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Home My WebLink About2472 FAIRWAY DR - Building Permits(714) 754-5273 • Fau (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT JobAddress: 2472 FAIRWAYDR Suite: Vicinity: RESIDENCE AND GARAGE Parcel Number: 11910302 Zoning: Applicane CRANK, JIM Address: 126 COMMERCIAL WAY ' � - -- �Phone: (949)548-5569 - COSTA MESA, CA� �' � ' Zip: 92627 � � � Owner GUEZ TRUST Address 1446 DONHILL DR � � . � - . , � " Phone: � � - BEVERLY-HILLS, CA 2ip: 90270-2216 Contractor. CRANK BROS,ROOFING CO INC Address: 126 COMMERCIAL WAY - Phone: (949) 548-5569 COSTA MESA, CA Zip: 92627 �. License: 794724 Arch : Address: Zip: � REROOF: Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $0.00 $11'125 $0.50 $D.00 $0.00 $0.00 $111.75 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existinq: 0 NOTES: Phone: License: � Eng: Address:' ISSUED BY: SCOPE OF PERMIT_, . _. � � _ . ' . �. !�._�..�=. � FEE SUMMARY � � � Calc Valuation: Claim Valuation: Rear 0. 0 Rear 0-0 Reouired: 0 FLANNING R ZONING Lek 0- 0 Left 0- 0 Proposed: 0 Right 0-0 Right 0- 0 Status: ISSUED Applied: 01/OB/2002 Issued: 01/OB/2002 Phone: License: $4,557.00 $4,557.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 7247-92) EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 180 days, or it work is suspended or abandoned tor a period ot 180 days. ' INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspeetions and finel approval must be obtainetl. Failure to obtain inspections and final approval will result in tha ezpiration ot this permit. FOR INSPECTIONS CALL: (714) 754562fi !uaes (eroo) WORKERS' COMPENSATION DECLARATION: � I hereby ettirtn untler penelry ol perjury one of the tollowing declerations: ❑ I heve and will maintein a certificate of consent to seif-Insure for workers' compensetlon, es provided for by section 3700 of ihe Lebor Cotle, lor the pedormance ot the �`'ork tor which Ihis pertnit is issued. � I heve antl will maintain workers' compensation insurence, es required by sectlon 3700 of the Lebor Cotle for the pedormance of the work for which this pertnit is issuetl My workers' Carrier: � (This secfion neei and policy number are: � / (�''/� � PolicyNumber: �(� ��//(/ �� valued e( one huntlred tlollers (S f00) ar less.) ❑ I certity that i Ihe pe ormence of the work bry0(pfi this perr�i I is i55ued, I shall noI employ any per5on in any manner so as to become subjeci to Ihe workers compensation ws f Celitomia, entl egrae 1� (I should � me subject to the workers' compensation provisions ol Section 3700 of the Labor Code, I shall forthwith comply with Ihes 'eions. �� Applicant Signature� Date: � WARNINO: FAILUR TO CURE WORKERS' CO ENSAiION COVERA MWFUL ANO SHALI SUBJECT AN EMPLOVEF TO CRIMINAL PENALTIES AND GVIL FINES UP TOONE HUNDRED T}qUSANDOq�.LARE OO,OOO�.INADDfTIONTOTHEGUSTOFCOMPENSATIIXJ,pAMRGESASPROVIDEDFORINSECTION3]O60FTHElABORCODE,INiEREST,ANDATTOFiNE1"SFEES. LICENSED CONTRACTORS DECLARATION: I �ereby attirtn that I em lic ed untler provisions force antl eNect. Lic. N ContractoYs SignaNre: (wmmencing with Section 7000) oi Division 3 0l ihe Business and Profeuions Code, antl my license is in full Class p Date: _ — �� . CONSTRUCTIO -t�E�F61NG AGENCY: ❑ I here6y eHirtn t�at there is a cons�ruction