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Home My WebLink About213 FAIRWAY PL - Building PermitsPflOJECT ADOHESS: z 1 3 FAI RWAY PL OWNEfl'SNFME: HARTSON WILLIAM E nooeess: z13 FAI{�WAY PL COSTA MESA,CA 92627 FRCNIENGINEEH: FOOHESS: HEG.NO.: uxiT: IINIT: PERMITTEE: WII.LIAM E. HARTSON ( 714 ) 646-4527 '�, ADDNESS: zS3 FAIRWAY PL COSTA MESA CA 92626 LICENSED CONTBRCTOB DECLAflATION: I hereby allirm Ihat I am licensetl unAer Omvisions ol C�apter 9(commencing wiih Sec�ion 7000� of Oivision 3 of t�e Business anJ P�ofessions Cotle. antl my license is in (utt Porce anA ettect i CITY LIL.: STRTE LIC.: CIASS: '. oate: siqnawre: WOflNENS' COMPENSRTION DECIABRiION: I �ereby altirm Ihal I have a cenifiw�e ol tonunl ID ull-insure or a tenifiw�e ol WOrkers' Compensaiion Insurante, or a cetlilie0 copY ��ereot (Seclion 9800. LaD. C�. PoIILV NO.: E%P. ORTE: LOMPANY: n Cenilie0 coOY is �ere�y Wmis�etl. ❑ Cenilie0 coOY is filea vnih I�e city Builaing Oivision. .. ApPlicanl: EXEMPTION iNOM WUPNEBS' COMPENSRTION OfC1APpTION: (iMs seclion nee0 not Ue completeA i� lAC permil is ta one huMretl (E700) w less�. I ce�ily ihal in ��e pedormance ol Ihe work �or w�ic� I�is permil is issuea. I 5hall not emplo any Derwn in any manner so as �o hecome su01�� o �He Warkers' ComDensation Laws ol Calilomia.// ../�%%$f f Oaie: O�� ` SipnaWre�� li'^i � N IC . II. atler Iting Ihis Aeclara�ion, you shoultl bewme suhl�� o �he Workers' Compensation pmvisians of the LaOor Coae. you must ort�wit� cumpry wii� such D��sions or this Oemrct shaN Ee deemeJ revuke0. CONSTNULTION �ENOING RGENCY: I hereCy atlirm I�ai I�ere is a wnSlmciion lentling ag¢ncy for ��e Dehormante oi Ihe work for which ihis permii is issuetl (Sec�ion 309T, Civ. C�. LENOEfl: aoueess: OWNEfl BWLOEN UECIAHPTION: I her@Oy a�lirm IAai I am e�em0� �rOm Ihe fAntratlOrS' Staie License Law tor tne lollowing reawn (Section 703t5 Business antl Pmlessional CoOe: Any cily oi couniy wnich reQuires a permit to constmct, alter, imD�o�e. tlemolish, or repair any 9mciure. Orior �o i�s issuance, also reQuires Ihe aOUlicanl �or Such permii to tile a signed s�atemenl that helshe is licensetl pursuant lo Ihe pmvisions ol l�e ConVactOrs' Slale License Law (ChaO�er 9(wmmencinA ��h $ection 7000) of Division 3 of lhe Business anA Professions Cotle� or Iha� �e/5�e is exempi �herelmm antl Ihe basis IOr I�e allepeA exempti0n. Any viola�ion ol 5¢ctian 7031.5 by any appiicam lor a permit su�lecis t�e applicant m a civil penalty oi not more �han five hunCr¢A Aollars (5500). I. as owner af ihe D�oDerty or my employees wilh waqes as iheir sole compensation. will tla the work, anA �he ❑ simcture is not intenae� or olleretl lor sale (Section 704a. Business and Pmlessional Cotle: TAe Cantracrors' State License Law tloes no� apply lo an owner o� a bmpehy w�o builGs Or impmves Ihereon, and who Aoes such work himseltlherself or thmugh his or her own employees, Omvitled �ha� Such impmvemenls are noi inientled of 011eretl tor 5al¢. I�, however �he Ouiltling Or impmvemen� is sold vnNin ane yem ol camD�elion. Ihe owner vnll have Ihe bur0en oi Oroving �e/she AiU na� OuilA or impmve br Ine purpose ol sale�. I, as owner ol �he pmperiy. am ex�lusively conlracling wilh Iicense0 conlraclors m cons�mc� �he pmle�� (Sec�ion 704d, Business L� an0 Pmlessions CoEe: The Coniractors Sta�e License law Goes nol apply to an owner ol proDerty who Duiltls or impmves thereon and who coniracis lar suc� pmle��s wilh a conlracior�s) IicenSe pursuanl �o ��e Conlraciors' Siale License Law�. I am awa�e tha� pmo� ol Iheir Worker'S Compensalion insurance shoultl be pmviAeO to me. � i am e.emut unoer sec�ion: $ p 7 Q Q Q B. 8 P. L. ,/mnnisr/eason: ALL WORR BY OWNER/ AM�IJLY,�.i�.