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Home My WebLink About3107 COOLIDGE AVE - Building Permits� CITY c�P COSTA MESA � BUILDING D►VISION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Faz (714) 754-4856 • ww�v.ci.costa-mesa.ca.us FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER�C07-00395 PERMIT TYPE: B COMBO ��S�TATUS: ISSUED Sub Type: RES_ALT DATE'�SSUED:� 11/26/2007 ISSUED�64 ��1SOK l � �'' �06 ADDRess: 3107 COOLIDGE AV CM Suite/Umt; .� ; APN: 14169338 � � ZOfllflg R1 � � " -' " � Viciniry: KITCHEN � Primary Oce '' � ConstType: V-N T SQ�FT :�� 0 �Valuation, $6,500i0� � 'r �a :<. 4 SCOPE OF WORK: KITCHEN REMODEL REPLACE/REPAIR DRYWALL. NO STRUCTURAL WORK.-ELECT�C�,A+, MECHANICAL AND PLUMBING INCLUDED':� , ` � . _ `_ OWNER: TAYLOR, JOHN �R TR � � .. Address: .31�07 COOLIDGE AVE , - � - , - - Unit Phone: � -. City/State/Zip� � COSTA MESA, CA -, _ _ _ ' , ��', . . _ . .. , APPLICANT: DAVE GOMEZ ��.� � -� Address: 17165 NEWHOPE ST �. .� �(-; Unit: :UNIT J Phone: 714-444-2648 �� City/State/zZip: FOUNTAIN VALLEY, CA �� ; r CONTRAC70R: ROVICS�CONSTRUCTION INC License No. " Phone: 714-444-2648 .. � - � ' ��Address: 17165 NEWHOPE STUnit: ' Cell: - City/State: FOUNTAIN VAl1EY, CA' - +iC' _ 1 - . _. . . '1- :.�: �'.:. ,:. ARCHITECT: -':: ` . '� '�- � � - `License No.--. �� .' .: � � � � � - � ENGINEER: , �� License No. , COMBINTATION PERMIT FEE SUMMARY Building Plan Check: $0.00 : ; , � Building Fees: '-'�, �'- '-.-,'.:$139.25" . - � - - . - Electrical Fees `.;;. '; $4220, ; Mechanical Fees: - - $34.15_ , Plumbing Fees: - `-- $52 90 �;;�� _ - , . : SMIP Residential: ` �\"�.',�'r_$0:65... - ��--�� - : `-- SMIP Commercial: � - � $0.00 TOTAL FEES: '$269.15 � "Re(er to fea receipts for all feas paitl tor project ' - � ' 1 ' - . . - .' -� ,. 800996 . � � :, � .UNITJ . ; ZipCode 92708 .. - :.� PHONE,',: - -PHONE: �� 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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. � INSPECTIONS: In order for the work authorized under this permit to be wnsidered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. CO�E /. INSPEC➢ONTYPE 1876 Fixed System Final Fire PreveNion 1266 Pool Spa Final 200 Final Re-Roof 201 Final Block/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition ppTE IN1111RL5 COUE/ INSPECTIONTYVE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention D�TE INTRULS 22o FinalP�anningApproval 222 Final Site �L�� 250 FinalBuilding/Otcupanc i WORKERS' COMPENSATION DECLARATION: � I hereby a(firm under penalry of perjury one of the (ollowing declarations: ❑ I have and will mainlain a certificate of consent b selt-Insure (or workers' compensation, as provided for by section 3700 of the Labor Code, for Ihe p�rmance of the work for which Ihis permit is issued. GI have and will maintain v.orkers' compensation insurance, as required by section 3700 of the Labor Code, fw the per(ormance of the work for which this pertnit is issued. My vrorker ��compensation Insurance carrier and policy numberar ' Cartier:�� 1 UM� (inis se��/�(ryJh�-��eLted�ame �pe7nna k �va7rued af one nundmd donars (E1oo) wless ) PolicyN mu b�l�7lJ�`i�J3 / — L�� ❑ I certify tha� in Ihe pedormance of [he work for which Ihis permit is issued, I shall not mploy any person in any manner so as to become subject to the workers' pensation laws of Califomia, and agree that it I should become subje [he workers' compensation provisions of Section 3700 of the Labor shall forthwith comply with these pmvisi s. � � _. ..Mdiranl's Wre '' ( Dat_..