lending agenry br the pedormence ot the work for which ihis pertnit is issuetl. (Sec. 3097, Civil Code). Lentlefs Name: SignaNre: _ OWNER-BUILDER DECLARATIONS: Lenaer's Aatlress: Date: I hereby aMirtn ihat under penelry ot perjury t�et I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Professions Code: Any city or county which reQuires a pertnit to construct, alter, improve, tlemolish, or repair eny siructure, prior to its issuance, also requires the applicant tor such pertnit to file e signetl stetement that he or s�e is Ilcensea pursuant to the provislons ol the Conirectors License Law (Chapter 9(commencing with Section 7000) ot Divislon 3 oi the Business and Professions Code) or thet he or she is ezempt cheretrom antl t�e besis for the elleged eaemption. Any violation of Section 7031.5 Dy any appliwnt for e pertnit subjects the applicant to e civil panalty of not more t�an live hundred dollars ($500).): ❑ I, as owner of the pmperty, or my employees with waqes es Iheir sole compensation, WILL DO TME WORK, entl the SlrucNre is not intended or oflered for sale (Sec. 7044, Business and Protessions Cotle: The Contractors Licenso Law does not epPly lo an owner ot propeny who builas or improves ihereon, and who does such work himself or herself or through his ar har own employees, provitletl that such improvemenis ere not intended or ofleretl for sale. If, however, ihe building or improvement is sold within one year of completion, the owner-builder will �ave the Durden ol proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner ot Ihe pmperty, am E%CWSIVELV CONTRACTING WITM LICENSED CONTRACTORS to con5wct the projeci (Sec. 7044, Business and Professions Cotla: The comrectors Licensa Law tloes not epply to en owner ot pmpeny w�o builds or impmves thereon, antl who comracts tor such prqect with a contraaor(s) licen50 pur5uant to �he Con�ractor5 LiCenSe Lews.). ❑ I am exempt under sec. Business entl Professions Cotle for Ihis reason: Signature: Date: Owner ID verifietl by tlnver's license. ❑ Yes ❑ No Drivers License No. Ventication oi Ownership by (type of document, i.e. - pmperry tex bill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Eapires: ❑ I hereby certify ihat no excavation five (5) or more feet in depih into which e person is required to descend, will be made in conneciion with work euthonzetl by this permit, and that no builaing sirucwre, scaHoltling, felsework, or demolition or dismantling ihereot, will be more than thirty-sia (36) feet high. (Chap. 32, Gry 2. Art 2, Sec. 341, Title 8, Celifornia Adminisiretive Coda). ❑ As ownerbuilder, I wi�l not employ enyone to do work which would require e permit Irom ihe Division of Indusirial Safery, as notetl above, uniess such person hes a permit to do such work from ihe division. Signature: Dete: Division of Indusirial Safety Permit Number. CERTIFlCATE OF COMPLIANCE AND Al7TMORIZATION OF EMRY: I certity untler penalty of perjury that I have read this application and state that �he infortnation given is correct. I agree to comply with all state laws and city ordinences relaiing to 6uiltling construction, and euthonze represen�atives of the Ciry of Costa Mesa to enter upon ihe above-dQccQbed property lor inspeciion�urpos§s. I egree not to occupy or allow