�� Oate'�i/G /�'� Owne ,Cy��y�'i`� '„'r'r'. � I Oo her by ce y iha� I am aware of ana unUerstantl t�e requiremenis ol Calitomia Heal�h anU Salery Code Sec�ions 25505, 25533, an0 25534 antl Ihat I or any lulure builtlinB occupanl will/will no� �circle one) need to tomply with saiA s�a�e cotles antl I�e reQuiremen�s for a permi� �or canslmciion or mOtlifiwlion IrOm IM1e Aii QUaliry Manag¢m¢ni DiSlritL Re5i0en�ial COnSimC�ion apDlitafi0n5 are eKempt iwm inese pmvisions. �ale', Applicant: I �eieby cer�ilyi�al I havereaE��is aDDlipation an0 5�aleihal Ihe aboveinlormalioni5 tOrr¢tL lapr¢eto cOmpty wil� allcity anC t0un�y ar0inancesanOslalelawsrelalinglobuiltlingconslmaionantlhereEyam `�erepresenlatives ihiscitytoenterupantheaUove�memioned O�aperty forinspectian pur0ases. Date: �� Signawre: � Oriver's icense o� Social Securily a: �bai�<6 WNte—Builtling: Geeen—Coyu Enlorcemenl: Canary—Applicanl: Pink—Revenue; GolEenraE—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 05685 PERMZT NO: H 056856 PLAN CHECR NO: N GOVT; N SUPP; N CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE; DEM JOB DESCRIPTION : DEMOLISH CARPORT 6 PATIO ENCLOSURE SQ FT; CLAZM VALUE: 1,000.00 CALC—VALUE: 1,000.00 GROUP OCC: M-1 / COMMENTS; REMOVE 'INNER' CARPORT S PATIO ENCLOSURE ***�*��r****��t�t*�*�*�t�*+��*�r***�t��t�r**�t�r+t*�r�r*�r*�r**�***�t�r��t+a�r+r*�*�r******�***�*�t�t+r Z O N I N G R E Q U I R E M E N T S ssraAcxs ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEfiT; FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN PARKING REQ • PROV: PARCEL; 93921212 ZNE: REF NO; PLANNZNG NiST'ES> � �E±F iE �E iF if �E iE jE iE 1f IE 1F i:3E 3E if if 1F �F if iE if if if �f M iP iE jF IE iE IF �E !f !E �E it �E iF � iE iE iE fE k�k iE iflE �E jF if iE IE �E iE iE 3F if �E if �F 3E iE±E if iE iEiFjE 3F IE IE iE iF if �E iE 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 20NING APPROVED HY DATE: • _ BUILDING APPROVED BY ;�j APPLICATION ISSUED BY;'IS ,.,� G if�kif�EiEiEjklFiFiEiE�lEiEiEiflfiElE�lFjEiEiE ' . ' / if iF if iE 1E �tlF 1E iF i! iF iE iF if iE M k kiF if if iE if k if if !f �k �E iE iklf iE �E if iE �E if �f iE #f iF LEGALIZATION;N F E E S U M DATE; t DATE: Gi/ Ak iE if M 3E 1F 1k if iE iE if 3E iE if 3f fF iF 1t if iE jF 1E iF 1F iE iE iE if 3F iE 1E 3f 3h if A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 25.00 SMIP/NON—RES PLAN ,50 ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 25,50 0.00 0,00 25.50 25.50 .00 AEVENUE DIVISION TOTALS--> COLLECTED; 25.50 OVER/SHORT: 00 BLDz5P00 pLUMBING ELECTRIC MECHANIC FIRE SMIP/TOO GRADING PLAN—CHECK iE ik * iE �f if iF iE 1F 1E 1E iF iE if iE jE if 1E �E iE iE ff iF if If !f IE if # 1f iF 3E af 1f iE �k jk iE 1E iE iE �k 3E iE �F k iF iE iE if 1F �F if iE iEjf if iEiE fE iF iE k iF 3F 1k iE iF iE iE iF iE ik iE jE 3f if #k 3f 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 NO FEES WERE SELECTED FOR THIS PERMIT � C"..l ; .; i:i.1. ,'� ;�'.... ---�.'.� �;��P i r APR - 6 :�� `��ii ��n o; c�sia �ESPi CONSTRUCTION ANDPLANNING P�� APPROVAIS Permit # - Jate lnspector qppROVALS Permit # Oate Inspecto� �, Temporary Electrical $ervice or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. ' 53. Sieel Rein4oroement 3. Electrical Conduit Utility•Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. - 55. Electrical Bonding 5. St@el Reinforcement - 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNI�E 7. Footings 58. Elect�ica! Conduit�Undrgrnd. 