel Re-Rool 201 Finel BIocWRetelning Well 202 Final Foctory Fire Plnce 203 Final Sipn 204 Final Demolition QAg Iti�LB :./�� , %%I UO�E 1 INSPEC710N TYPE 208 Flnal Mechanlcel 20B Flnal Plumbing 210 Flnel Eloctdcal 212 Flnal Fire Preventlon 220 222 250 Finel Planninp Approvel Finel Site Final BuildingiOccupenq PEg 4{i�E� (714) 754-5273 • Faz (714) 754-4856 • www.ci.costa-mesa.r��LDING PERMIT n FAIR DFiIVE, COS7A MESA, Gn 92626 dob Address: 3191 COLLEGE AV Suite: Vicinify: 37913197 Primary Occ: Ri Parcel Number: 41814516 Type of Construction: V-N Zoning: R2 StaWs: ISSUED Applied: 05/10/2005 Issued: 05/10/2005 Applicant: PEARSON,VESS _ '' '"""��''"��"" . ;�: :'��,! �'_ _.... .-_ . � . � ISSUEDBY: Address: P O BOX 3908 � _ - � . � _ -'�<i'� � _- ' .' '.� Phone: ; 562-429-7663... _ � /�",/',.:._..,;� , . . _ . SEAL BEACH;-CA' �' .% �'� . �' Zip: � 90740 � � � . - '�� -.A � � - - •- � � . , - � - Owner. FENCH�QUARTERS�HOA ' ' � _,. - � _ �� Address ." 2020 E 7ST ST'•. � � - -- �- � �- . � � - . � <. ' s � . . �, ` ��' �\ r,�.SUITE 500 -- � � � � �`� Phone 714-285-2626� � ��' , A�� SA.CA , �%•: � ° � Zip: 92705 � ��`�� - , i��'.,��, . - �i' �`�, �� ' �J" ��.A\ Convacior. G'M ROOFING COMPANY � � ' � / \ , ,:.., `�:� �. ,,,Atldress: - P O BOX 3908 - . f' ` ;v'� �. �.''�t � , Phone: 562-429-7663 ' �,� ` , SEAL'BEACH,CA � �, -�� .' 1�4 ' , Zip: 907,40 —yz� " License�'472566 ' : � �',;,- � -;�,� AfCh': Address: Zip: = -Phone: � License: Eng:, i Addressr � , .;:�-• , " i , �.�, _ . � r � Phone:� � \� ' , License: " ' . � , � � SGVYt�VY Y-tKMI I ', � ` ' ' � � , . . REROOF CONDO �BLDG. UNITSC3191-3197: T/OFF EXISTING ROOF, INSTALL 2 L'AYERS'15#�FELT UNDERLAYMENT, APPLY.40 YEAR COMP. SHINGLES. 29 SQUARES. � � � � � - � ' ' � �Plan Check,', , $0.00 , Permit: , , $167.25 � SMIP Res: $0.87 SMIPCom: �, $0.00 � +�, Other: ; ',$0.00 Inspection: � $0�00 � �, �Sotal: �'�$168.12�„�, �' ,� , . . i - , �. A `a. FEE SUMMARY ' � . , _ _. ,; j � Calc Valuation: j � Sa,sso;oo � � , Claim Valuation: ,� � , � 58,s50.00 ` r,' " �. _. ; �, ''; '%�� ` ' �. � - �/ , �� ; i . ' - . � _ . � � � ' -'� � ' . � - _ ._ , �, , ,� � � , , . _ , . , ; :`. � !/ °�. �V� `� � ' P.LANNING`& ZONING `=��--� ��" �'�_ �!� /; � SETBACKS � 'f � � .- _ , . , �_ , „ �:.` �.4 .�� ' _ ��=- ° � , :. ��. �;� , MAIN�STRUCTURE'Fronl� 0=0>� � Rear 0�0�� - Left �0-0 " Right� 0 0 -%- ... v :�.� � .�/�f_,'i - i - . /,� ACCESSORY Fronl -�P 0A, � � ��Rear � -0. 0�' �� '� � � Left. �� 0=�0 ` � ;� � �' �- Right � ��0- 0 � � � PARKING Existin : 0 � �� '�Re uired: 0 �- '�- Proposetl: ` 0 _ � , , - ; ;.%- � � ' .�_ /. /'. NOTICE: The work authorized by this permit shall comply with all applicable handicap access requlrements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12•27-92) EXPIRATION: 7his 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 undar this permit to be considered legal, such work must compty with all applicable cotles, and all requlred inepeetlona end flnal epproval must be obtained. Failure to obtain inspectfons and final approval will result in the ezpiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545628 2MBd8 (B�W) WORKERS' CUMPEICS:zTION DECLARATION: - �� I hereDy attirm undar penalry of perjury one ol iha tWlowing deGarations:. �,, , �. , , , „ ❑ 1 ave end will meintain a cetlificate ot consent to self-Insure for workers' compensatlon, as provitled for hy section 3700 0l the Labor Code, br Ihe pertortnence of t�e ork for which �his permit is issuetl. ve end wlll maintain workers' compensation