occupancy of eny building authorized by ihis permit until final inspection. LO�E 1, INSPEGTIONTYPE 1616 Fiaetl System Final Fire Prevention 1286 Pool Spe Final 200 Final Re-Rooi 201 Flnal Block/Retaining Wall 202 Final Factory Fire Place 203 Flnel Sign 204 Finel Demolition . eeg u�s /-i5-oa ' H COOE� INSiEtTIONTYPE 206 Final Mechanical 20B Final Plum�ing 210 Finel Electncal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site � 250 Final Builtling/Occupanry � �� Date 4AIE Ui�ELS e� PflQIECI�00PESE:� zq72 FAIRWAY DR owxea•s x�Me: HARDY aonxess: SAME AS ABOVE 714/550-5414 ANCNIENGINEEfl: FODPESS: HEO.NO.: UNIT: � UNR: . PEflMRTEE: NOCK PLUMHING ( 714 ) 895-1246 nooaess: 11610 SEAIIOARD CTRCLE STANTON CA 90680 LICENSEO fANTMCTOB OECIAMTiON: I �erehy atlirm ihat I am IicenseU un0er Dmvisions al C�aD�er 9(c mmencin0 �� SecGon , 7000) of aWsion 3 of Ihe Business an0 Pmiessians CaEe, and my license Is In tull lorce antl etlect. aTr uc.: S 0 3 8 �6 ps�rnre uc.: 5119 71 /f �u$$ C— 3 Date: �—C _lL_ Sipnature: ��"U � WOBKEBS' COMPENSRTION UECUMTION: I harehy attirm t�� I have a certilicate ot consent to selbinsure or a cahlAcate of Workars' Compensation Insuanc c rtifie aDY ��emof (Section 3800, Lah. ). roucr xa.: 116 � � � �2 — �J �0 exa. o�Te: ] / O 1 / 91 cornrnxr: STATE FUND �f:� Certifie0 capy is hereby Iumisne0. m Cenifie0 caDY � �i1ea witn tne dry BuiIGInO Olvtsion. 6�ate: �� 5 r L�� Applicanc \ E%EMPIION FBOM WOBNEBB' COMPEN&1TIOX DECUM710X: (fhis ecUon nee0 not he completeA Ii IAe permit is lor one huMreC (f1W) or less�. I cenity that in the periarmance a1 the woM1 for which t�is permit Is IssueU, I s�all not employ any person in any manner so as to hecame suhject to ihe Workers' Compensatian Laws ol Califomia. Oate: Sipnature: NUTICE: Ii, atler maldnp tltis declaation. you sAould 6ecame suEjecl ro t�e Woders' Compenution D�� ol the Lahor Coae. you must �omm�th mmpy witn such provisions or tMs permn sna�� oe eeemee rewkea. CONSTBUCitON IFN�ING �GENCY: I �ereDy aKrm that there is a consimction IenOinp apenry lor I�e pedormance of the xrork tor which this permiiis isSueA (SecGon 3097, Civ. C�. lFNOEN: ROONESS: OWNEP BIIIIDEP OECIAMTION: I �ea0y alfirm ttw� I am exempt trom t�e Contactors' Sute Liurtu Law tor tM lolbwinp reason (Section 7031.5 Busineu anE Pmfessional COGa: My tiry al counry wtnch repuires a permit to coretmct, atter. ImD�'e, Eemolish, or repair a�ry struqure, D�or ro its iauance, alm requires Ihe appliwnt for such permit ta lile a sipneA statement that hNs�a is Iicense0 pursuant to Ihe D�ovisions ol tM Contncmrs' State License Law (Ctupter 9(commencinp vnih SacUon 7000) of D'Msion 3 0l the Buvnew anE Pmfessions Catle) or tlut Ae/she is exempl IAerelmm anG tAe basis lor tAe allepetl exemD�ion. My Nalatian al Section 7031.5 Oy any aOGliwnt for a permit SuElects Ne apDliwnl to a civil penalry al not rtrom than INe hunEroE Eollars (5500). I, az owner ol Ne DroOeM or my em byees vntn wapes as tAeir sole compensation, wi0 Aa Ne vmM, antl tne ❑ structure a irot imenEeE ar otterM tar sale (�n 7044, Busmess an0 Professional COEe: T�e Contactors' State Liunse Law Oces nat apDN �a ��er oi a prope�ty who W1Es ar imDraves Ihereon, aM xTw Oces sucA xroA Aimselt/herself or I�mup� his or her own empbyees, prwiOeO Itwt such