8. Feunda[ion 59. Gas Pipe, O Undrgmd., Test 9. Water Pipe-Undrgmd. 60. Backwash Lines, P�Trap, O Undrgmd. 10. yciuctural Floor System 61. APPROVAL TO PECK 11. property Sewer Line & House Connection 62. Backwash & Receptor�Final - 12, 5ewer Cap 63. Heater & Ve�t-final 13. pcof Drainz 64. Plumbi�g System • Final 14. F?ou9h P�umbing 65. Electrical�Fi�al 15. flough Electrical-Conduit 66. Solar SYstem-Final 16. Rough Electric Wiring 67. Fencing & Access ApP�ovai 17. Rough Wiring Sign 68. APPflOVED FOR P�ASTERING 18. Rough ElectrirabT Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditionin9 FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace • APPROVALS Permit # 21. Outts, in Structure , 70. Underground Hydro 22. Ducts, Ventilating . 71. Produci Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing � 74.- Overhead Hydro 26. 7-Bar Ceiling (Structuraq & Monocoat � � 75. Dry Chemical 27. Freme and Flashing 76. Dry Standpipe ' 28. Lathing & Siding . 77. FIXED SYSTEM FINA� 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing ' HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. E�ectrical Power Meter-Pinal i-' ,50. FOOD CERTIFICATE ISSUED 33. Final Electric . Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe�Test 36. Hood or Canopy . • 37, �inal Factory Fireplace _ ' 38. Final Plumbing � . '39. Water Service•Final " 40. Gas Service�Final 41. Solar pomestic-Final 42. Backflow Preventer . � � 43. 8ackflow Irrigation 44. Landscape Irripation SYsiem 45. 5ound Attenuation 46. Hanciicap Regulati�ns � . 47. FINALSTRUCTURE&BUILDING � .� p1{� ' V ' 48. FINALPLANNING 49. Electric Release to Edison ', 50. Gas Release to Southern California Gas Co j 51. CERTIFICATE OF OCCUPANCY No. Date PXOJECT ROOflE55: z I 3 FAZRWAY PL OWNEN'SNpME: HARTSON WILLIAM E nooeess: z13 FAIftWAY PL COSTA MESA,CA 92627 ANCNIENGINEEP: FDOPESS: xec.xo.: UNIT: UNR: PENMITTEE: [.,�ILI�IAM E. HARTSON ( 714 ) 646-4527 nooeess: z13 FAIRWAY PL COSTA MESA CA 92626 UGENSEO LONTNACTOP UECLAMTION: 1 �ereEy ailirm t�at I am licensetl unEer Dmvisions ai Chap�er 9(commencinp wii� Seciion 70W) ol Oivision 3 0l I�e Bu9ness an0 Pmfessions Cotle. anC my B[¢nse is in fulllo¢e anG enect. CITY LIC.: STRTE UC.: ClASS: �a�e: Signature: WORNEflS' COMPENSRTION DECLAPATION: I here6y allirm Inat I have a renilicate of consent to seif-insure or a cenificate af worker5' Compensaiion Insurance. or a ttnilie0 coDY ��e�eoi (Section 3800, lab. C�. POIICY NU.: E%P. UATE: COMPRNY: ❑ CertiOe� [opy is hereUy )umishee, ❑ Cetlifle0 coOY is liled w�N ��e cl�y Bulltling �ivision. Oale: ADPlicanl: E%EMPTIONFPOMWOBNEflS'COMPENSATIONDECUMTION: (7hi55ectianneetlnolhecomple�eOil�hepermilislorone�unO�eA�S100�or1e55�. I cerlify I�at in t�e petlormance ol Ihe work lor w�ich Ihis permil is i59ued. I shall no� employ any person in any manner so as �o become subie�� ta ihe Woders' Comoensation LawS oi California. oate: sianacure: NOTICE: II, alier making this declaration. yau s�oWa �ecame s�Gl¢ct to �he Workers' Compen5ation Omvisions ol l�e LaGor Code. you mus� lort�wil� comDty with su[n pmvisions or Ihis permit ihall be Ueemed revok¢d. CONST8UL710N LENOING �GENCV: I hereby atlirm t�at I�ere is a �onstruction IenOing agency lor t�e pedormance af lhe vrork for whicA I�is permit is issueG (Seclion 3097, Civ. C�. �xocn: COMPLIANCE INSP ON NON— aooeess: pERMITTED ENCL—PAT6CARPOR OWNEB BUILDEB OELLANaTION: I nertUy affirm iha� I am exem0� imm ihe Comracmrs' State License Law br ihe I011ovnnA �eason (Setlion 7Q31.5 Bu4neS5 ana ProIPSsional Ca40: My tiiy o� COWIy wNch Rquire5 a Oermii �0 COnSlrvti. aller, improv¢. Oertrolish, Or