—.. - WARN : FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF TNE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensetl untler provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in I forc and eRect. f L�'if. # Class�#-- � � Z, -13'% �—_.. onuanor i nawre �Dale --- � CONSTRUCTION LENDING AGENCY: ❑ I hereby aKrtn that there is a consimcibn lending agency for the peAortnance of the v.ork fv v.fiich this pertnit is issued. (Sec. 3097, Civil Code). Lender's Name: Lenders Address: Signalure Da�e OW NER-BUILDER DECLARATIONS: I hereby affirm that under penalry of perjury [hat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 703L5, Business antl Professions Code: Any city or county which requires a permit ro construct, alter, improve, demolish, or repair any slrucNre, prior to its issuante, also requires the applicant (or such pertnit to file a signed statement lhat he or she is licensed pursuanl lo the provisions of the Contracrore License Law (Chapter 9(commencing with Section 7000) of Division 3 of ihe BuSiness and Pm(essions Cotle) or [hat he or she is exempt Iherefrom and the basis for the alle9ed exemption. Any violaUon of Section 7037.5 by any applicant for a permit subjecls the applicant to a civil penalty of nol more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensalion, WILL DO THE WORK, and the structure is not intended or oftered for sale (Sec. 7044, Business and Protessions Code: The Contractors License Law does not apply to an owner of property who builtls or improves thereon, and who does such vrork himself or herself or through his or her ovm employees, provided Ihat such improvements are not intended or offered for sale. I(, however, the building or improvement is sold within one year o( completion, the ovmer-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CON7RACTING WITH LICENSED CONTRACTORS to construcl the project (Sec. 7044, Business and Professbns Code: The con[ractors License Law dces not apply to an ovmer o( property who builtls or improves thereon, and wtio contracls tor such pmject with a conlracta(s) license pursuant to 1he Cont2ctors License Laws.). ❑ I am exempt under sec. Business and Professions Cotle for this reason: SignaWre ' Date 3057-a6(J/O)) ' Owner ID verifed by drive�. ❑ Yes ❑ No t Driver's License Na. Expires: Verifcalion of Ownership by (type o! document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cert'rfy that no excavation frve (5) or more feet in depth into which a person is required to descend, will be made in connection with work aNhorized by this permit, and that no building structure, scaHdtling, falsewnrk, or demolition or dismantlinq thereof, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, AA 2, Sec. 341, Ttle 8, Califomia Administrative Code). ❑ As owner-builder, I vnll not employ anyone to do vrork which vrould require a permit from the Division of Industrial Safety, as noted above, unless such person has a permi[ to do such work from the division. AppliWnfs SignaWre Dale Division of Industnal Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future builtling occupant need to file and ceRify a Business Plan for emergency response to release or Ihrea�ened release of a hazardous malerial? ❑ Yes ❑ No (Section 25505 of the California Health and Safety Code requires, with some exceptions, that a Business Plan be filed wi[h [he Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous matenals equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperalure and pressure). 