improvemenLs am not inteMeO ar aflere0 tar sate. II, Aowever the huilEinO ar imD�vement is soltl wiUtin one year ol comD�etion, ttre owner will luve Ne �urtlen ol Drovinq �e/s�e EiE not huilE or Improva far Ne pufpase of Sale). I, az ovmer ol the Droperry am exclusNely coniraclinq vnth IicenseE contactors to wnstruct IAe Drajeq (Seclion 7041. Business ❑ and PrNessims CoCa: TAa Contadars' State Lianse Law tloes �at apply to an mmer al Droperry who EWOs ar impmues Nereon ana wAo wntracts tor such pmiecu qth a wnvactor(s) licensa Durswnt to tM Camradori State �cense Law�. I am aware IINI pf00� 0� I�1Gf WOfkCf 5 CORIQEM142F�011 IIISIIfdfICE SIqUIE 0! PfONGBE l0 fllE. � 1 am aempt unGer $ttGon: 6. 8 P. C. forin¢ reason: Date: Owner. I tlo �ereGy cenity I�at I am awara oi an0 untlerstan0 t�e requiremenis al Calitornia Heallh anE Safety CaOe Seetions 25505, 25533, antl 2553d an0 [hat I or any IUNre CuilOing occupant wilVxill nM (circle one) neetl to campty wit� saiG state coaes anG t�e repuiamena for a permil for cMstruttion Or motlififa6on tNm ��e N'! UudlRy Manapement USldtt. fleSiCeniial conSVutlion appliWUons are ewemp� Irom �neu provisbns. �ate: ApDlicant I hereby certiry ihat I �ave reatl t�is apD�ication anE state that tAe a�ove Inlormation is wrrect. I a0me to wmply with all ciry an0 counry oNinances anC state laws relatin0 ro huilAinq consiruRlon and here6y auth�msentativa_�enhr u0on tAe ahme�mentloned proDeh.�Y �o1rin5peciion purpo5/e(5.� Date: i � � � �� l� Sipnawm: onver's �icenu or Sociai Secudry x: 184138 Whi�e—Buil0ing; Grean—COAe Enlorcamen�; Canery—NOP�Icem; Pink—Revenue; Ooltlenrotl—Assevor CITY OF COSTA MESA — HUILDING PEAMIT PERM NO: P 047978 PERMIT NO: P 047978 PLAN CHECK NO: N GOVT: N SUPP: N CONSTkUCTION TYPE; PERMIT TYPE; PLU PURPOSE; OTH JOH DESCAIPTION : WATER HEATER REPLACEMENT SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: / COMMENTS: � x******�t�*�**�tY�*�t*x�r��*�t�xx**�**�t�t*�t*�t�*�t�r*�t�tx�t*�*�r��*�t�t�t�t*�t�r�t+��t+�*�t**x***�t�***� Z O N Z 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 bUILDING --------- FRNT: FT IN REAR: I'T IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 1191030'l ZNE: REF NO: PLANNING NOTES> > it iF if iE 3f if iE ik iF if it iE iF jE iE iE if jE it if !f iE iE �E jE iE if 1E iE if iE if if ik iE itlf iE iE 3E iE if iE if 3f if iFiF iE iE iE if if iE iE iE 9E iE jf iE iE it iE if jE iE iE if iE if iE ik if iE iE dE it iElE D E V E L O P M E N T 5 E R V Z C E S',�. R E(� 0 I R E M E N T S ZONING APPROVED FiY ' DATE: HUILDZNG APPROVED BY : � DATE: ,r APPLICATION ISSUED BY: �jj DATE: ��j/ �iD iFifik'kiEifiE#jfikifiEiE#'.EiEiEifititiFiEiFici't ititiEiFiEiFitiEiEiE f� . 1FiE it if 7k iP 7E iE if ik iE ik 1k ik iE iE ff iE iE if iE iE �k if if iE iE it iE jt iE if jE iE iE iF iF iE ik if iE iE if it it if iklE ik iE iE iE iF iE iE iF if iE iE jt if ik iE iF iE ik 1E iE tf 1E If iF k iE �E if if iF jf iE iE LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 2,00 25$ SMIP/NON—RES PI.AN ISSUE FEE 3.00 HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 2.00 3,00 0,00 5,00 5.00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 5.00 OVER/SHORT: ,00 bLDG PMT PLDMBZNG ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK S.OU it if iE iE if .i'� if iE jE jE iE iE iF iE �f iE if iE iE iE iE ik iF itlf it it iE iE jE iE iE iE if 1f it iE it 1k i! 1f 1! i! i� if iE if iE iE iE if 7E iF k if iE �)F fE iF iE iE it iE iE iE iE iE if it iE iE iE iE if iE if iE �E if 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 PLU 1 WATER HEATER AND/OR VENT END OF FEES 2.00 01 �DD65574—OQ056�74 ��'� DATE� 07/31/90 ?If1c: i5:i33 2.00 CONSTRUCTION ANDPLANNING POOL ,PA APPROVALS Permit # Date • Inspector AppROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. � ' 53. Steet Reinforcement 3. Electrical Conduit Utility�Undrgrnd. � 54. Forms 4. Electrical COnduit-Undrgrnd' 55. Electrical Bonding 5. Steel Reinfo�cement . 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7. Foot+ngs 58. Electrical Conduit�Undrgrnd. 8. Foundation � 59. Gas Pipe, O Undrgrnd., Test " 9. Water Pipe�Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgmd. 10. Structural Floor System ' 61. APPROVAL TO DECK 11. Property Sewer Line�& House Connection � 62. Backwash & Receptor-Final 12. Sewer Cap - ' 63. Heater & VenbFinal 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 75. 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 19. Rough 4eating & Air Conditioning FIRE DEPT. REQUIREMENT � 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Vent�lating 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. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing • 76. Dry Standpipe 28. Lathing & 5iding -. 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 Eleciric Notes: 34. Final Heating & Air Conditioning 35. Final Gas PiPe-Test 36. Hood or CanopY 37. Final FactorY Fireplace 38. Final Plumbing ( �� 39. Water ServiCe-Final 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irripation System 45. Sound Attenuation 46. Handicap Regulations a7. FINAL STRUCTURE & BUILDING - 48. FINAL PLANNING � 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No, Date Applicant to fi11 in all soatts except those within heavY �orOer Iines antl sign all aoG�ooriate aeclarations. GTY l9F COSTA,MESA CONSTRUCTION P RMIT PERMI O. _ _ �TRACT NO. LOT NO. �UNIT NOt ' �ProjectAddress � �� Applicant's Mailiyng�Addr/�es/s�q � � � Owner's Name � / �C:°Y (W��!� Phone Address , Arch/Eng. License No. _ Address Contracmr's Name p � � - Pf ne Address Ima'I'nnl /\�_ �7�� Ciry Licensa No �� JJ LICENSED CONTRACTOR DEGLARATION I he�eby a(firm thal I am licensetl untler provisions of Cbarter 9(commencin9 with sectibn ]000) of DiviSion 3 of the Business antl Protessions Cotle, and my license is in ful o�Be antl effect. LICCf152 d55 � I p C Date �� ' Si9nature _ ' WORK RS' COMPENSATION DECLARATION � I Itereby affirm Ihat I have a certiticate of mnsent to sel!-insure or a cer[ificate � Wo�ke�s' Compensation Insurance, o� a certlfi¢tl copY thereof Section )00, Lab�. �/ P�]o�lic'y No. �¢{ � ~ � Company — � ld Certitiedc�py I5 f'IedbwithrthehC�ty Itli 9�} vf� o //A� / � Date APplicant Z�T��.