repair any stmcWre. Drior lo its issuance. also reQuires t�e aOP�icam lor such permil m file a signe0 statement Itu111e/she is Iicense0 pursuantlolhe provisions ollne Contraclors State License Law�Chapter 9�commentinp witn Section 7000)ofUivision 3 oflhe Business anE Profesvons CoOe) or �lut tce/s�e is eaempl I�erelmm anA tAe Das¢ for ihe alleAed exemption. My vioWtion ai Section 7031.5 Dy any applicani for a p¢rmit Su01e��5 Ihe aOVlitant lo a tivil penalty of no� more Nan �ive hun4fe0 tlollar5 (SSOfI). ❑ I. as awner al t�e O�aDeny ar rtry employees wiih wyges as their sole wmpensation, will Eo ihe xrork, an0 ihe s�mcWre is not Inlenaea oroiferetl lor sale (Setlion 704A, BuSiness anU Proiessional Code: The ConVaciors' Slaie License Law tloes noi aOPly to an owner al a O�oOeny wM Ouilds or imDroves thereon, anG who does suc� woM1 himself/herseli or ihmugh his or �er own employees, pmviAeU Iha� suc� impmvemeng are nat intentleE or aflereU lor sale. II, �owever the buil0ing or impwvemen� is sola wilhin one year ol comple�ion, Ihe owner will have lhe Eurden o� D�ovinp he/she ditl nai hui10 0� imD�ove for ihe ourpose ol satel. I, as owner ol Ihe pmDerly, am eMCWSively conlracling with IiCenseO conVac�ors �o constmc� the Omlec� (Sec�ion 7044, Business ❑ ana Pmlessions CoEe: T�e Contracmrs' State License Law a4es not aOUly to an owner oi pmperry wAo bml0s or imOmves tAereon antl wno conirac�s lor such Drojec�s with a conimctor(sl�icNnse pursuantto t�e Coniractors' S�aie License Law),I am aware Ihat pmol ol Neir Worker's Compensa�ion insurance shoWd be pmvided to me. � � am eKemD� untler Seciion: B P% O�i �i 8. 8 P. C. mr mis reaso�: ALL WORK HY OWNER/, FF)M�F�.Y //Z�- .� Da�e: �/ ��9 7 � Owner�� zt y 5� �� I tlo here cenity Ihat I am aware al an0 untlerstanG t�e requiremen�s o� Cali�omia Heal�� and Safe�y Cotle Seciions 25505, 25533, and 2559a antl Iha� I ar any IWure builtling occupanl willlwill no� (circle oqe) neetl to compiy wi�� said stale coaes and �he repuiremenls for a Dermil lo� consimclion or moGiliw�ion Imm Ihe Air �ualily Management Uist6c�. flesi0entul constmc�ion applicaiion5 are eKempl iram t�ese provisions. Dale: Ap0licanl: I he�eby certitythal I havereatl lhis appliCa�ion antl 51atelhai IAe abav¢ in�ormatianis correCi. I aAreetO tOmply vnlh ail city ana toun�y ordinances antl s�ate laws �elating l0 6uil0inp conslruciian antl �ereby amMnze represemaiivu a� s dty to enter upan Ihe ahove�mrnUweE pmpeny mrinspecuo Durposes. ) n L/C / /�j/� }. I L— _ Oate: � �2— SignaWre'��/ � C- _ �� Omer's License oi Socia� Securi�y �: `} 164Ld6 WM1�te—Builtlino: Green—COCe Enfarcemenl: Cdnarv�Aoolicdnt; P�nk—flevenue: Goltlenrp�—ASsessor CITY OF COSTA MESA — BUILDING PERMZT PERM NO; IB 05580 PERMIT NO: IB 055805 PLAN CHECK NO: N GOVT: N SUPP: Y CONSTRUCTION TYPE; 5—N PERMIT TYPE: OTH STR PURPOSE: OTH JOH DESCRIPTION ; COMPLIANCE INSPECTION (ENCL PAT6CARPORT) SQ FT: CLAIM VALUE: CALC—VALUE; GROUP OCC: M-1 / COMMENTS: FIELD INSPECTOR:DETERMINE NEED FOR PLANS ***�*�*�*x�*x�*�*+�x�**��*******�*****+�****��*�x****�*x*�r*�*�*�c*+��tx�***x**�-*�*�+o-�*�c+t 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 BUZLDING ---------- --------- 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 REO• PROV; PARCEL; 43921212 ZNE; REF NO; PLANNING N01'ES> i iE iF if iE iE if !E 1E 3E 1E 1E iF 1F iFik iElk f(� jF 1E iF 1P iE i! If iFlf if if iE 1f 3F iE iF iE iE iE iF iEiE iF k iE iP if i4 k ih iF jE 1F jf 1P iF if if 1f ik ik iE If 1E if ik 1E * iF iE iF 3f iF iE iE iE if iF �F 1E iE 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: � BUILDZNG APPROVED BY : DATE: APPLZCATION ISSUED BY; DATE: /'/ ik�taEifikiFififiEifjElFifaEjEilifiFkiEiFiE iEiFikifiE3E�Eif�E# �fif �1EiEiEaEiEjf3fiFiEifliifiEifiEiEiFiEiliFilifiElEkiflEiF3EiEiEihiFlfjFifiF IEiF iEiFififkifiElfiFklfififiEif3fiEkiE�IE�E�t3EiEjEiElFiFiFiF�lFiFiFifMlfik LEGALZZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING fiLECTRZC MECHANIC FIRE SMIP/RES GRADING PERMIT 30,00 PLAN SMIP/NON—RES ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 30.00 0.00 0.00 30.00 30.00 .00 REVENUE DIVISION TOTALS--> COLLECTED; 30,00 OVER/SHORT; 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CAECK 30,00 iF iFif jk 3k�1F iE ik iE iE lE iFiE iE iE iE iE ft iF �E Ik �t �k iF iF ik ik it �lf if iE if jE �F ik if If �f if iF �k 3F 3E iE �F �k 3f 1t IE �(� if if iE iE iF # iF iE �f IF If iF IF iE !E �F if iE iF iE ie �F iF IE 3E �F 3F # 3E 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 INS 1 BUILDING RE—INSPECTION FEE 30,00 30.00 END OF FEES �l. `la`. r.. _�1'.;:'O . '� CONSTRUCTION AND PLANNING - P�� "PA 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-Undrgmd. 54. Forms ' 4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding 9. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electricsl UFER Grrid. 57. APPROVAL TO COVER-GUNITE 7. Footings ' S8. Electrical Conduit-Undrgmd. 8. Foundation 59. Gas Pipe, � Undrgrnd., Test 9. Water Pipe�Undrgrnd. 60. BackwasN Lines, P-Trap, O Undrgrnd. 10. Structurol Floor System 61. APPfiOVAL TO DECK "' i i. Property Sewer Line & Ho�se Connection 62. Backwash & Receptor-Final 72. Sewer Cap 63. Heater & Vent�Final - 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical�Final � 15. Rough �lectrical-Conduit 66. Solar System-Final �� 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Eiectrical•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, Ventilati�g 71. Product Piping � Gas � Oi1 23. Gas Pipe�Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Stora.9e Tank O Gas O Oil 25. Roof Sheathing � � 74. Overhead Hydro 26. T�Bar Ce�ling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding . . 77. FIXED SYSTEM FINAL 29. Insulation _' 78: FIRE PREV. FINAL 30. Orywall Nailing . • HEALTN DEPT. REQUIREMENT 37. Plaster B�own Coat , 79. FINAL INSPECTION 32. Eleciric2t Power Meter�Final .� , 80. FOOD CERTIFICATE ISSUED 33. Final Eleciric . Notes: 34. Final Heating & Air Conditioning. � % . 35. Finai Gas Pipe�Test � � 36. Hood or Canopy 37. Final FaMory Fireplace � 38. Final Plumbing 39. Water Service-Final ' 40. Gas Service-Final _ i . 41. Solar pomestic-Final � 42. Backflow Preventer, , ,� 43. Backflow Irrigation 44. LandscaPe Irripation SVstem . 45:'Sound Attenuation � 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDWG ��j�� pL - 48. FINALPLANNING 49. Electric Release to Edison ',1 50. Gas Release to Southem Califomia Gas Co � � � 51. CEftTIPICATE OF OCCUPANCY No. Date PflOJECT ADONESS: 2 1 3 FAIRWAY PL OWNEH'SNAME: HARTSON WILL3AM E nooxess: z13 FAI{tWAY PL COSTA MESA,CA 92627 FHCHIENGINEEP: AODflESS: xec.xo.: uxir: UNIT: PEPMITTEE: WILLIAM E. HARTSON ( 714 ) 646-4527 aooeess: Z13 FAIRWAY PL COSTA MESA CA 92626 IICENSEO LONTHpCTaN DECLANIITION: I hereCy allirm ��a� I am licensea untler Orovisions o� Chapier 9(commencing with Sec�ion 7000� oi �ivivan 3 oi ihe Buvness anC Pmiessians COAe. antl my license is in full tarce ana evect. CITY LIC.: $TATE LIC.: CIASS: Oate: Signature: WOflKEPS' COMPENSATION OECIAflATION: I �ere�y allirm UWI I �ave a ceniliCate al tonsent to self-insure or a ce�ificate of Workers' Compen5aiion Inwrance. or a ceni�ietl capy