2. Does or will the applicant or preseM or fu Wre building occupant need to file a regisiration form for acu[ely hazardous ma[erials? ❑ Yes ❑ No (Section 25533 of [he Califomia Health and Safety Code. vnth some excep[ions, requires regislration with the Cos[a Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater Ihan a weight o( 500 pounds, or a volume ot 55 gallons, or 200 cubic feet of compressed gas at standard temperaWre and pressure). 3. Does or will Ihe applicant or present or future builtling occupant need to prepare an RMPP (Risk Management antl Prevention Progrem for acutely hazartlous ma[erials)? ❑ Yes ❑ No (Section 25534 of the Califomia Health and Safely Code provides �ha[ lhe Costa Mesa Fire DepaAment may require the preparation, certification and fling wi[h the Fire Department o( an RMPP by businesses which are requiretl to regisler aculely hazardous materials with the Fire Department. 4. If an RMPP is presently required, has Seclion 25534 of lhe Califomia Heallh antl Safery Cotle been fully complied wilh? ❑ Yes ❑ No 5. Does Or will the applicant or presenl or future building occupanl require (or the work which is the subject of this application a pertnit for such constmction or modiflcation from the South Coast Air Qualiry Management Distncl or from any olher air polWtion control district or agency? ❑ Ves ❑ No (Seclan 65850.2 of the Califomia Govemment Code requires Ihat Ihe requested information be fumished on applications for non-residential building pertnits). 6. Will any part of the faciliry ro be consiructed under this permit be within 1000 (ee[ from lhe outer boundaries of a school? ❑ Yes ❑ No Qf'yes", Ihe facility must meet Ihe requirement of Sections 25534 antl 42303 of the California Health and Safery Code). 7. If a permit (rom the South Coast Air Quality Manaqement Districl or other air pollution contml district or agency is required for lhe work which is ihe su6ject of this application, have all of the disclosures prescribed by Cali(omia Health and Safety Cotle Seclion 42303 been made? ❑ Yes ❑ No 8. Q( "yes", attach certificate of compliance from the appropriate air polWtion control oKcer�. CERTIFICATE OF COMPLIANCE: I certify that under penalty o( perjury the information given above is correct. I agree to compty with all state lavrs and city ordinances regarding Hazardous Materials and Emissions. S9nature oa�e CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRV: I certify under penal�y of perjury that I have read ihis application and state lhat the infortnalion given is correcL I agree to compty with all state laws antl city ordinances relating to builtling construction, and authorize represematives of ihe City of Costa esa to enter upon the above-describetl properry for inspection purpos I agree not to occupy or allow occupancy of any building authorizetl by thi permit until fnal inspection. Si Wreo(LegalOvmer(s) ate /� � — Antllor A etl Appliwnt . �_Dal _ _ _ . ✓❑ Altemative Component Package Method: (check one) C D D(Altemative) � Package C and Package D choices require HERS rater field verification and/or diaenos[ic testin¢ (see CF-I R paee 3) For Package D Al�ernative see Appendu B Table 1 S/-C Foo�no�es 7-14 GE�iERAL INFOR�IATION Total Conditioned Floor Area (CFA) ft' Average Ceiling HeighC ft Maximum Allowed West Facing Fenestration Products Per Table I51-B or I51-C ---• (5°'a JC CFA) Maximum Allowed Total Fenesvation Producu Per Table I51-B or I51-C ---(20% X CFA) ft' fl= � 0 Building Type: (check one or more)_ Single Family_ Multifamily_ Addition Alteration (Ifadding fenestration fill out WS-4R Fenestration Maximum Allowed Area WorAsheet and see Section 8.3.2 for Additions and 8.33 for Aherations.) Number of Stories: Number o( Dwelling Units: FloorConstruaion Tvpe: Slab/Raised Floor (circle one or both) - FrontOrientation: Nonh / South / East / West / All Orienta�ions (input front orientation in degrees from True North and orcle one). � � RADIANT BARRIER Irequired in climate zones 2, 4. 