�(_ �� ' EXEM TIO FRO WORKERS' COMPENSATION DECLARATION (TM1i55ection neetl not be completetl if [he permit is tor One huntlr¢tl (5100) or less). I certify that in Ihe performance of the work fo� which this perm�t i5 issuetl, I s�all not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Oate Signature - N0710E: If,after making this tleclaration, you shoultl-become subject to the . Workers' Compensation provisions of ihe Labo� Cotle, you must forthwith comply with such provisions or this permit shall be deemetl revoketl. CONSTRUCTION LENDING AGENCV I hereby aftirm that there is a consVuction lentling agenty for the performance of th¢ work tor,which thi5 p¢rmit� is issuetl (Section 3097 -Civ. CJ L.entler's Name Lentler's Adtlress . OWNER BUILDEN OECIARATION ' ' ' I hereby affirm that I am exempt from� the Contractor's License Law ior tbe foilowing reason (Section ]031.5 Business antl Professional Cotle: Any city or county which requires a pe�mit to ConS[ruct, alte�, Imp�ove, tlemollsh o� repai� any structure, prlor to its issuance, also requires the applicant for such permit to tile a siqnetl stalement tha[ he/she is licensetl pu�suant to the provi5ions of tbe Contractor's License Lzw (Chapter 9(commencing with Section 7000) of Division 3 of the Busines5 antl Profe55ion5 Cotle) o� that he/5hC iz exempt- therefrom antl the basis for the allegetl exemption. Any violation of Section ��;d031.5 by any applicant for a.permit subjects [he applicanl to a civil nalty of no[ mo�e than tive huntlretl tlollars ($500), � I, ds owner of ,the property Or my em0loyees with viages as their sole compensation, will tlo the work, antl the stru[ture is not intentled o� otteretl for sale (Section 7044, Business'antl Professional Cotle: The Contractor's �icense Law tloes mt apply to an owne� ot a properry who builtls or imp�oves thereon, and who aoes such work himsel!/herselt or tnrough his or her own employees, provitletl that sucM1 imOrovements are not in[entletl or oHeretl fo� sale. It; however, the buildin9 or irtip�ovement Is soltl within one yea� ot com- pletion, tne owne� wlll have Lhe burtlen of proving he/she tlitl nof builtl or im- p�ove for the purpose of sale). � ❑'I; as owner of the property, am exclusivery contractin9 `�+ith licensed'com tractorsto cons[ruct the Oroject (Section ]044, BuSinesS antl Protessions Cotle: The Contractor's License law does not apply to an owner of property who bulltls or improves tM1e�eon, antl who mnt�acts fo� such pro7ect5 with a con- tractor(s) ucense pursuant to the ConVactor's �icense Law). I am aware tnat proot ot their Worker'S Compensation insurance shoultl be provi�etl to me. ❑ I am exempi untler Sec[ion B. & P. C. for [M1is reason �J TVPEOFCONSTRUCTION NEW AOD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH � OTHER _ A p.# ' DESCRIPTION OF WORK/USE OF BLDG. � 5 Main Buildi TYPE OF PERMIT ❑ GRADIrvG �uNDATIOrv ❑ STRVCTURAL T Front ❑ �TENANT' ❑ ELECTRICAL LUMBING ❑ MECHANICAL . . B Reaf ❑ OTHER A PROJECT DESCRIPTION sq.FT. OCCUaANCv �C Right K Left .CONSTRVCTIONTVPE VALUATION.$ � $ ZONE GRADING CU. VpS. ACRE$ Pln9. Ret. # Remarks: ' ' _ Planning Notes: Bar Sink Backflow Preventer Backflow irri9ation Bathiubs Clarifiers ' Dishwasher Orinking Fountains Floor Drains Floor Sinks Gas Service � Interceptors Kitchen Sink - �avatories N Outlets Roof Drains Reinspaction Fee $15 Duct - Under GrOund Duct-Structural ' Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Blc ICBO # Date ' owner ' � Heating System & Ducting I hereby certify that I have �eatl this appiication antl state that the above ❑0-100,OOOBTU 0100,OOOBT Information is corretL.l agree lo comply with all city antl munty ortlinances - antl state laws relating�to builtlmg mnstructlon, antl hereby au[horiie repre- 5entatives of this ciry to enler u on the above-mentionetl properTy for , 'inspection pu e {k Signature � ✓l.