insurance, as requiretl by sectlon 3700 of ihe Labor COtle, for the peAormance ol the work for which this pertnit is IssueO. My orkers' wmpensation Insurence carder antl polity number are: q �1 n Cerrior. -- �oNp,ryumber: O� I I I Io L— W t%S (This s tion need nof be cwnp/etetl i! Me pemtit is wlued at me hundied dol/ers (3700) w less.) ` � ❑ I cenity thet in t�e DeAortuance of Ihe work for wlish this pertnit is issued, I shall not employ eny personTri Shy menner go es to becoma subject to the workers' t0 aws oi Callfomie, en agrae Ihal If I Should became sub�BCi Io the workers' to satlon piovlsions ol Seclion 3700 at Ihe Labor Code, I shall IOMwlih wl�h Ih se ro 'si s. Y P Itant Si e: �^ Date: S I ��% 1� WAR INQ: FAILURE TO SECURE WORNERS' COMPENSATION COVERAGE IS UNUWFUL AND SMALL SU91E EMPLOVER TO CRIMINAL PENALTIES AND CML FlNES UP TOONE HUNDRED TIIOUSMID DOl1ARE (5100,000), IN ADDITION TO TNE WS70F COMPEN54TION, DPNAGES AS PROVIDED FOR IN SECiION J708 OF THE 1A80R CODE, IMEREST, AND ATTORNEYS FEES. LICENSED CONTRACTORS �ECLARATION: I heroby aHir��al-hem licensetl N�a_ pmW;ic CONSTRUC710N LENDING AGENCY: of Chapter 9(commencing wit� Sectlon 7000) of Divisi -of t�a'Business gntl PrDfe�sions Code, end my Ilcense is in lutl � � ` oara a C.��Q'n.� ❑ I hereby eNirm t�at there is a constructian lentling egency br Ihe OeAortnence of the work tor which Ihis pertnit is issued. (Sec. 3097, Civil Code). Lontlors Name: LentleYs AAtlress: Signetum: Data: OWNER-BUILDER DECLARATIONS: � I heroby etlirm Ihet under penalry at perjury Met I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for �he lollowing reason (Sec. 7037.5, Business end Professions Cotlo: Any ciry or counry which roquires e pertnit to construct, elter, improve, demolis�, or repeir eny strucWre, pnor to its Issuance, elso requires the epplicant for such pertnit to tile e signea statemeni that he or she is Ilcensed pursuant to the provisions ot the Contrectors license Law (C�epter 9(wmmencing with Section 7000) af Divislon 3 ot the Business entl Professlons Cotle) or that he or she is eaempt thereirom and ihe basls br the ellegetl exemption. Any violetlon of Section 7031.5 by eny epplicant tor e pertnit subjects the apPlicant to e civil penalry oi not more Ihan live hundred dollars (E500).): ❑ I, es awner ot t�e pmperty. or my emplqrees wilh wages es their sde compensellon, WILL DO THE WORK, end the structure is nm Intentletl or otleretl tor sele (Sec. 7044, Business and Protessions Cotle: Tha Contractors License Lew Coes not appty to an owner of property who builds or im0�oves thereon, antl who does such work himsell or herselt or ihrough hls w �er own employees, provided thai such Improvements ere not Intended or oNeretl tor sale. It, however, the builtling or Improvemem is soltl wi�hin one year ot completion, the owner-builtler will have tha burtlen ot Droving thet he or she tlitl no� build or improve for purpose ot sale.). - ❑ I, as owner ot the properry, em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRAGTORS to construct Ihe prolect (Sec. 7044, Busineu end Protessions Code: The comrecrors License law Aoes not appty to an owner oi propeny who builtls ar improves thereon, enA w�o coniracls tor such pmject with a contrector(s) license pursuant to ihe Contractors Licensa Lews.). ❑ I am exempt under sec. Business end Professions Code for ihis reason: Signature: Oete: Owner ID verifietl by tlriver's license. ❑ Ves ❑ No Driver's Licenso No. Venflcetian of Ownership by (type of