8-I'1 OPAOUE SURFACES ►NCLUA[NG OPAOUE DOORS Component Typc(Wall, Frame Roo[ Floor, Type Slab Edge, (Wood or Assembly U- factor (for wood, Caviry Continuous metal frame and Insulation Insulation mass n v_�.._ o v_i..' _'_'—`c__.I Se loint Appendix IV in Section IV.2, IV3 and IV.4, which is Ihe basis for prscriptive value to show equivalence to R-values. R�si�enrial Camplianre Forms Joint Appendix IV Roof Radiant Barrier Installed Yes or No criterion. Location Commencs (attic, garage, can not exceed April 1005 � RESIDENTIAL KITCHEN LIGHTING WORKSHEET � WS-SR At least �0°io of the total rated wattage ofpermanendy installed luminaires in the kitchen must be in luminaires that are high eflicacy luminaires u defined in Table I50-C. Luminaires that are not high efficacy must be switched separately. Kitchen Lightine Schedule. Provide [he follo•.+•ir.g infermation for all lumiraires tc be installed in ki.chens. Luminaire Tvoe Hieh EtTicacv? Watts x puantiry = Hieh Efficacv Watts or Yes ld No ❑ Yes ❑ No ❑ ❑ No ❑ x O = / Z�, or X = or C — Of x ' Of x = or Total: A: g: COMPL/ESlFA>8 Yes� No❑ Rules for Determining Residential Kitchen Luminaire Wattage Screw Base Soekets §130�c) 1 (Not containing pertnanently installed ballasts) The maximum relamping rated wattage of the luminaire, as listed on a permanent faclory-installed label (�uminaire wattage is nol based on type or wattage of lamp that is used). Permanently or Remotely Installed Ballasb §130�c) 2 The operating input wattage of the rated lamp/ballast combination based on values published in manufacturer's catalogs based on independent testing IabYeports. Line Voltage Track Lighting (90 through 480 volts) §130�c) 3 1. Volt-ampere (VA) rating of the branch circuit(s) feeding the tracks; or 2. Thehigherof • The wattage (or VA) rating of an approved integral current limiter controlling the track system or • 15 watts per linear foot of the treck; or 3. The higherof • 45 W per linear foot of the track or • The total wattage of all of the luminaires included in ihe system. Low Voltage Track Lighting (less than 90 volts) §130�c) 4 Rated wattage of the transformer feeding the system, as shown on a permanent factory-installed label Other Lighting §730�c) 5 (Lighting systems that are not addressed in §130 (c) �-4) The maximum rated wattage, or operating input wattage of the system, listed on a permanent factory installed label, or published in manufacturer's catalogs, based on independent testing cM�+� to. EXAMPLE RESIDENTIAL KITCHEN LIGHTING WORKSHFET Project Tide Da[e WS-SR Kitchen Lighting Schedule. Provide the following information for all luminaires to be installed in kitchens. High Efficacy Luminaire Type (y/n) Watts x Quan[ity = Hi�h Efficacy Watts or Other Watts CFL-1 Yes 26 x 5 = /30 or MR-!6 No 55 x Z = or !10 x - or X = or x = or Total: A: /30 B: I10 COMPL/ES /FA > B Yes e h'o ❑ Residentia/ Comp[iance Forms - April?005 � �, :�g � I�� (a�lJ I�, R� �'{ �P �, � {i�F `��P.'j � � � 'v"'� `! �? t )( ` �� ,� �i i 4� i ;,' �+� �s II �',,:�d�� .d FKZ � � 6,� � ,,: � �', !1 j_�(1.1).(�� S1pp � � � �' (V', ,��,0�.�''°�,��,� � � ��. a� .� �`�d�o��I U4� � �� °-��- ��-�'��,� ��(��,1 7�1 � � Q��n �� li / � � � . �I �Q�✓, � ��5 S�� '� i��i.1 U�'a� `�j �Q� � �- �� ,;,�. a' L' � �.'