� Date��'1, • Drivers' License or 55 � � Reinspection fee . CMF 0865-46, rev. 10/84 White - Builtling; Canary - Applicant; Pink - Accounting; Goltlenrotl - Assessor 515 Showers. Service Sink - Sewer Cap Sewer Connection Solar Collectors Solar Pipin9 Soiar Tank Swimming Po01 w/Spa Urinal ' Water Closet Water Heater Water Service - Auto-Wash Issue Fee Hood or Type I ❑ Canopy f Type I I ❑ Pefrigeration System ❑0-100 000 BTU ❑ 100,000 System Repair/Alteration Fire Dampers Registers _ luue Fee FEES ' � ' � Automatic Washer -� Consbuction�PoleSub. ' Cooking Unit � � ' Dishwasher � . ' — Dryers �Gas ❑Elec Fan F.A.U. ' $ 3 e $ 3 Device Boxes Outlets Switches Garbage Disposai Generator �0-5 KW 05-15 _ 721i _ '�' i cini.in-. Zone Accessory Building: Parking Req./Provided ' ELECTRICAL - � , Trensformer L] 15-50 KW ❑50+KW - Meter ❑up to 100 amps Meter �over100amps Sub Panel Motors �0-1 HP � 1 h� 8 Inc.Solar 09-15 HP'�i6-15+ Microwave Pole Light Range c:.... . Standing Section Trash Compactor Reinspection Fee $15 Issue Fee � DEVELOPMENTSERVICE$REQUIREMENTS: Zonin9 Approved By Buildinq Approved By �� 5,�II - TL FEES $ 3 Z O N I N G R E Q M T S ' SUMMARV OF FEES � � � BUILDING PERMIT � $ � SMIP � $ � PLAN CHECK $ �—�� ERMIT � PLUMBING � $ _C�'C�'�"��UANCE � $ � PLAN CHECK -25% $' ENERGV P.C. $ � ELECTRICAL $ -GRADING� �$-- PLANCHECK 50°k $ MICROFILM $ MECHANICAL . $ TOTAL FEE , $ .�UU � PLAN CHECK 25% $- I CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit# Date Inspector p�ppROVALS 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-Undrgr d. 8. Foundation 59. Gas Pipe, � Undrgrnd., Test �. 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, D:Undrgrnd. 10. Structural Floor System 67. 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 Electriral-Conduit 66. Solar SVstem-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 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS P.ermit # _ 21. Ducts, in Structure 70. Underground Hydro � 22. Ducts, Ventilating 71. Product Piping � 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 27. Freme 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-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing � [,�� 39. Water Service-Final . 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer • 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation ' 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING 48. Special Requirements Completed � 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date � OWNER JOB AC GENER A� No. 7. : c SOIL .,� ws SHERWOOD, M. Diana -n2 LOT J w�iER . . ... ROUGH PLUMBING PRaP. Swa. UNE } MOVSE CON. �, SPRINK�ING SYSTEM Q1 MISCELLnNE0U5 POUGH HEFTING AND �IR CONOITIONING UN�EAGROUND �] a0M'ER ROUGN wIRING . BONO BEPN SHERTMING STEEL REINF. STEE4 AEINFORCE Fq4ME ANO FLASXING LATHING — IN �� PL>STER,BROWN CORT 5' 'TUAAL, FIN4L N IG. VENT., REFR PIUMBING. FIN4L /N� ELECTRIC, FiNnL BUILDING. FIN4l ve FI DATE 2-1-79 SUBCONTRACTOR ,/ � � � r� � �-, ., ;; . COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. 