t�ereol �Seclion 9800, LaG. C�. POLICY NO.: E%P. DRTE: COMPANY: � Cenilied topy is hereoy fumishea. ❑ Ceniliee copy is lilea with Ine city Builaing Division. Da�e: pUD�icant: E%EMPTION F110M WOPNEXS' COMPENSATION OEqANATION: (ihis sttiion neM not Ee wmplete0 il the pumt is fa one hrtbre0 (f1U0) a kn�. I ceriiiy Ihal in the pedormante oi �he wOrk lor w�it� Ihis permil i5 i55ue0. I Shall no� emDlOy any permn in any manner 5o as lo Oetome suDlea io ihe Workers' Compensation Laws o� Calitamia. Oate: Siqnamre: NO710E: II, aner making i�is Oeclaratian. you shoNA become subject io t�e Waders' Compensa�ion provision5 0� I�e La6or Coae. yau must IonAwiin comoM ��h sucn O��ons or tha permii shall Ee OeemeO rewke0. CONSTBUCTION LENOING RGENCY: I hereDy aflirm Inai I�ere is a conslruction lending a0ency lor Ihe petlormante ol IAe work lor wNch �his perm�t is �SueA (Section 3097. Gv. C�. LENOEfl: R�OflE55: OWNEfl BUILDFfl DECLABFTION: I �ereby aifirm I�al I am exempt Imm IOe Comraclars' State license Law for tAe lollavnnp reasan �Seclion 7031.5 Bu9n¢ss and Pmtessianal CoCe: Any tily of couniy which r¢puire5 a permil to constmcl, al�er, imprOv¢, GemoliSh, ar re0ah any simcWre. Ono� lo its issuance, also repuires I�e applicant for such De�mil lo lile a signeE statement thdt �e/s�e is Iicense0 pursuam to the O�ovisions of t�e Gontractors' State License Law (Chapter 9(wmmencinq wil� Seclion 7000) of Oivision 7 al t�e Buvneu and Pmlessions COae� ar that he/sne is erempt inereham ana ine oasis lor ihe alleAeC eMemption. My violation of Setlion 7031.5 Ey any applicant tor a oermit subi�ts ine apo��wnt to a civil penalty of not rtwre tnan live nunarea dollarz (E500�. i, as owner ol Ihe pmDeny or my emyloyees wi�� wages as t�eir sole compensalion. will do ��e work, antl the � ❑ stmciure is not inlenGeG or ollereJ for sale (Seclion 70aa, Bus�ness an0 Pmfeuional Cotle: T�e Contracmrs' Slate License Law does nol appty �o an owner ol a pmperiy w�o Ouilds o� improve5 ihereon. an0 wlio do¢s such work himsel�/Aerseli o� I�rough his or �e� awn employees. proviaed Ihai such impwvemenis are noi intentle0 or o�ler¢E lor sale. I�. twwever ��e Ouilaing or impmvemem is sald wit�in ane year of completion, t�e owner will �ave tAe burtlen ol provinp �e/s�e Eia noi builA ar improve lor ihe vurpose ol sale). I. as owner of the propeny. am e�clusively coniractinp wi�h licensea coniractors lo constNct ihe pwject (Section 7044, Business ❑ and Pro�e55i0ns CoEe: TAe ConlraClOb' Sldie LitenSe Law Oaw nol apDN �o an ovme� al propetl9 who WiIGS or im0��'/QS ihereon ara who conlracl5 �ar suc� Omjecis vn�h a coniracror�s) license pur5uan� f0 t�e Conirac�ors' Sla�e License Law). I am aware � thal pmol of their Warker's Compenu�ion insuranre shoulA be proviEeO to me. � i am ezemo� untler Sec�ion�. gP 7 � 4 4 0. s P. C. mnms�easo�: ALL WORR HY OWNER/FAMI � ��a_le:�/�7� Owner. \ � Jo here�y cetlify I�at 1 am aware ol an0 untlerStanE ��e requiremenis af Cali mia Heal�h an0 a�ery Code Sec�ions 25505. 25537, antl 2553E antll�ai loranylulure Ouilaing oCCupaniwill/wilino��cirCl¢ on¢) nee4io tOmply vnih SaiO Slaie totl¢5 andiher¢quiremenis lal a p¢rmil lar Cons�mttion or modifira�ion Imm �he Air Oualily Managemen� Districl. R¢Sia¢niial tonsimt�ion ap0litalion5 are exempl �mm Inese O�ovisions. Ua�e: ADDlicam: I hereby wtlify�hal I have reaa IhiS applicaiion an0 S�ai¢ I�al Ihe abOveinl0rmaii0n i5 torreci. I apre¢ Io tomDly wiih all Cily antl toUn�y .. ortlinances and sla�elawsrelalinA�o building con9mclion an0 herebY aut�oriterepresen�atives ollhis ci�y b enteruponlhe abave�menlionetl 