� �`4 �? °i,�, � •� i . , . , Request --- � - ,� - RequestetllnspectDate: Wednesday,January 23,2008 Site Address: 3107 COOLIDGE AY CM KITCHEN Nage i4 AIP/D Information Activity: BC07-00395 Type: B_COMBO Sub Type: RES_ALT Status: ISSUED Const Type: V-N Occupancy: Use: Insp Area: Owner: TAYLOR, JOHN R TR Contractor: ROVICS CONSTRUCTION INC Phone: 714-444-2648 Applicant: DAVE GOMEZ Phone: 714-444-2648 Description: KITCHEN REMODEL. REPLACE/REPAIR DRYWALL. NO STRUCTURAL WORK. ELECTRICAL, MECHANICAL AND PLUMBING INCLUDED. , Reauested Inspectionls) Item; 206 FINAL MECHANICAL �J �� O Requested Time: 08:00 AM Commentsi Ch�is 7 444-2 48 AM S�1( Phone: Assigned To: `"�**'� (__�l`l� Entered By: KELLY_N K Action; �hime Exp: Item: 208 FINAL PLUMBING Requestor: Camments; Ch�ls*7�444-2648 AM Assigned To: Action; Time Exp: Item: 210 FINAL ELECTRICAL Requestor: Comments: Ch�ls 7�444-2648 AM Assigned To: Action: Time Exp: Item; 250 FINAL BUILDING / OCCUPANCY Requestor; Comments: Chns 7�444-2648 AM Assigned Ta; Action: Time Exp: _ Comment Inspection Historv Item: 56 SEWE Item: 70 DUCT'� Item: 3 JOB SI' Item: 4 FOOTI� Item: 6 SLAB Item: 8 STRUC Item: 11 PRE-II Item: 12 ROOF Item: 16 SHEAI Item: 18 FRAM��. Item: 20 LATHI Item: 22 INSUL Item: 24 DRYV� Item: 26 PLASI Item: 30 PRE-G Item: 31 NPDE; Item: 36 UFER Item: 38 ELEC Item: 44 ROUG Item: 45 Item: 50 kem: 51 ECTION G SYSTEM _DG HEIGHT T Requested Time: 08:00 AM Phone: Entered By: KELLY_N K Requested Time: 08:00 AM Phone: Entered By: KELLY_N K Requested Time: 08:00 AM Phone: Entered B: KELLY N K � :3� : 10:3� �,_Z3-c�� r rN��O /�c� � N�j�IP�� /' D �"" " Approved '* Action: PA Partial approval OUTLET BOX IN KITCHEN - OK TO DNV Actian: AP APPROVED FINAUMETER RELEAS FINAL � � REPT131 Run Id: 7915 g Page 75 Item: 62 ROUGH PLUMBING "' Approved " 01/07/08 Inspector: VOC Action: APAPPROVED Comment: Item: 63 PREWRAP Item: 64 ROUGH MECHANICAL Approved •' 01/07/08 Inspector:•*VOC Action: APAPPROVED Comment: Item: 66 ROUGH-FACTORY FIREPLACE Item: 68 SEWER SYSTEM Item: 72 GAS PIPE - ROUGH Item: 90 GAS PIPE TEST - FINAL Item: 92 WATER SERVICE - FINAL Item: 150 MISCELLANEOUS INSPECTION Item: 206 FINAL MECHANICAL Item: 208 FINAL PLUMBING Item: 210 FINAL ELECTRICAL Item: 216 FINAL ENGINEERING APPROVAL Item: 220 FINAL PLANNING APPROVAL Item: 250 FINAL BUILDING / OCCUPANCY 01/22/OS Inspector: EP Action: NR Not Ready Comment: Item: 247 Pool Anti-entraoment Dev Final REPT131 Run Id: 7915 ADDNFSwSOFBWlOMO: 31O% COOLIDGE AV uNT: OWNERSNu�EIFpqWN: TAYLOR, JOHNNIE R FLOOD: X 97 � ; �ooxEss: TAYLOR, JUDITH A 3107 COOLIDGE AVE COSTA MESA,CA 92626 �vr�.rwuxc �ooness: � AfICXRECT OR ENtl11FfA: 11C. NO.: AXCIL OH FHli.'S AUDPESS: UNT: ca+m�crarswu� CENTURY ROOFING COMPANY (714)968-3233 ca+m�croasuuw�c 8662 DOLPHIN DR nno�ss: H. B. CA uc ra.: 6 7 4 019 92646 urr: LICENSEO CONTNACTOHS OECLPflATON: I Mraby elfim under penelly d peQury ihel I em liceneed uMx qwiaima d Chaqx 9 ( ' wi�h Senion ]000) d Diviaion 3 0l lhe Buwmae eM Prdesabm COEa. end mY licenm ie in IuA lace vM elleq. c uc. 0.:059104 uc.cuss: C39 uc.No.: 674019 EXP: 00/00 � � � � S � CanVatlor. �—� O P BUILDEfl �ECUNRTION: I hareby elfirm uMx panaly d perjury Ihet I am e�amq /mm IM ConlreGae Licenea lew for Iha �maon (�ion )031.5 &reiros+eed Rdeasiana Code: AnY c'LY a muMY �✓� �Vui�ee e pe�mil ta mnahucl. dlx. improva. dBlll 4�1. UI fG�IB% BII)' B�NCIUlB. pflOf �O tl5 6HUBM9. B�O IBQNlBB ��1! B�If2f1� �01 BUCh �1811111110 fi�B 6 91QIIBd 91B�BIIIBII� dlfi� �1G IX t�l! ia liceneed puesueni to iM pwiriona ol tM Coniredoro Licensa law IChepx 91�merie�p with Sedion ]000) W Div6bn � of ihe Bueirem erd Vrdeseiom Codej a thel M or ehe is axemq therel�om aM �M b�a la ihe dbpeE eaemption. My videton d Sedion f)031.5 by e�ry applicenl Iw a pe�mil wbjeds IM eppliceM to e tivil peralry ot