tlaument, I.e. - property tax bill or tleea): DIVISION OF INUUSTRIAL SAFETV VERMR CER7IFICA710N: Expires: ❑ I hereby certity ihat no excavatian INe (5) or more teet in tlepth into whlch a person Is requiretl to tlescend, wlll be mede in connection with work authorized by tNs permil, and Ihat no building siructure, sceftolding, telsework, or Aemolition or tlismantling t�ereoi, will he more then �hirty-slx (36) teet high. (Chap. 32, Grp 2, An 2, Sec. 347, Tltle B, Calilomla AtlminiSlratNe Code). ❑ A5 ownerbullder, I will not employ enyone to tlo work which wauld require e permit trom the Divislon of Indusiriel Sefety, es notea ehove, unless such person hes e permit lo do such work from the diWsion. SignnWre: Date: Division of Industnal Satety Pertnit Number: CER7IFlCATE OF COMPLIANCE AND AUTHORVATON OF EMAY: I certify untler penalry of perjury that I heve read Ihis epplication and state Ihat the information given is correc�. I agree lo comply wlth all slete lews end Gry ordinances relating to buil0ing wnstmction, antl aulhorize representetives ol the Ciry ol Caste Mese to emer upon t�e ebovo-described properry lor inspec�ion purpaaes. � egree not to accupy or allow occupency ol eny building euthorized by Ihis pertnil until final inspec�ion. OI Legal COOE 1. INSGECTIONTYVE ' ' 1616 Flnotl System Final Flre Prevention 1266 Pool Spa Finel 200 Finel Re-Rool ' � 207 FIneI BIocWRetaining Well 202 Finel Fectory Fire Place "- 203 Final Sign 204 Final Demolition P:i1nl.tFl. � �/h /O��a�e Date SOOEI � INSPECTIONTYPE � 206 . Final Mechenical � 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site � 250 Final BuiltlingiOccupancy b7.11�I:iiilr,l5j ApPlicant to fill in all spaces ezcept those within heavy bortler lines antl sign all apProp�iale Eecla�ations. CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. , TRACT NO. LOT NO. UNIT NO. ProjeC;Saddress 3/1� �OC[E(�.�' Applicant's MailingAddress �� O/�' � SS �••��¢I�/✓R�9rZj. Owner's Name �QrKC� ��1r1n f!: bf �� O. Y�phone ��Y y� r9 Address �� °��19d Arch/Eng. License No. Address Contracmr'sName�+-��f✓�' Ox+F/d'6/rG Phone ��h-�7�7 Addresslmailin91r0.�oXlo.S� yh.frn/WA �j'Z>OZ City License No. � , � � �? S' 30Y LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensetl untler provisions of Charter 9(commencing with section ]000) of Division 3 of the Business antl Professions Cotle, antl my license is in (ull torce and etiect. License Class � Licens No. �3S9t Date1'/1�YY 5'9 t �1.n.v �s.L�.e _ `ORKERS' COMPENSATION OECLARA ION iereby afiirm Ihat I have a certificate oi consent to self-insure or a certlficate .i Workers' Compensation InSurante, or a certifietl copy thereof (Settlon 3800, Lab. C.) aou�y No. ��{' �� Company 'S./✓!T2 F�. � 8 Certifietl copy is he�eby furnishetl. Certifietl copy is filetl with the city Builtlinq Division. Date Applicant E%EMPT�ON FROM WORKERS' COMPENSATION DECIARATION (This section neetl not be completetl if the permi[ is tor one huntlretl ($100) o� iess). 1 certify thaS in the performance of tM1e wo�k fo� which this perm�t is iszuetl, I shall not employ any person In any manner so as [a become subject to the Workers' Gompensation LawS ot Califomia. Oate Si9nature NOTICE: 1f, aiter making this tleclaration, you shoultl become subject to the Worke�s' Compensa[ion provisions ot the Labor Cotle, you must forthwi[h comply with such p�ovisions or this pe�mit sM1all be Ceemetl rewketl. CONSTRUCTION LENDING A6ENCV 1 hereby affi�m that there is a mnstruction lentling agency (or the performance o( the