'i pmper�y for inspec�ion pur0ases. / ,�� / � ZG��s" ' _— v/� aR- � SignaWrg',r �� o�i�ers ucense o� sociai 5ecwity a: 16nLafi White—E3uildino: Green—Cotle Enlorcement: Canarv—Aoolicanl; Pink—Revanue: Goltlonrotl—Assossor CITY OF COSTA MESA — BUZLDING FERMIT PERM NO; B 05580. PERMIT NO; B 055802 PLAN CHECK NO: N GOVT; N SUPP; N CONSTRUCTION TYPE; 5—N PERMIT TYPE: STR PURPOSE: DEM JOB DESCRIPTION ; DEMOLZSH ONE 200 SF(1OX20) CARPORT SQ FT: CLAIM VALUE: 1,000.00 CALC—VALUE: 1/,000.00 GROUP OCC: M-1 / COMMENTS; REMOVE 'OUTER' CARPORT CLOSEST TO PL /�oTA �/L�O/�t/��'*��"��%— *******��*****�r**�*�**�****��r�r*��****+r�**�rx��r��c �***+�** ** * �r,.* � � �r * Z O N I N G R E Q U I R E M E N T S S E T H A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING --------- FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT; FT ItJ PARKING REO• PROV; PARCEL: 43921212 ZNE: REF NO; PLANNING Nt3T'ES> i *��*�***��*�*��**�****�**��+�*�**+��***�«�*�+�,�**��«�*�***��*****��«*��*��* 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 1J T S ZONING APPROVED BY . BUILDING APPROVED BY : APPLICATION ISSUED BY•� iE1EfEiEiEfFifik*kiFkiEiEkiEiEiFkiElFiE k iF iF if iE if iE ik iE �F IE IE iE iFif if 1t iE 1E if !F iF iklE if iE k iF �f LEGALIZATION;N BLDG PMT PLUMBING PERMIT 25,00 PI.AN ISSUE FEE DATE; DATE: �iFiF7F'iFififilkiEDiFiEiFiFif ��iFat i€ * iE IE ik iF 3E 1E iE �E iElt ih jFiF if IF iF �E it if iE iE !k if if ik iF iF iF it if IF k F E E S U M M A R Y STRUCTURAL SEGMENT:Y ELECTRIC MECHANIC FIRE SMIP/RES GRADING SMIP/NON—RES .SO BUILDZNG—DIV—> PERMIT ISSUE PLAN—CAECK TOTAL PAID DUE TOTALS----> 25.50 0.00 0,00 25.50 25,50 .OU REVENUE DIVISION TOTALS--> COLLECTED; 25,50 OVER/SHORT: ,00 BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CIiECK 25.00 ,50 if it k ik iE 1! if ik 1E it 1E iF if iE it iElf i4 il� iE iE 1E iE iF iF iF ik iE iE iE 1E if 1! ik k iF iE if iE if if 3E iE if 1f iE iF iF if 1E iEil� iE IE 1E if iE iE 1E 1t 3f if 1E iF 1f if ik iF If if i6 iF IE iF 1E 3f� ik if jE 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 NO FEES WERE SELECTED FOR THIS PERMIT �� C1 �'..nUr'_ –Lr.lU:1 .� ^\lu\ �'"iT_ �., __ .. ..-,_� �'. .� l)\ \ v CONSTRUCTION AND PLANNING POOL .P.A APpROVALS Permit# Date Inspector qpPROVAIS Permit# Date Inspector 1. Temporary Electrlwl Service or Pole 52. Poo� & Equipment Location � Z. Spil Pipe•Undrgrnd. � 53. Steel Reinforcement . � 3. Eiectrical Conduit Utility-Undrgrnd. 54. Forms 9. Electrical Conduit�Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Piumbing & Pressure Test 8. Electrical UFER Grnd. 57. APPROVA� 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 Undrgmd. 70. Suuctural Floor System 67. APPROVAL TO PECK � 1 t. Property Sewer Line & House Connection 62. Backwash & Receptor�Final � 12. Sewer Cap 63. Heater & Vent-Final � 13. ROof Drains 64. Plumbing System � Finai . 14. ROugh Plumbing 65. Etect�ical-Finai 15. ROugh Electrical-Conduit 66. Solar System�Final 16. ROuqh Etect�ic Wiring 67. Fencing & Access Approval , 17. Rough Wiring Sign 68. APPROVED FOR PLASTERiNG 18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 79. Rough Heating & A(r Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Firepiace ' APPROVALS Permit # 21. Ducts, in Structure. � 70. Underground Hydro 22. Ducts, Ventilating 77. Product Piping OGas ❑pil 23..G�t Pipe�Rough & iest 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 27. Frame and Flashing - 76. Dry Standpipe 28. Ldthing & Siding . � 77. FIXED SYSTEM FINAL _ 29. Insulation � •• 78: FIRE PflEV. FINAI 30. Drywall Natling � HEA�TH DEPT. REQUIREMENT 31. Plasier Brown Coat � 79. FIfVAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: � 34. Finaf Neating & Air Conditioning ' � 35. Finai Gas Pipe•Test � 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing � 39. Water Service-Fiti81 40. Gas Service-Pinaf� 41. Solar pomesticFinal � 42. Backflow Preventer " 43. Backflow Irrigation - . 