80X 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUILDING � /�� ./_ ADDRESS �� OWNEP I � O-O.D MAIL ��L ADORE55 � TEL. CITY � NO. ' CANSTRUCfION LENDEF BFANCH ADDRESS ARCHITECT TEL. CONTRACTOR AODRESS TEI. CITY NO. nL'tf�123 2%01 %79 7.5�CATL APPLICATION�.Vic�S4RU�'7't}IE�L��MIT �Q FECEIVEO BV liTE FiECEIVED DATE ISSUED �, / PEFMIT NO. \u N! V A.P. N�. �� 3— Q z, BUILDING � In/ x�, ADORESS / �y j.J TRACT Y � LOT BLOCK W ADD AL P I OWNER /N/. ��N�� d�F�((JOO� . FIRE ZONE APPROVED ZONF�/ NO.OF � PLANS USEOFNEW T��p BUILOING ^' �g� F /Y STATE CITY �'AROSAPPROVED YARDSAPPROVED ~q IIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING CL' (FpOM GL STREET {a7 SIZE NO.OF BLDGS. 1 OF LOT �' NOW ON LOT I O FT. a USE OF /� � ExISTING BLDG. // D/i/E I FT � FSeparate permits are required for L SIDE ��T. � FT. � electric, plumbing and heating work. ae �+a '33 FT. `-+ FT. W USE OF BUIIDING AND WORK TO BE PERFOflMED F DISTANCE BET. BET. MAIN & Q MAIN BLDGS. ACCESS. BLOCS. � VAR.� DATE Q r Q �2FO C.U.P.qW Af9ROVED � � �,� APPROVED�� r � z � � i hereby acknowlod8e that I heve reotl thiz application and state � f that the above info�mation is eorrect antl agree to comply with m a all laws regufating builtlin0 construction, antl � shall not employ > z any person in violetian of the workman's compensation laws of / v 2 the State ot Celitornia. m 3 I hereby certify thet I e prope Iicensetl as a contrector untler SQ. FT, a tho State Of Californio B'na nntl Profasalons CoOe, Oivision 3, THE AMOUNT SHOWN VNDEF VALUATION IS FOfi m Chaptar 9, and ihat sueh li nsas nra In fuli forco antl a7fect, or I TNE PURPp$E OF ESTABL6HING A PERMIT FEE O • e am exempt from ihe pr slo of thaStete o( Calltornia Businass VALUATION PERMIT FEE S �� Q anE Profesalona Cotla, rvislon Chapter 9, m / / /� LAN CHECK b ^' SiB�etura �� f• � Permitte S (j/ � TAX S � U Authofized Ag¢nt TOTAL PAID 5 �or t3 TZACT 3940 • 14951 COSTA MESA BUILDING-SAFETY DEPARTMENT P.'O. BO7L 917 C08TA M68A. CALIFORNIA For Applicanf fo Fill In Compleiely TYPE OR PRINT � 8��N� „ . . � _ � � n _ ■ MAIL COSTA MESA COSTA MESA TELLI ZS-� NO. TEL. FIRE ZONE APPROVED FEE RECEIVED �1L ,21 1961 Q ��- FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Offiee Use Only HEC8IPT NO. PEfjMJT [19•_ OATH COSTA MESA. CALIFORNIA ZONING ZON6_'� I PLFN9 G I BUILDINOB � R TEL. LEaAL Ti�, 3 9 yo � i N�' DEBCPIPTION '6IZE //�O �/ /:D S-�t I rvo, oF Btnae. OF LOT (B(O d `9 i �� now oN �oT 0 86T9ACN LIN[ FROM � n � C6NT[w OP BTR[6T � REAR YARD�/� / �. I I/ SIOE YARD I LEFf �� b RIGHi S'3 DESCRIPTION OF WORK NO. OF ' UBE OF BUIIOING ASJO WORK TO BE PEP SINGLE FAMILY RE AND ATTACHED GARAGE jf3O (CBNTlR LIN6 9T.1 � FRONT R. SIDE � L. SIDE 'S REAR � Z APPROVE� ��-/a BY � o : /�.-�� 'h.e 1� • . � 7., �J_ Ev�s ' 'c�I. 37`/ ALLOWED f. �L IN. r. 3 iN. f. I N. f. IN. �ATE 7// /6 I I HBfiHT' AGIWOWLHDGL TMAT 1 MAVE R6AD TXIB MPLIGTION THE AMOUNT BXOWN UNO6p VALUATION 19 POF THE ANO @TAT6 THAT TNE ABOVH 18 COPFECT AND AOReB TO COM- PUIiP096 OF E9TABLIBHINO A PHRMIT FEH ONLY. PLY VATH ALL CITY OIiD�MANCEB AND HTAT6 LAWC R80ULATINO au1lDlNo coNeTRucT1oN. VALUATION �7 '/ d� SIGNATURB OR � PERMI7 FHE $c}�Y' ' PERMIlTE � � . $ � l0 _.... _.._.... .. /�% AUTHORIZED AGENT. 1////�//l_LV�LGfJ-O/U ' ' / ��T