ml mae ihen (xe huMred ddlen �5500�). ❑ I.eaowneralMMWanr«mYamob'feeawinwe9eaeathaiedemmVe^salion.willdoUiexork.ardlhesvuclureonaimmded a oflered tor aeb (�� . Buu�ss eM Profesaions COEe: The Cmlrmon lirertve law tlms nol epptyto en oxnard O�M who WdM a inpmvee ihwean, anE who doee auch xork NmeeX a hene[ a iMaqh he a hm ovm empbyees, qwidad ihat euch imPro+�anb ere nol in�eMed a d1aeE ia seb. M. howaver. lhe buiki�p w improvemeM o edtl Milhin ane Y� d mmplMon. tlie ow�wr�buiNar will heve Ihe WNen d pwirp M w she Nd na EwW or impmra Iw iM purpwe d aeb). � I. es o�mer ot ihe papeny. em utlusWety ronired'vq xnh limmed wnireclae to mmtrud Ihe poptl (Sed'an lOsa. Bue'uwss eiM Prdemiom Coda: TM Coniretlaa Licenee lew doee ro� epply �a en owner d poparry wtw WJde a Mpeovm theraon eM who convecis /or euch prqxia wiTh a wmretlMs) Ikensed Wnuent lo IM Contreaore Licema law�. � I em exemq uMer Seclbn: B. 8 P.C., la thn reexn: I Eo Mreby canity Ilai l em eware d eM uMerslerd Ihe reyui�emenb d Cellomu Nmnh eM Se�ely Code SeUiom?5505. 2551�. eM 255�e. eM Oui �«em' Mure Wikina �ment xdl / wil mt (dreb me) rieaE io camWY win miC sle�e wdes eiM ihe �eauiramanre lur epermulaooruvunionwmodifretimhwn�heAi u3e�i.�y anepemenlD'e1ritl.Reaideniielmnalivabnep0iraliomereeRempimmiheee wwieim•. Da�e: AppliceM' WORKEP'S COMPENSATION DECL�NATION: I hereby elfirtn unEx pe�M1y d perjury ma d tM Mbwinp Eadvetioro: � I here uM wil meinian e cMNicale d wuant to aeX.inaure M xmke�a'rompenaa�un. n pwidad la by Seaion �]0� d the l.ebor Code, la tM pa�ameMe d Ihe xwk la wluch �hie pe�m� ie iauad. ❑ i n� �a m� �me:,,,on�n� �o��, ��a�,�. e. �.a��e q� saa� a�ao a me �m« coea. �« ma v�«� w ma work fa xfiicM1 ihn permn u meueE. My warkers mmpeneelion insurence wrier eM pdiry num Wr era: Cemer: Pdw N�mna,: 'hu settion neeE na 6e cvmWeled d tM G�d rs M aro huMieE Cdlav 14'1001 n lue.) J I cerlM ihe� in IM perlwmerica d ihe work br whkh Ihie permn ia iseuad. 1 eAaA � emplq eiry pereon in eiry menr�x eo es to became aubjm to Ihe xoMre' canpen+etian lewe A Ce4lwnie. end pree Nel il I e1wuM beconie aubpd io �M worken' m e�ion provisona M Seuion 9100 dIM LeborCode.l hwil� comp�y wiNihoee p�oviaiona. �,: — 13- � a�w�:� am : Fa/Nn b a.cun woilrwi rompsn,etlon rovereps /i un/eNNI, nMaIWI rb/�cf an Imploysr fo er/Miul peneMsa eM � c flros up !o om h'.ndrstl fhouanJ tlo1W� (S10({OOOA M M11tlan ro Ms cwt o/ rompeiwtbM1 Gmspu u poHOetl brin Swtlon J106 0l Ms Ltler Cod, Int�rwt, end attomsyb hu. - CONSTRUCTON LENqN� AGENCY: I hneW etfi�m uMu perely d perjury �tut tMn ie e conn�uaion bWirp apenry br Ns panorme�we d �ne woek �or wnieh ma w�� a aa�aa (seian� 9os1, eH. c�. LENAEN'S NAYE: LENDEH'S 110DNES5: I cenily Ihm I have read this eppl'ratim and tlete Ihe� Me ebwe inlortne�ion u rnrtep. I apree to mmDh �h ell ciry vW ooumy ardineive eM atele kws nlelip to WJE'vp conCrutlion erd Mreby euthorae reqeeentelivae d ihu my w enter upon ihe eEove�maMioned qopeM� mrio:�np�w�vo�e.RICIIARD STERNAERG csisi-�s.wP� wnno-e�na:re a s�ny: o�,:S= >i - 5� Pink-Revenue; Ookenro�Aseemw CI'1'Y UF COSTA MESA - HUILDTNG PERMIT PERM NO: 8 082875 PERMIT NO: B 082875 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYYE: CT-N PERMIT TYPE: STR PURPOSE: OTH JOB DESCRIPTION ; T/O RESHTH W/ OSB & REROOF W/COMP. SQ FT: 5,]00 CLAIM VALUE: 5,300,00 CALC-VALUE; 5,300.00 GROUP OCC: R-3 /U-1 COMMENTS: REROOF RESIDENCE ****��*��*�*�+�*�*��r+t��**��r***�x**x��***�r�*�r*�+�*x�**+t*�****+��**rt*+��***�*** Z O N I N G R E Q U I R E M E N T S S E T B A C K S ----------- MAIN BUILDING ---------- --- ---- ACCESSORY BUILDING -------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 