work for which this permit is iisuetl (Sectlon 3097 Civ. C.) Lentler's Name � Lender's Atltlrezs OWNER BUILDEH bECLARATION 1 hereby affirm that�l.am ezempt t�om the Cont�actor'S Litense Law for the following reasan (Section ]031.5 Business antl Professional Cotle: Any city or wunty which �equires'a peimit to wnSVuci, alter, imp�ove, Oemolish o� repair any structu�e, prior to its issuance, also �equires the applicant for sucb permit [o file a signetl statement that he/ihe is licensetl pursuan[ to tne provisions of e Contractor's License Law (Chapter 9(commencinq with Section 7000) of vision 3 of the Business antl Professions Cotle) or that he/she is exempt ,erefrom antl the basis for Ihe allegetl exemption. Any violation of Section /031.5 by any ap0��an[ for a permit subjects the aOPlicant to a civil �enalty of not more than five nuntlretl tlollars ($500�. U I, as owner of the property or my employees with wages as their sole compensatlon, wili tlo the work, antl the siructure is not intentletl or ofieretl i0! Sd12 ($ECilOfl iO46� BO51lIE55 dOC� PIO(ESSIOOdI COdC: Th2 COptIdClOI'S License law tloes not apply to an owner ot a property wM1n builtls or improves Ihereon, antl who tloes such work himself/herself or [nrouqh his or her own em0�oyee5, P/ovitled that such improvements a�e not in[entletl or otferetl for sdl¢. If. howeveq the builtling or im0�o�emenl is soltl within one year o( com- pletion, the owner will have the burtlen ot provin9 he/she tlitl not builtl or im- �rove fot tM1e purpose of sale). I, as owner of the property, am exclusively mntracting witM1 licensetl con- [racto�sto construct the project (Sec[ion ]044, Business antl Profe55ions Cotle: i The CoMractor's License Law tloes not apply to an owner of pmperty who builtls or improves thereon. antl who contra<t5 for such p�ojects with a con- Irac[or(s) I¢ense pursuant to tM1e Contractor'S License Law). I am aware that proof ot thei� Worker'S Compensation insurance Shoultl be provitletl to me. ❑ I am ezempt untler Sec[ion B. & P. C. for [his reason Date Si9nature _.�f�� Drivers' License or Owner ve reatl tnis application and state that the above ree to Comply with ali city antl county o�tlinances builtling construction, antl hereby au[norize re0re- ente� upon the above-mentionetl p/oper[y for TVPE OF CONSTRUCTION � LI NEW LJ ADD IJ ALTERATION LJ REPAIR ❑ CONVERSION' ❑ DEMOLISH ❑ OTHER D�CRIPTIONOF�WORuUSEOF BLDG.%��n� eF�'��c�Q'adf . ....� f`... �' � �E OF PERMIT LJ GftADING ❑ TENANT ❑ EIECTRICAL C�' OTHER �JECT DESCRIP710N Sq.Fr._ CONSTRUCTION TVPE Remarks: Bar Sink Backflow Preventer Backflow Irrigation �rinking Fountains Floor Drains Floor Sinks GasService Outlets Interceptors Kitchen Sink Lavatories P—Trap Roof Drains Reinspection Fee � $15 Boiler Duct- UnderGround Duct - Sttuctural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑ 0-100,000 BTU � 100,000 Reinspection Fee � $75 CMF 0865-46, rev. 10/84 Wnite - Builtling; Canary - Applicant: Pink - Acmunting; Goldenrotl - Asseszor 1FOUNDATION L15TRUCTURAL PLUMBING ❑ MECHANICAL S OCCUPANCV VALUATION S � INGCU.VDS. ACREi PLUMBING Showers Service Sink Sewer Cap ' $ewer Connection Solar Collecrors Solar Piping Solar Tank $wimming Pool w/Spa Urinai Water Closet Water Heater Water Service A uto-W ash Issue Fee Hood or Type I ❑ Canopy Type I I ❑ Refri9eretion System ❑o-ioo,000 eru.Oioo,aoo System Repair/Alteration Fire Dampers Registers Issue Fee J FEES $ 3 $ 3 A.P. # S Main Buildi E T Front B Rear A C Fight K Left $ Ping. Ref. # Planning Notes: Auromatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryere �Gas ❑Electric Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Disposal Generator O0.5 KW O5-' 0489 5/13/BO Zone Accessory Building: Parking Req./Provided ELECTRICAL � Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑over100amps Sub Panel Motors � 0-1 HP � 1 X- 8 Inc.Solar �9-15 HP �16-15+ Microwave Pole Light Range Standing Sections 5 KW Trash Compactor I Reinspection Fee I$15 I I luue Fee DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building Approved By Appliration Issued By SUMMARV OF FEES BUILDING PERMIT $ !4'U`� SMIP PLAN CHECK $ PERMIT PLUMBING � $ �SSUANCE PLAN CHECK 25% $ ENERGY P.C. ELECTFICAL $ GRADING PLANCHECK 50% $ MICROFILM MECHANICAL $ TOTALFEE PLAN CHECK 25% $ 54050 TL FEES $ 3 $ . � Z � N I N G R E Q M T 5 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 13. 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 Electriral-T 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 77. Product Piping OGas ❑Oil 23. Gas Pipe�Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank 0 Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical ', 27. Frame and Flashing 76. Dry Standpipe I� � 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 i. 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 i 37� Final Factory Fireplace ' , 38. Final Plumbing i y . ';39. Water Service-Final ; � i ' � � 40. Gas Service-Final , � • � V . 47. Solar pomestic-Final ^ , . � • �42. Backflow Preventer � � � '� % . . ' �1 i r.43. Backflow Irrigation ' '. .' , ' . .�4. Landscape Irrigation SYstem � ., ' • 45. Sound Attenuation � ! � . �' _ � �6. Handicap Regulations ,:� . , �d7. FINALSTRUCTURE&BUILDING �Qs ' �� ..-. ' �� . � ��,, � i r. 48. Special Requirements Completed . � � • " � j . 49. Electric Release to Edison � i� � � 50. Gas Release to Southern California Gas Co �. i � f 51. CERTIFICATE OF OCCUPANCY , No. Date • 227 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BO%9f] COBTA MEBA,CALIFORNIA For Applicanf ro Fill In Completely TYPE OR PRINT COSTA MESA, 'CALIFORNIA Harbor Hall of Fame Homes, Inc. OWNER ADDRE53 P• �• BOX 2066 �� C�Ty Santa �iI13 � NO. -ZZi�i ARCHITECT TE OR ENGINEER �Y Levanas Np, 7- �l Aooaess3�32 Via Oporto, Ne ort Beach CONTRACTOR Lifetime Res. ffidg. CO wooReas P• a• �x 2066 STATE TEL. LIC.NO.- NO. $IZE, NO. OF BLO09. o oF Lor Now oH wr USE OF None EXISTIN6 BLDG. BETOACKLIN6FROM �S� ecnavne../+i'�011 0 DESCRIPTION OF WORK S ZIE DIN6 1100 ROOMB � EXTERIORWALL StSllCC�.iROOF COVERING COVERIN� USEOF UILDINGAfiDWORKTOBEPB cons ruction of I occu zJith J construction �an I1 HEFEBY RCKNOWLEDOB THAT I XAVH READ TXIS APPLIC�TION AND BTATE THAT THE ABOVE 18 COHPECT ANO AOqEfi TO COM- PLY WITH ALL QTY OPOINANC88 AND BTAT6 LAWe R84ULATIN4 BUILDINO CONBTRUClION. ^ SIGNATUREOF � / !\/ 1 � I ■ AUTHORIZED FEE RECEIVED AUG 3 1964 Lot No. 16, �N,j�opE�$Q ME${1 APPLICAt�kSN Kba�p�fllRi�r�� BUILDING For Offite U58 Only PBCHIPT NO. � I PERMR NO. n/'�� _ � ZONING NO. OP USE OF NE PLAN9 OUILDINp1I LEOAL l � / � ^�AJ �D i DfiIICPi'TION . {`'�/�� 1 V`\ ^�� J A.P.NO. I /-I � vII � �Jv NOTE: NOEAVEOVERHANOSHALLBELESSTHAN YARDS APPROVED MAIIJ BUILDIN3 VAR. iC THE AMOUNT BXC PUNP09E OF HB'. VALUATION � /.� a �,� YARDSAPPROVED �ACCESSORY BUILDIN � v �, � FT. � �. b'�-'- . BET. MAIN L ACCE95. BLDG9./' DATE 'f � V � �� APPROVE(O O/ 1%�� V ' l l y/o,3 `" " 0 UNDHP VALUATION IS FOR TH8 F IBHINO A PERMIT FEE ONLY. 0 0 PERMIT FEE $ �� 0 m PLAN CHECK $ � / � I ¢ 4 l 3 �- TOTALFEE $