44. Landscape Irrigat:on System ' � 45. Sound Attenuation 46. Hendicap RegulaTions . 47. FINAL STRUC7l�RE & BUILDING Ky`6/c g�� J �� 48. FIIVAL PLANNlNG � 49. Elearic Release ta-Edison 50. Ges Release to Southem Califomia Gas Co � � - 51. CERTIFICATE O�F OCCUPANCY No. Date �R Test LOT cnnt ��ll63 Pp2E ZONE DESCRIPTION OF WORR TYPE III ZONE �l PLi1N NO. DATE � gUBCONTRACTOR 2- , >> w, 8�� COSTA MESA BUILDING DEPARTMENT P. O. BO% 31 ] COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN BUILDING J� Q � �� AODRE55 Y I .� / //,I/Jl//SL.N COSTA MESA. CA OWNER ��Ci r / MAIL n ADDRESS �� d CITY ARGHITECT L� h � /� OR ENGWEER L 7 �((/j ICONTRACTOR RNIA TEL. NO. LIC. �Ecn� lOT � oEscr+ipiwr+ NO. BL�CK T A.P. NO. / � / _I SIZE X/ No. ov e�ocs. / OF LOT - �ow orv �oi USE OF EXISTING BLDG. SETB4CN LINE FflOM � r , CENTER OF STREEi / REAR YARD INEW ) RIGHT �O/(�'/LEFT �jf�j�/i� DESCRIPTION OF WORK ALTERATION ADDITION MOVING DEMOLISH /^ , NP OF !� ROOMS STORIES WALL ROOF COVERING L u'�� C�� FEB s 1a5p FI�ANCE DEPT. �:�^`j CITY OF COSTA R1ESA APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY NECEIPT NO. PER NO. n �Y 9 / ADDRESS COSTA MESA. CALIFORNIA FIRE ZONE ZONE HO.OF iYpE ( PL�NS A D �BY DATE _,�� CORRECTION ��'t1�F%g<II� C T 1.� C. PLANT'.i G UEPT. � C . , �� BY • p —3c e � I NCFGBV ♦CNNOWLEOGE TM.�T I H�VE FE�O TMIS APPLIC�TION .�ND -- �- STnTE THAT �ME 1BOVE IS CONRECT �MO AGREE TO COMFLY WITH wLL �r ose o( es:abiishin a ermit fee only. CITV ORDINnNCES ANO ST�TE UWS PEGULwTING BUILOING CONSTHUC� D P g P 1 •iov. VALUATION SIGNATURE OF � PERMiT FEE $ rO �' PERMITTEE n �Q�j U� ' �� PLAN CHECK S g AUTHORIZED AGENT TOTAL FEE 5 �S � �� Costa Mesa Bwlding Department A APPI.ICATION FOR PLKMIT � 111 EAST 20th STREET ��`4O g t11 L D 1 N G � PLOT PLAN Show locatlon and disfances from property Itne and between butldfnga •. � -: _�_ �. ��3o-s.PD�`esTr�61i ,. � �:•: r:'. .6.!'� vostia mesa uuu�ung Le�artment ^- = �" �' P. O. Box 3!7 ��► COSTA MESA, CALIf-0RNIA -- • FOR APPLICANT TO FILL IN Building Address � � �3 �C�L�f�G(l-Q� � Costa Mesa, C— alifo�rY a� Nearest . or Lot (Attach Metes Size of Lot / Use of B Tel. No., City Al'YLIUAT1Ulv r'VtG Y�1s�iru� �5 BUILDING FOR OFFICE USE ONLY � Receipt No. � pe,rcnit A/� Received by 1 oaie Rec'a. oa� ,;, ./1 �, �— —� � ��'' Building Address Costa Mesa, California Nearest — Cross St. e�ock I rrabc— d /i9-/��ja- � i No. of Bldgs �� Now on Lot �` No.of No.ot Familles Rooma Rear Vard / Atldition � � No. of Rooms � Stories ering „(� � Covering/j/tj�/ � YAR. P:0:0'��i . ot New Building ,Z B-TJ–�� Faundation Location Forms, Materials, �' ,�� J Under-Pinning �, �� Frame: Fire Stops, Bracing, Bolts I hereby acknowledge that I have read this Application and state that the above is correct and agree to rnmply Lath. Int. with all City Ordinances and State Iaws regulating building construction. Lath. Ext 3lgnature of �) . /, � ��Q�� Permittee ��1� Plaster, InL Valuatlon Permit Fee $ / � '�' Masonr /� '^1 .� Pian Check $ �� Bond B� $ T �� v Total � Fee $ FINAL Am aoa io�se o. r. n s. Inspector �� PLOT PLAN Show Iocation and tlistancea from — property qne and between buildings [�. i. ' . � � • ` 1 : C ' , i \ * ' ��tt . .. ;'a \ \ : � �2J�. e c v �• - ..�e•�.. t '� 0 0