14169338 ZNE; REF NO: PLANNING NOTES>' �;_; i . iE if if 1E if if iF ii' i4 if ik ik i! if'I(' i6 if ih i%i4 ih 1I' jf iE fE iI' iE if 1f 1E iE iE fE if IE if 1E 1E if iE 1E �E iE if')f if if i6 iF if if if if if if')f if iF i(' iF 1E If il' iF iE ih 1E if'It iE iE'IF iE if i%iE ii")f if 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: ^" v �� BUILDZNG APPROVED BY : DATE: `'-' �� APPLICATION ISSUED BY: � DATE; " iE1EiE1E1E1EiE�EiE1E1E1E1E1E'iEiflElEiEiF�F1f7F7FiF3F7F7f�F7F7FiF�F7F7FiF�FiF'JFif�F�F7F3Fi�-�F�SF�f�F3FTF'iF'J�''1EIE1EIEifiEiElkiE1! 1E1E LEGALIZATION:N' F E E S U M M A R Y STRUCTURAL E ENT:Y HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 112.25 53 PLAN SMIP/NON-RfiS ISSUE FEE BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE TOTALS----> 112,78 0.00 0.00 112,78 112.78 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 112,78 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK 112.25 .53 IE 1E 1E if �E iE 1ElElE 3E aE ff IE IE IE 1E !E iE iE 1f iE 1E 1f iE 1E iE 1E 1E 1E iE 1E 1E 1E 1f 1E 1E iE iF iElF iF 1E If 1E iE fE IE 3E �E 1F jk 1E 1E 1E if 1f if iE iE iF 1E fk 1E 1k iE 1E iE fE jt 1E fE iE iE 1E iE 1E iF 1E iE I N D I V I D U A L F E E B R E A K D O W N TYPE,,, QTY . D E S C R I P T I.O N UNIT COST TOTAL COST SFR,.,, _ 5300 „ REROOF BY VALUE RESIDENTIAL NOZONE 1.00 5,300.00 END OF FEES CS-i3-1997/�8:16 Ati/8112.78 kCPT'�.�1-`�'�26c�1 �'Ekl'FIT e 0&2875 -'-'i3ONSTRUCTION AND PLANN�NG � . . � QOOL 8 , � � - �Date Inspector - - � � Oate �nspector, APPROVALS Permit #' �� - . - � � APPROVALS Permit # t ` � � i. Tempor�ry Electrical Service orPole , � 52. Pool & Equipment Locatiom" . � � 2. Soil Pipe�Undrgmd. � � 53. Steel Reinforcement _ 3. E�ectricai Conduit Utility-UndP9md. 54: Forms - � � '� � 4. Elactrica� Conduit-Undrgmd. - - 55. Electrical Bonding 5. Steel Reinforcement _ � - . 56. Rough Plumbing & Pressure Test � ' . 6. Electrical UFER Grnd. - ' � ` �57-, APP.ROVAL��TO CQVER-GUNITE 7. Footings � .. . � � ' S8. Eiectrical Condutt-Undrgrnd. . � ; �8: Foundation ' _ ' � 59. Gas Pipe, t� Undrgrnd., Test '� � 9. Water Pipe-Undrgrnd.' . . 60. Backwash'Lines, P-Trap; O Undrgmd, i� � 10. Structural Floor System �- � � 61. APPROVAL TO DECK it. Property Sewer �ine & House Connection . �62�. Backwash & Receptor-Fina! ' � - � 72. Sewer CaP - ' � (� , ' � 63: Heater & Vent�Final ' 13. Roof Drains ' � 64. Plumbing System -:Final �' , 1�4. Rough Plumbing ' _ - , . 65. Electrical-Final , . _ ' , 15. Rough Elearica{�Conduic - ' .66�.� Solar SYstem-Finai . - `. • 16. Rough Electric Wiring � 67. Fencing & Access Approval i�. Rough Wiring Si9n �� ',, 68. APPROVED FOfi PLASTERING � 18. Rough E�ectrical�T Bar Ceiling � 69. POOLJSPA SYSTEMS�FINAL " 19. Rough Heating & AirCpnditioning - FIRE DEPT. REQUIREMENT - 20.'Rough Factory Firepiace ' ' � - ` APPROVALS Permit ,# 21 . Ducts, i� Struc[ure � � - - . � . 70. � Underground Hydro 22. Ducts, Ventilating • "- " ' 77. Product�Piping�OGns ❑Oil 23. Gas Pipe-flough & Test - ,. , . - 72. Unde'rgraund Flush 24. Roof Framing � - , _ �' 73. Undergmd. Storaye Tank L� Gas O Oil 25. Roof Sheathing ' `• u q /'� /, �,Overhead Hydro - � �=!_G� (GG/(/`�"'" ' _ 26. T-Bar Cei�ing (Structurali & Monocoat � ' -_ � 75. Dry Chemiral - 27. Frame and Fiashing:, , 76.� Dry Standpipe_ -, - - 28. Lathing & Siding - . • � • • 77�. FIXED SYSTEM FINAL . - 29. Insulation ' � 78. FIRE PREV. FINAL . � 30. Drywal! Nailing �� - HEAITH DEPT-REQUIREMENT 31. Plaster 6rown Coat 79. FINAL INSPECT-ION - � 32. Electricei Power Meter-Final . . '. * 80. FOOD CERTIFICATE ISSUED 33. Fina'1 Eleciric � � ;; �' Notes: _ .. . �� 34. Final-Heating & Air Conditioning • : � .. � ' 35. Final Gas Pipe-Test � ' � . . ' � � : i t -_ - 36. Hood or Canopy . - . - - � • - 37. Final Pactory F'veptace . '� 38. Finai Plumbing � � � �,' �- . - ^ R• 39. Water Service-Finai ' `, j. - .-' . . 40. Gas Serv�ce•Final - � �" � , - 41. Solar Oomestic•Pinat . � � �, , _ ' ; 42. Backflow Preventer '� � .. - - - 43. BackfloW Irrigation � _ _ � � ' 44. �andscape Irripation System . _ - � . . 45. Sound Attenuation ` -' : _ � � - 46. Handicap Regutaiions - � � � -, - � 47. FINALSTRUCTURE&BUILDWG �zl,..G�� 48.-FINALPLANNING . � '�.�y �:- . . _49. -Electric Release to Ediso� � ` ' ' - ,�'-- 50. Gas Release to Southern Calitor0ia Gas Co � � 51. CEfiTIFICATE OF OCCUPANCY ' � : -. No. Da[e CITY OF COSTA MESA BUILDING DIVISION ROOF COVERING CERTIFICATION Permit No. �2– � � � Property Address � �� b) Owner �_Z��t/ Contractor �-�"��uyt_ ��i � ` J C 3� State Contractor License Number ��l �} O I S Classification I hereby certify that I have installed, or caused to be installed, a minimum Class C roof covering at the above address in conformance with Chapter 32, and Section 1704 of the latest adopted edition of the Uniform Building Code, as amended in Section 5-17 Title 5 Costa Mesa Municipal Code, and the installation instructions oi the manufacturer. ❑ I further certify that I am the owner of the property. (Owner-Builder permittee only). —� I further certify that I am: _� Owner of sole proprietorship company ❑ Full partner of the company ❑ Limited partner of the company ❑ Officer of the corporation I certify that as an authorized officer or agent of the company or corporation, I am empowered to make this certification, which shall be binding on all successors or assigns of the company or corporation. I shail deliver a copy of this Certification to the above listed owner, after submittal of form to ihe Building Division for acceptance. Received by Building Division By: Initial 0 te � �� W90�a6 W�neBuilCing Dn: Canary�ConVactoc PmF-Owner L.C'�C�� Y , Company or Corp ate Name � � �,;_..L l� ✓- Atltlress iJ � C- � ?.C, �-I (., S- l�- �`1 Siqnature \ Date . �� L. '�--c vr �-C� l � Printed or rype nama � - 21334 COSTA MESA BUILDING-SAFEfY DEPARTMENT P. O. BOX 9f] ' COHTA MBBA� CAI.IFORNIA For Applicanf to Fill In Complefely TYPE OR PRINT ADDRESS /1�� Co�l•idge �- COSTA MESA, CALIFORNIA OWNER h ate ��mes M��o�azK439 Las�Florea A�DR689 ,as Flores c�rv Fountain Valley LIC.T 4 No � 316792 OF LOT SZ P � I no. ov BLDae.O I10W ON IAT USE OF OO EXISTING BLDG. BEiBACK LINH FROM /� 'y4. cervTex oP STREei `7S REAR YARD / SI�EYARDI �er� � S I RIGHT J� I DESCRIPTION OF WORK' FEE RECEIVE� JAN 1 z issa � fINANCE� DEPT°`ti APPLICAQI'Ot�'FOR PERXAIT BUILDING . For Ofiice Use Only PHC61P1'NO. PEHI � 81VjDBY D�T,[q�6�VEi,, LA�! 7 L/ JH ZONING . ZO NO. O� l US[ OF N � PLAN6 L�- BU�LDIN DESCRIRIOX �� / � . 1 • � ` A. P. NO. � NOTE: NO EAVE OVERHAN6 SHALL BE LE55 THAN 90' TO SIDE B REAR P. 4. EAVES ALLOWED (U.B.C.REpU1REMENTI YARDSAPPROVED YARDSAPPROVED MAIN BUILDIN6 ACCESSORY BUILDIN6 BUILDING p1�, q NO OP VAR..$ I SIZE 17T! ROOM9 Bf'ORIEB 2 G: U. P. EXTERIOR WALL ROOP � y�p APPRO` COVERING CCO I WVERINO Shi��pl@ By USE OF BUIl,�ING AIiD WOWKTO BE PfiRFORMBD cino-lo fAm_ reS.W. 8t.t. �&T'. 1 HEREBY ACKNOWLEDOE I AN� BTAT6 TH E AB PLY WITH A CITT BUILDINO NBTPOCT SIGNATU O PERMITTE AUTHORIZED A66NT READ TX18 APPLICATION CT ANO AOREE TO COM. TATB LAWB REOYLATIHO DATE I- ee. �. =ai� iXE AMOIINT�8HOWN YNOER V/ PURPOSE OF BBTABLIBHINO ♦ VALUATION � PERMIT �� /��'� A / TOTALF u �o" " 0 IH FOR TX8 F FEE �ONLY. 0 �' °`�� , �� F (�0• �'f� �